Facility Name:
Facility owned
Auditors will need access to the following documentation & records:
?Applicable Laws and Regulations
?Factory floor plan
?Labor contracts
?Employee handbook (terms and conditions of employment)
?Collective Bargaining Agreements (CBA)
? A list of all the chemicals, solvents used on this site;
?Permits, operating licensees, Certificates of Operations etc.
?Government Inspection Reports i.e., sanitation, fire safety, structural safety, environmental compliance, etc.
?Machinery inspection / service logs
?Accident & injury log
?Emergency action procedures
?Evacuation plan
?Time records for the past 12 months
?Payroll records for past 12 months
?Piece rate records for the past 12 months (if applicable)
?Insurance, tax and other required receipts
?Production Records
Facility Polices:
?Child Labor
?Wage and hours of work
?Disciplinary
?Benefits and allowances
?Health and Safety
?Environment
?Training
This questionnaire was filled out before the social audit took place: Yes ? NO ?
If yes, please be advised of the following proposed audit date:
This questionnaire was filled out during the social audit: Yes ? NO ?
Names & Dates of those that have filled out this questionnaire:
Name and Title Date
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