VOLVO 4.3 Supplier Self-assessment Environmental requirements for Volvo Group Suppliers ‘Supplier Name Castiwa Costing ‘Volvo Supplier number(s) N/A Address Telephone/Telefax F-32218), Road ae46 , VET Aueg Tod Bo2013 *31-9829014224 , +3)-98 29246666 Environmental m: Smosh Dud wal (Contact at supplier (e-mail address & phone number) Vilbou Ws Toate wall Qgpuimia Costiuge- Gow , +31- 9B29 246666 Volvo Group contact NJA Evaluation date 2Qw\o2) 2014 Signature E-mail address WodG gotten Coaluge + Com 7 Key Elements Procedure 5VOLVO Environmental Requirements for suppliers Self-assessment White ‘Completed, Documented, Requirements met Framed = Not relevant, Black = answer not allowed for this question |mational purposes only. [The answers to the questions of part A and B will be used to calculate the score, Part CIs for infor- Maximum points 48, markings in “not relevant” will be excluded from total score. Not rel ‘Comments [A_The Company 1. Do you have a third party certified system covering all relevant activi ties (e.g, Product planning & devel ‘opment, Production, Purchasing, Sales organisation)? (180 14001 or EMAS) management} Igy] = Ifyes: please attach a copy ofyour oon cate and document te Volvo Grou su les ruiers) covered by the cat eaie(s) i 0 or party: please attach time pan, Sehecluted tou Aoke As Tuy, Yow 2, Are there any requirements on Sub-tier suppliers to be certified according to ISO 14001 or EMAS? tno o party: doourent what are he a= rent requirments are and there is an ection plan plesse altach. 3 Are there plans or activities to m= prove existing products or produc- tion process with regard to envi- ronment impact (taken the whole life cycle into consideration)? Ii yee please aiach plans or aces target, te pan, ete WoRDKEPDocissue 2 ~Yeom0208 Key Elements Procedure §VOLVO [B_Hazardous Substances Party] Yes [Not [Comments 3p | 6p Are products daivered to Volvo re orpariy pease doement te a Group free from chemicals on the pee ied ‘being used and attach @ black list? I ” Rueeot Seadlt,) 5 Are the production processes free from chemicals on the black lst? tno or pariy: please document re sub stances that are being used and attach @ phase ut plan Free of head (Re) (6 Are products delivered to VoWO Group free from chemicals on the grey list? oor par: plcase document he sub stances tat are beng Used and atiach a phase out plan Puree of dead (Po) 7 Are production processes free from ‘chemicals on the grey list? itao or party please dosument te eub- stances that ae beng used and attach & phac0 ou plan fete of Leowel (8) [8 Is the material content of the pro- duct available to be reported in IMDS (according to IMDS reporting for Volvo Group instructions) Slo We Regaected +o AND S "Wot relevant is no oplon Tor aulomative ini suppers . Additional information and comments: Henvironmental reports or similar are available, please attach! If reports on Life Cycle Assessments, Environmental Product Declarations etc are available, please attach! Key Elements Procedure 5