Part 1: SUPPLIER FACTORY EVALUATION REPORT - Self assesment

YES (X) NO (X) Comment

It is very important that you give us as much information as possibe, so we can access your possible potential to become a supplier to us. Please fill in the form carefully and completely. We will follow up on
certain points.

General information
Date:
Facility
Factory
Facility Trading / Buying House
Other
Trading Trading Co. Name:
Trading Contact Person:
Trading Address:
Trading Tel. No:
Trading Mobile No:
Trading Email:
Factory Factory Name:
Factory Contact Person:
Factory Address:
Factory Tel. No:
Factory Mobile No:
Factory Email:
Factory % of ownership 0%
Are there processes that are being outsourced? If so, which ones? If yes, which ones?
Employees Factory Employees (By Department) Department Number of employees
Administration:
Merchandisers
Sewing Room:
QC/QA Department:
Pressing:
Mechanic
Cutting:
Finishing:
Packing:
CSR:
Others:
TOTAL:
Products Product Types. Select as many as applies, or write other types in Others. Ski
Hiking
Outdoor
XCS
AWG
Leisure
Gymnastic
Boardshorts
Swimwear
Run/fitness/cycling apparel
Footwear
Hardware
Accessories
Others:
Facility Vertical operation If yes, what type?
Fabric Fabric types (list main fabric types)
Capacity Capacity per month
Quantity MOQ /style:
Quantity MOQ/Color:
Time Lead Time:
Customers Main Customers Main Customers Country Items

Pre-production
Fabric and storage control
Fabric and storage
Fabric and storage
Fabric and storage
Fabric inspection and color control
Fabric and color
Fabric and color
Fabric and color
Good facilities for storage for fabric
Good facilities for storage for accessories
Good control & records kept
Fabric Inspection system used
Shade continuity control (shade band) used
Light box used If yes, What light source is used?
Ultralume 3000p, D65/D75p,
TL84, etc.

Lab testing
Tests Does the factory test fabric, accessories, finished products?
Record keeping Does the factory keep records of Laboratory results?
Laboratory Is there an In-House Laboratory?
Laboratory Which independant laboratory is used?
Printing
Printing Hand Screen
Printing Placement
Printing Transfer
Printing Direct
Printing Discharge
Printing Digital printing
Embroidery
Facilities Manual
Facilities Computerized What machine is used?
Units Number of units
Number of sewing heads
Sampling
Sampling Does the factory have a separate sample department?
Sampling Facility fully equipped with cutting tables, machines & pressing
Sampling Does the machinery used represent the production equipment
Sampling Number of Sample operators
Sampling Sample Supervisor
Sampling Pattern Maker
Sampling Cutter
Sampling If the factory does not have a sample room where are the samples made?
Cutting department
Environment Air-conditioned
Environment Well ventilated
Environment Clean & Tidy
Environment Good Lighting
Lay planning
Facilities Manual
Facilities Computerized Name of computer system
Cloth spreading
Facilities By hand
Facilities Semi automatic
Facilities Fully automatic
Facilities Air flotation
Cutting equipment
Facilities Straight knife
Facilities Band knife
Facilities Dye/Press cut
Facilities Mesh gloves worn
Facilities Computer cutting Name of computer system
Cutting room quality control
Quality control system Can bad quality be traced back to the responsible worker?
Quality control system Is the work sorted in bundels?
Quality control system Is the work check against the pattern?
Quality control system Ply numbering system for shade control?
Quality control system Are inspection records kept?
Production
Sewing room
Environment
Air-condition, good ventilation, clean & tidy, good lighting in working space.
Production systems
Facilities Progressive bundle
Facilities Overhead rail (computerized)
Facilities Overhead rail (manual)
Facilities Are the workers on contract, payroll, piece rate or other?
Production systems
Equipment Is a equipment list available? (If no, please attach separate
equipment list)
Maintanence General condition of all equipments - please comment on age and condition of
equipment.
Maintanence Is regular maintanence performed? If yes, how often?
Do you have relevant machinery for the garment type?
Finishing and pressing room
Environment
Environment
Air-condition, good ventilation, clean & tidy, good lighting in working space.
Pressing
Facilities Do the pressing tables have clean cover?
Facilities Does the factory have vacuum Tables
Facilities What is the source of Steam
Maintanence Are steam pipes and outlets well maintained?
Facilities Type of equipment suitable for the product
Storage How are the garments stored after pressing? Bins, tabel tops, floor etc.
Facilities List any special pressing equipment or press forms:
Packing / Storage
Packing
Packing instruction available
Facilities Packing area well organized
Facilities Hanging space provided
QC Is metal detection done at packing stage
Finished goods storage
Facilities Suitable storage for packed goods
Facilities Storage area well organized
Are cartons grouped by PO?
Chemical storage
Chemical storage Are chemicals stored in a separate area?
Chemical storage Is the chemical storage areas temperature controlled?
Chemical storage Is the chemical storage area well ventilated?
Quality assurance
Broken needel, Metal detection and Mold prevention policy
Policies Broken Needle policy
Record keeping Accurate records maintained:
Policies Metal detection policy
Record keeping Accurate records maintained
Policies Name & type of equipment:
Policies Mold prevention policy
Record keeping Accurate records maintained
Quality control system
Quality control system Do yuo have a QA manual?
Quality control system Are in-line inspections conducted?
Quality control system Does the factory do its own pre-final auditing?
Quality control system Is the factory using AQL?
Record keeping Does the factory keep records and reports?
Quality control system Independent QC?
Inspection
Facilities Is the inspection area well lit, clean and spacious?
Facilities Separate inspection tables?
Facilities How many QC’s for Final Inspection?
Facilities How are garments stored after inspection?

End of general information part of questionnaire

Part 2: ENVIRONMENT
YES (X) NO (X) Comment

Managing the risks

System
Does the facility have a management system in place to assess If yes, which system?
System environmental risks associated with its production process? (Mandatory
Yes/ no) If yes, which risks were found?
Does the management system of the facility comply with the
System environmental laws and regulations applicable to the territory in which
the facility is located? (Mandatory Yes/ no)
Has the facility received sanctions from the control authorities in the
System
field of environmental permits?
Does the facility have the necessary environmental authorizations
System required by law for the area it carries out its activities? (Mandatory Yes/
no)

Cooperation Is the company involved with any environmental programs with other If yes, can you describe the
brands? program?
Risk assessment
Does the company have written policies to manage areas of energy,
Policy
water, chemicals and waste water? (Mandatory Yes/ no)
Have you done a risk analysis focused on waste, water, energy,
Risk
chemicals? (Mandatory Yes/ no)

Priority Are all opportunities for improvements identified? (Mandatory Yes/ no)

Handling Do you have a plan for mitigation of negative impact?

Does the factory have a responsible team for implementing the follow-
Handling
up? (Mandatory Yes/ no)

Are there routines and follow up procedures to ensure compliance and

Follow up
continuous improvements? (Mandatory Yes/ no)

Communication Are you documenting your improvement? Can you give some examples?

Are routines communicated to all relevant persons through documented

Communication
channels and fully implemented? (Mandatory Yes/ no)

Are the company's implemented environmental policies and practices

Communication
communicated to all employees and suppliers in their local languages?

Do employees and collaborators undertake training courses on relevant If yes, please mention which
Training
environmental issues? topics:
Targets
Has the facility established environmental targets to improve its If yes, what are the objectives and
Targets
environmental performance? targets established?
Targets How do you ensure the goals are met?

Targets Is there a plan of action or remeditiation process in place if goals are not
met, or issues were found upon review?

Time Does the facility review its environmental performance annually?

Materials and supply chain

Your supply chain
Do you require data sheet on fibers before sampling/production
Fibers
(properties, lenght etc.?) If yes, which?
Do you require data sheet on yarn before sampling/production
Yarn
(regarding spinning, treatment etc.?)

Are you from your facility involved in the construction specifications on

Fabric
the fabric (weaving/knitting method, treatments?)?

Do you require data sheet on dyes and treatments/chemicals before

Finishing sampling/production (regarding dyeing, washing, other surface If yes, how do you control and
treatments/finishing etc.?)? review these?
Material sourcing and origin
Cotton From which country do you mainly source your cotton?

Cotton Are you able to source recycled cotton (mechanically recycled)? If yes, please mention if this is
post-consumer or post-industrial?
Cotton Do you have any certificates for cotton? If yes, please mention which:
Polyester From which country do you mainly source your polyester?
Polyester Are you able to source recycled polyester (from plastic)?
Polyester Do you have a valid Scope Certificate on GRS?

Polyester Are you able to source recycled polyester (from textiles)? If yes, what is the country of
origin of the materials?
Polyamide From which country do you mainly source your polyamide?
Polyamide Are you able to source recycled polyamide? If yes, please specify:
Are you able to handle other recycled and/or new fiber types with a If yes, please specify recycled or
Other
lower CO2-footprint than virgin fiber types? new fibers:
Other Does your company hold any other product certificates? If yes, please specify which:
Finishing Which types of finishing treatments (dyeing, washing, other surface
treatments/finishing) does the factory do?

Trims Do you require data sheets on trims?

If yes, please give an example:
Material use and waste
 How much fabric is used on an annual basis at your company? (please
Use type numbers in tonnes)

If yes, please specify which and to

Use / test Do you have test facilities (like abrasion or pilling test) at your facility? which ISO standards they live up
to:
Textile waste Do you collect and sort cutt-offs from the production?
Textile waste How are the cut-offs being reused or discarded?
How much textile waste does your factory generate per year? (please
Textile waste type numbers in tonnes)
How many percentage of the waste is being burned and used for energy
Textile waste
locally?

Textile waste How many percentage of the waste is handled by a recycling partner?

Textile waste What happens to 2nd sorting goods? (please note how they are handled)

Energy, water and chemicals consumption

Energy
How much energy is used on an annual basis at your company?
Consumption Please state the KWH per year, and specify which year, you are reporting
on:

Coal: XX%,
Oil: XX%,
Which sources of energy do you use? Solar: XX%,
Sources Wind: XX%,
Please mention share in percent:
Water: XX%,
Nuclear: XX%,
Biomass XX%,
Natural gasses: XX%,
Other, please mention type:

Initiatives Do you have solar panels at your factory? If yes, please mention how much
they contribute with in percent:
Future Do you have plans to change the energy types in the coming year? If yes, please explain about the
plans:
Targets Have you set targets to reduce energy consumption? If yes, please mention which:

Accounting Do you measure your CO2 emissions? If yes, What were the companys
gross scope 1 and 2 global green
house gas emissions for the
reporting period? (latest full year,
please mention reporting year):
Water
Use How much water is used on an annual basis at your company? (please
give number in litres)

Sources Does the facility identify the sources of the water (for example, ground
water, municipal water, collected rainwater, etc.)? If yes, please state which:
If you use water other than from the municipality, e.g. ground or river
Legislation
water; is the extraction legal?
Targets Has the facility set goals to reduce water consumption? If yes, how:
Waste water management
Use Does the factory measure wastewater output?

If yes, do they test the

wastewater to ensure legal/ZDHC
Owned Does the factory have their own wastewater treatment plant? requirments are met?
(https://downloads.roadmaptozer
o.com/output/ZDHC-Wastewater-
Guidelines)
If no, do they treat wastewater
off-site?
Have you tested wastewater against local legal guidelines? Please document:

Does the factory recycle water? If yes, what is the recycling rate?
Please put number in percentage:
If yes, what is the recycled water used for?
Waste management
Sorting Do you sort your waste?
Please specify sorting fractions:
Handling Is the sorted waste collected by authorised waste handling companies?

Handling Is hazardous waste handled by authorised waste handling companies?

If the facility uses external waste contractors, does it conduct regular

Follow-up
checks on these contractors?
Have contractors received any compliance violations within the past 3
Follow-up
years?
Has the facility set goals to reduce the volume of waste produced?
Targets
If yes, which ones?
Does the facility have a recycling program to reduce or eliminate
Future
pollution and waste in its operations?
Chemicals
Safety Are chemical products labelled?
Safety Does storage seem appropriate, clean and organized?
Safety Are hazards and dangers clearly identifiable?
Safety Is personal protective equipment available and used by worker?

Does the factory have a purchasing policy and screening process,

Safety
indicating which types of chemicals should or should not be purchased?

Restricted
Does the factory have their own RSL or MRSL?
substances
Restricted
If they use an industry or brand RSL/MRSL, which ones do they use?
substances
Are the requirments communicated and did the chemical supplier
Restricted
confirm that the requirments are met? (e.g. must meet ZDHC, MRSL, are
substances
GOTS approved)

Does the factory collect chemical related documents such as Material

Safety Sheets, Technical Data Sheets and Chemical Supplier declerations
Documentation
such as ZDHC MRSL approve, bluesign approved, GOTS approved, OEKO-
TEX Eco passport approved, Greenscreen, etc?

Follow-up Does the factory spot-check chemicals to ensure MRSLs are met?

Follow-up If yes, how often do you update

Does the factory have a complete chemical inventory? your chemical inventory?
Emissions to air
Does the facility regularly test air emissions (i.e. NOx, SOx, mercury,
Safety
hazardous air pollutants)?

Management Does the facility have a system in place to manage air emissions?

Targets Does the facility have set targets in relation to reducing air emissions?
If yes, what are the targets?
Does the facility have pollution prevention devices on chimneys, vents,
Prevention
and extraction systems? If yes, please specify:

Other environmental impacts and targets

Packaging and transportation
Packaging Do you incorporate packaging reduction, reuse, and recycling in your
reduction purchasing practices from your suppliers?

Packaging
procedure Do you have a procedure to secure our demands on e.g., recycled
content, labelling and reduction of the packaging used for the products? If yes, what are the targets?
Does the facility have targets and programs to reduce overall
Transportation sustainability impacts by managing transportation logistics (e.g. If yes, what are the targets and
prioritizing low impact transportation types)? programs?
Biodiversity and ecosystems
Have you invested in projects that aim to secure biodiversity and
Investments
ecosystems locally, where your activities are located? If yes, please specify:
General
Are you working with your suppliers on lowering the environmental
impact in the supply chain? If yes, how:
Have you invested in energy saving equipment etc. during the past year?
If yes, which:

Do you have goals to improve your overall sustainability performance? Which, please share information
about your initiatives:
End of environmental part of questionnaire
Part 3: SOCIAL
YES (X) NO (X) Comment
Managing the risks
General
Compliance Have you signed Sport Group Denmarks code of conduct?
Compliance Is the facility SA8000 certified or working with ETI? If yes, please state which:
Do you have a management system in place to assess social risks
System
associated with its production process?

Does the management system comply with the social laws and
System
regulations applicable to the territory in which the facility is located?

If you have a valid BSCI-audit certificate, please fill in section XX-XX

Compliance Do you have a valid BSCI-certificate and/or Sedex-certificate?
If you have a valid SMETA/Sedex certificate, please fill in section XX-XX
If you have none of the above, please fill in section XX-XX
Cooperation Is the company involved with any social programs with other brands?
If yes, please mention which:
If you have valid a BSCI audit certificate, please fill in this section:
Expiration Expiry date of BSCI certificate:
Type Type of audit (full or follow up):
Result Result of audit (overall score A-B-C-D)
Result Please type in letter for all areas
PA1 Social Management System (score A-B-C-D)
PA2 Workers Involvement and Protection score A-B-C-D)
PA3 The Rights of Freedom of Association and Collective Bargaining (score A-B-C-D)
PA4 No Discrimination (score A-B-C-D)
PA5 Fair Remuneration (score A-B-C-D)
PA6 Decent Working Hours (score A-B-C-D)
PA7 Occupational Health and Safety (score A-B-C-D)
PA8 No Child Labour (score A-B-C-D)
PA9 Special Protection for Young Workers (score A-B-C-D)
PA10 No Precarious Employment (score A-B-C-D)
PA11 No Bonded Labour (score A-B-C-D)
PA12 Protection of the Environment (score A-B-C-D)
PA13 Ethical Business Behaviour (score A-B-C-D)
If you have any D-scores in any of the above, please state how you have been working to improve the score for the next audit.
High risk areas
Please mention follow-up initiatives like procedure changes, management systems, training etc.
High risk areas Area with D-score:
High risk areas Area with D-score:
High risk areas Area with D-score:
If you have a valid Sedex /Smeta report
Expiration Date of SMETA audit:
Type SMETA audit Pillars (2-pillar or 4-pillar)
Result Please type in number of Nonconformaties for all areas
0A Universal rights covering UNGP Number of non-conformaties:
0B Management systems and code implementation Number of non-conformaties:
1 Freely chosen Employment Number of non-conformaties:
2 Freedom of association and right to collective bargaining are respected
Number of non-conformaties:
3 Working conditions are safe and hygienic Number of non-conformaties:
4 Child labour shall not be used Number of non-conformaties:
5 Living wages are paid Number of non-conformaties:
6 Working hours are not excessive Number of non-conformaties:
7 No discrimination is practiced Number of non-conformaties:
8 Regular employment is provided Number of non-conformaties:
8A Subcontracting and homeworking Number of non-conformaties:
9 No harsh or inhumane treatment is allowed Number of non-conformaties:
10A Entitlement to work and immigration Number of non-conformaties:
10B2 Environment 2-pillar Number of non-conformaties:
10B4 Environment 4-pillar Number of non-conformaties:
10C Business ethics 4-pillar Number of non-conformaties:
List: Please list the non-conformaties
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:
List: Noncompliance clause: Timescale for follow up:

If you do NOT have either a valid BSCI audit report or a SMETA/Sedex report or a SA8000-factory, please fill in all the below blank fields
Human and labour rights
Does the company have a policy commitment in relation to the following human and labour
List:
rights topics?
Policy Freedom of expression If yes, please provide us with the policy.
Policy Access to water and sanitation If yes, please provide us with the policy.
Policy Digital security If yes, please provide us with the policy.
Policy Privacy If yes, please provide us with the policy.
Policy Gender equality and women's rights If yes, please provide us with the policy.
Policy Rights of indigenous peoples If yes, please provide us with the policy.
Policy Rights of refugees and migrants If yes, please provide us with the policy.
Policy Freedom of association and the effective recognition of the right to
collective bargaining If yes, please provide us with the policy.
Policy Forced labour If yes, please provide us with the policy.
Policy Child labour If yes, please provide us with the policy.
Policy Non-discrimination in respect of employment and occupation
If yes, please provide us with the policy.
Safe and healty working environment/working conditions (wages,
Policy
workhours) If yes, please provide us with the policy.
Policy Prevention of harassment and abuse in the workplace If yes, please provide us with the policy.
Policy None of the above
Which actions are taken to prevent/mitigate the risks/impacts associated with human and labour rights? (could be e.g training,
Action
action plan, audit)
Is a person or department assigned to the task to follow up on labor, If yes, please state which function
Management
health, and safety risks? or department:
Compliance with law Is the management system in compliance with applicable social laws
and regulations?
Are labor, health, and safety policies, practices, and expectations
Engagement communicated to all employees and suppliers in local and
understandable languages?

Source Which source do you use for communication with employees? (poster, letter etc.)

Health and safety

Accidents Number of accidents annualy
Law To which laws and regulations governing environment, health, and safety does the facility adhere?
Does the facility have up-to-date OHSAS 18001, ANSI Z10, CSA
Certificate
Z1000, BSI 8800, or OSHA VPP certification? If yes, please state which:
Does the facility have procedures in place to ensure appropriate
Procedure machinery is wellmaintained and equipped with necessary safety
devices?

Does the facility have written procedures for the safe storage, use,
Procedure and disposal of each hazardous material used in production (if
applicable), in language(s) workers understand?

Does the facility have procedures in place to ensure appropriate

Procedure
Personal Protection Equipment (PPE) is provided to employees?

How often are noise levels and air quality in the facility regularly
Monitoring
monitored?
Does the facility have a written emergency response plan and fire
Emergency plan
evacuation procedure?
Has the emergency response plan and fire evacuation procedure
Communication been communicated to all parties that could be affected by the
emergency in local or appropriate languages?
Exercise How often does the facility conduct emergency drills?
Are all emergency exits unobstructed and unlocked from the inside
Safety
at all times during working hours?

Does the facility have procedures in place to ensure employees are

not denied permission or delayed from leaving the facility under
reasonable circumstances (e.g. in the event on an emergency or
personal urgency)?

Does the facility have well-stocked, unlocked first aid stations at

every production site?
Are all employees trained on relevant health and safety matters, including:
Emergency management If no, please comment:
Hazardous materials handling If no, please comment:
Living conditions If no, please comment:
Machine safeguarding If no, please comment:
Occupational health and safety If no, please comment:
Personal protection equipment If no, please comment:
Has the facility operated without serious injury and/or fatality over
the past year?
Over the past three years?
Dormitory (if applicable)

Are all emergency exits unlocked from the inside and unobstructed?

Are dormitory accommodations in separate building(s) from

production areas?
Are dormitory living conditions clean, secure, and adequately cooled,
heated, lighted and ventilated?
Are toilet facilities clean, ventilated, equipped with running water,
accessible, and lighted at night?
Do all employees who reside in dormitories have access to running
water, safe drinking water, sanitary cooking facilities, and adequately
private showers?
Do all dormitories have fire alarms and extinguishers that are
regularly tested?
Do all employees who reside in facility dormitories have means of
securing personal documents themselves?
Forced labour
 Does the facility employ prison labor?
Are any of the workers under bond, debt, or other obligation to the
facility or to labor brokers?
Are workers free to resign from their employment at any time
without penalty, giving reasonable notice?
Are workers free to leave the facility and related dormitories during
non-working hours and at the end of their shift?
Does the facility (or labor broker) withhold worker ID cards or
passports?
Child labour & young workers
Does the facility employ child labor (workers younger than 16 years
old)?
Are young workers (above the legal minimum age, but under the age
of 18) requiring protective restrictions employed in accordance with
the law?

Do any young workers perform night work, hazardous jobs, or are

they exposed to risks from chemicals, machinery, tools or excessive
cold, heat, or noise?
Does the factory have effective procedures for verifying workers’
ages?
Discrimination
Does the facility have procedures in place to ensure employees
receive equal pay for equal work, regardless of those factors listed in
the question above?
Are female applicants asked about their pregnancy status when
applying for a job?
Are employees permitted to perform religious obligations without
restriction?
Harassement and abuse
Does the facility have procedures in place to ensure the workplace is
free of physical abuse, corporal punishment, physical contact with
the intent to injure or intimidate,
and disciplinary measures that cause physical discomfort?

Does the facility have procedures in place to ensure the workplace is

free of sexual harassment?
Does the facility have procedures in place to ensure the workplace is
free of verbal abuse and/or harassment?

Does the facility have procedures in place to document and

confidentially report events, complaints, cases, and management
responses and action related to
harassment and abuse?
Compensation

Does the facility have procedures in place to ensure all workers are
paid at least the legal minimum wage for standard working hours?

Does the facility have procedures in place to ensure all workers are
paid the legal overtime rate?

Does the facility have procedures in place to ensure all workers are
provided the holidays and leave to which they are legally entitled?

Does the facility have procedures in place to ensure no unauthorized

or illegal deductions are taken from employee wages?

Does the facility have procedures in place to ensure payroll

documents indicate all hours worked?
Are all workers provided with a written explanation, in local or
appropriate languages, of pay and any deductions taken?
Hours of work
Which laws regulating working hours apply to this facility?

Which laws regulating overtime hours are applicable to this facility?

Does the facility have procedures in place to ensure all workers are
given at least one day off in seven?
Does the facility have procedures in place to ensure all overtime
performed at the facility is voluntary?
Trade unions / workers council
Are there any laws or regulations in the facility’s country/region of
operation concerning workers’ freedom to join or form trade unions
or workers’ organizations of their own choosing and to collectively
bargain?
Are trade unions active in your company? If yes, which one(s)?
If yes, are representatives and leaders regularly elected?

Does your company have a workers’ council? How was it established? Can you
explain the election process?
Do you know how many workers in your company, if any, are union
members?

To what extent the unions that are active in your company are able
to operate as independent workers’ representatives (that is, not
influenced by the factory’s management or human resources
department)?

Are there any mechanisms in place to protect trade unionists in the

company? Can you describe these mechanisms?
 Which rules or guidelines are in place within the company to ensure
democratic and free elections of trade union leaders and
representatives?
How does the union or the workers’ council ensure that it represents
the workers?
How often do trade unions consult their members at the factory
level?
How do trade unions communicate with members and other workers
within the company?
Do other trade unions which are not yet active within the company
have access to it?
Does your company recognise any trade union of its workers for
negotiating purposes?
Are union members allowed to do trade union work during working If yes, please share some
hours? examples.
Does the company facilitate meeting rooms for trade union use or
offer other ways to communicate with workers and make
announcements?

Does the company have a procedure in place for creating corrective

action plans whenever an audit or a monitoring process discovers
violations in the areas of social dialogue and freedom of association?

Freedom of Association, Collective Bargaining Agreement or Collective Labour Agreement

Which of the following types of labor organizations are present and

active in the facility?
Dormitory committee, Government union, Health & safety
committee, Independent trade union, Worker’s committee, Other

Does the company operate under a Collective Bargaining Agreement

(CBA)? If yes, how was it established,
who were the parties involved?
How often is it revised?
Can you explain the main points in the current CBA (or CBAs)? Do
these imply any advantages for workers compared with the
regulations in local legislation, does the CBA just comply with that
legislation, or does it even (potentially) chip away at the legal
regulations?

Does the CBA also cover temporary workers, flex-workers,

teleworkers and/or subcontracted workers?
Does the company have arrangements for trade union activities to be
able to organise meetings and talk to workers in order to collect
input for CBA negotiations?

How are (all) workers informed about their CBA, and by whom?

Can you explain how the CBA is being implemented?

What is the duration of the current CBA? Will it be possible to further

elaborate on the current collective agreement in a new version?

What should be addressed in the new CBA, according to the

management? What according to the unions, the workers’
representatives and the workers themselves?
Social Dialouge

Does the company management have regular meetings or other

contacts with workers? Are any records kept of those meetings?

Does the company management have regular meetings or other

contacts with union representatives? Are any records kept of those
meetings?
What topics have been discussed lately between company and trade
union representatives? What has been the conclusion?
What is the frequency of these meetings? Do you consider them to
be instances of dialogue? Do you consider them to be formal or
informal?
Are these meetings focussing on the negotiation process (if
applicable), or do they deal with different workers’ issues?
Does the company have a (written) procedure to process complaints
and grievances?
Are there any procedures or other opportunities for workers to
communicate in an open way with management regarding working
conditions, without fear of reprisal or intimidation?

Training / Skills / handicrafts

Does the facility have an employee development/training/education

system?

Workers in the Value Chain

Do you require certain standards regarding above social topics from

If yes, which standards?
your suppliers?
Do you have a Code of Conduct, that your suppliers sign?
If yes, please attach the
document.
End of social part of questionnaire
Part 4: GOVERNANCE
YES (X) NO (X) Comment
Managing the risks
Accountability
Does the facility have a management representative assigned
responsibility for assuring compliance with environmental laws, List the names and titles
regulations, and codes?

Does the facility have a management representative assigned

responsibility for assuring compliance with labor, health, and safety List the names and titles
laws, regulations, and codes?

Does the facility have a process in place to evaluate and update

environmental, social, and governance policies and systems on an
on-going basis?
Grievance and Remediation

Does the facility have effective grievance procedures in place to

allow employees to bring environmental and/or work-related
violations and/or concerns to management’s attention in an
anonymous manner without fear of retribution?

Does the facility have procedures in place to investigate reports of

environmental and/or work-related violations and/or concerns?

In the past year, how many complaints have been received and Recieved:
investigated? How many have been resolved? Resolved:
Supplier management

What procedures does the facility have in place to ensure that

suppliers, including labor brokers, operate in compliance with all
applicable environmental and labor laws and regulations?

What procedures does the facility have in place to assess and

manage identified risks relating to the labor practices of suppliers,
including labor brokers?

What procedures does the facility have in place to evaluate and

select suppliers based on their ability to meet ESG standards?

Stakeholder engagement

Does the facility regularly engage stakeholders on its sustainability

strategies, disclosure, and performance, including community If yes, who and how often?
groups, employees, NGOs, and government?

What procedures does the facility have in place to incorporate

stakeholder input into its business and operational strategies?

Does the facility publicly disclose results of its stakeholder

engagement?
Disclosure
Does the facility publicly disclose its ESG policies, programs, and If yes, please provide a link to the
performance either online or in a sustainability report? disclosure:

Does the facility require its suppliers to publicly disclose key ESG If yes, please provide a link to the
information, including policies, programs, and performance? disclosure:

Does the facility factor supplier’s performance on key ESG indicators

into its purchasing decisions?
Anti-corruption
Does the facility have an anti-corruption and bribery policy? If yes, please provide us with the policy.
End of governance part of questionnaire
Glossary
Term Short explanation

In a circular business model and economy materials

Circular never become waste. Circular products are designed to
be repaired, reused, recycled and composted.

Recycled defines materials and products made of pre- or

postconsumer recycled materials. A recycled product is
Recycled
made of materials that been in used before and have
been recycled into new materials and products.

Recyclable defines materials and products that are

possible to take apart and recycle after end use. The
Recyclable
product itself is not necessarily made of already recycled
material.

A systemic process to evaluate potential risks during a

Risk assesment
project or in an organisation.

Transparency Being open and honest about business and financial

activities.