Supplier Evaluation Formadmin2022-02-09T09:25:52+01:00 Supplier Evaluation FormGENERAL INFORMATIONS:Supplier Name:Product/Service:AddressStreet #CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone/MobileFaxEmailContact PersonDesignationContactFACILITY PROFILEYear EstablishedMajor CustomersIs the facility registered with International Standard ISO 900 1 ISO 45001 SA 8000 WRAP ISO14001-2015 BRC CTPAT OEKOTEX ETI OCS/GOTS ZDHC HIGG (FEM) Sedex BSCI SLCP Any OtherPlease Provide ISO 9001 DocumentUpload Files Please Provide ISO 45001 DocumentUpload Files Please Provide SA 8000 Documents.Upload Files Please Provide WRAP Documents.Upload Files Please Provide ISO14001-2015 Documents.Upload Files Please Provide BRC Documents.Upload Files Please Provide CTPAT Documents.Upload Files Please Provide OEKOTEX Documents.Upload Files Please Provide ETI Documents.Upload Files Please Provide OCS/GOTS Documents.Upload Files Please Provide ZDHC Documents.Upload Files Please Provide HIGG (FEM) Documents.Upload Files Please Provide Sedex Documents.Upload Files Please Provide BSCI Documents.Upload Files Please Provide SLP Documents.Upload Files Please Provide Related Documents.Upload Files SUSTAINABILITY INFORMATION- Are you in compliance with wastewater discharge permits? Yes No- Have you completed the Sustainable Apparel Coalition’s Higg Facility Environmental Module (Higg FEM) assessment or an equivalent environmental data assessment? Yes No- Have you been audited to a labor code of conduct? Yes No- If Yes, was it conducted by a third-party auditor?- If Yes, was it conducted by a third-party auditor? Yes NoIf Yes, please disclose the priority non-conformance rate and associated corrective action rate for suppliers’ labor code of conduct audits.Upload Files - Please provide any certifications or audit results related to child labor and compulsory labor.Upload Files SUSTAINABILITY INFORMATION12.1 Child Labor You have already selected BSCI CertificateYou have already selected WARP CertificateYou have already selected Sedex CertificateYou have already selected SLCP Certificate- Do you have employee people less than 18 years of age? Yes No- if yes then you comply with Remediation Procedure of Child Labor as per ILO convention 138. Yes No- Do you assess significant risk for incidents of child labor? Yes No12.2 Forced LaborYou have already selected BSCI CertificateYou have already selected WARP CertificateYou have already selected Sedex CertificateYou have already selected SLCP Certificate- Do you pursue any individual join your organization even against one’s will/wish? Yes No- Do you compel, bound, force any individual to offer his/her service to your company. Yes No- Do you pus any individual to work against paying off any debt. Yes No12.3 Health & SafetyYou have already selected BSCI CertificateYou have already selected WARP CertificateYou have already selected Sedex CertificateYou have already selected SLCP Certificate- Do you provide Healthy & Safe working atmosphere to your entire employee? Yes No Up to some extent- Do you provide Healthy & Safe working atmosphere to your entire employee? Yes No Up to some extent- Do you provide? A. Tab Water Yes NoB. Drinking Water Yes NoC. Clean Bathrooms Yes NoD. Good Lighting Yes NoE. Fire Extinguishers Yes NoF. First Aid Boxes Yes NoG. P. Protective Equipment Yes NoH. Ventilation Yes NoI. Emergency Exit Yes Noj. Necessary Training Yes No- Do you conducted Health & Safety, Environment Risk Assessment? Yes No12.4 Freedom of AssociationYou have already selected Sedex CertificateYou have already selected BSCI CertificateYou have already selected WARP CertificateYou have already selected SLCP Certificate- Do you provide Freedom of Association right to your employees? Yes No- Employee’s Representatives are given all rights & prerogatives. Yes No- Employee’s Representatives are not biased and dealt with prejudice. Yes No12.5 DiscriminationYou have already selected WARP CertificateYou have already selected Sedex CertificateYou have already selected BSCI CertificateYou have already selected SLCP Certificate- Is your company policy based upon hiring individuals as per their experience, expertise and skills? Yes No- Do you take stern and immediate action in case of finding any discriminatory act at any level? Yes No12.6 Disciplinary PracticesYou have already selected WARP CertificateYou have already selected BSCI CertificateYou have already selected Sedex CertificateYou have already selected SLCP Certificate- Do you keep defined iciest with respect to all complete non-compliance and misconduct’s? Yes No- Do you closely monitor if any immediate boss/supervisor becomes personalizes against any of his subordinate in terms of controlling and non-compliance? Yes No12.7 Working Hours:You have already selected BSCI CertificateYou have already selected WARP CertificateYou have already selected Sedex CertificateYou have already selected SLCP Certificate- Six Days Work. Yes NoIf no then- 48 Working hours in a week. Yes No- Overtime does not exceed from 12 hours in a week. If required: Yes No Up to some extent12.8 CompensationYou have already selected WARP CertificateYou have already selected BSCI CertificateYou have already selected Sedex CertificateYou have already selected SLCP Certificate- All the employees are paid cross minimum wage bar by labor law. Yes No- What is the minimum wage at your organization:- All the employees are paid well so that they can have both the ends met and gain job satisfaction. Yes No12.9 Management ResponsibilitiesYou have already selected BSCI CertificateYou have already selected SA8000 Certificate- Do you have Management Review Meeting after definite intervals to review your performance with respect to social issues? Yes No- Do you conduct social audit of your system? Yes No- Do you have company representative who addresses all the social issues? Yes No- Do you have employee’s representative to voice for all employees’ issues? Yes No- Do you provide all required facilities to improve quality of work life at our premises? Yes NoCompliance as per C-TPAT requirements:You have already selected C-TPAT CertificateYou have already selected WRAP Certificate1. Container Security- Is record maintained for container inspection before loading? Yes No- Is container loading area specified and monitored? Yes No- Is seal record maintained? Yes No- Is container loading area separated from vehicle parking area? Yes No2. Access Security- Is Photo identity cards issued to all workers / staff Yes No- Is different colored cards issued to workers for the inter department identification? Yes No- Is visitor log maintained? Yes No- Is daily incoming vehicle log maintained? Yes No- Is daily incoming and outgoing mail record maintained? Yes No3. Physical Security- Is fencing used in the boundary wall of the building? Yes No- Is security guards deputed at all the entrances of the building? Yes No- Is adequate lighting available at the boundary wall and the entrances of the boundary of the building? Yes No- Is key log maintained? Yes No- Is separate parking for staff and workers are available? Yes No- Is a security guard patrol the facility for checking? Is record maintained? Yes No- Is CCTV monitoring available? Yes No4. Personnel Security- Is Pre-employment verification carried out? Yes No- Is periodic Background checking carried out? Yes No- Is adequate termination policy and procedure practiced? Yes No5. I.T. Security- Are passwords of the computers periodically changed? Yes No- Is back up kept of the emails and data? Yes No- Is procedure available to prevent I.T. Abuse? Yes No6. Training and Development- Are training programs conducted periodically to improve the system? Yes No- Is training records available? Yes No7. Procedural Security- Are security measures in place to ensure the integrity and security of processes relevant to the transportation, handling, and storage of cargo in the supply chain? Yes No- Are Procedures in place to ensure that all information used in the clearing of merchandise/cargo, is legible, complete, accurate, and protected against the exchange, loss or introduction of erroneous information? Yes NoQUALITY MANAGEMENT SYSTEM ISO 9001 / BRCYou have already selected ISO 9001 Certificate1 - Do you have an organization chart with responsibilities assigned? Yes No2 - Your Quality System comprises inspection activity on: Yes No3 - Do you record and maintain the results of inspection? Yes No4 - Are their adequate written inspection procedures/instruction/parameters provided? Yes No5 - Do you have a system to train your new & existing staff? Yes No6 - Are workmanship standards/Instructions available in the form of controlled documents at operational areas? Yes NoOCCUPATIONAL HEALTH & SAFETY (ISO 45001:2018)You have already selected ISO 45001 Certificate1. What personnel are assigned by the organization to implement the program within their operations? Yes No2. Does the organization conducted Risk Assessment and Hazard Control Analysis? Yes No3. Do you provide in your facility? - Clean Drinking Water Yes No- Clean Bathrooms Yes No- Proper Lighting Yes No- Sufficient Fire Extinguishers Yes No-First Aid Boxes along with supplies Yes No- Personal protective Equipments Yes No- Ventilation Yes No- Emergency Exit in every department Yes No- Fire Fighting/First Aid & Fire Drill Trainings Provides Yes No4. How does the organization identify training needs associated with its OH&S risks and its OH&S management system Yes No5. Does the organization use their own procedure(s) for record, investigate and analyze incidents? Yes No6. Are Instructions available in the form of controlled documents at operational areas? Yes NoENVIRONMENTAL MANAGEMENT SYSTEM REQUIRMENT (ISO 14001)You have already selected ISO 14001 CertificateWithin the organization is the designated EMS representative placed? Yes NoIs your organization required to comply with environmental laws and regulations? Yes NoIs organization train employees and communicate relevant EMS requirements to them? Yes NoIs environmental Aspect & Impacts analysis conducted? Yes NoDo your existing emergency plans describe how you will prevent incidents Yes NoHow do you communicate with the organization on environmental issues? Yes NoHow is / can information on nonconformities and corrective actions be used within the EMS Yes NoThe monitoring and measurement equipments are properly calibrated and maintained? Yes NoCommitment towards QHSE Standards:Top management is fully committed for the execution of International Standards Quality Management System (ISO 9001), Environmental Management System (ISO 14001) and ISO (45001-2018) requirements atNameDateSubmit Form
