自我評估表（BSCI驗廠）

1、self-assessment版權所有。未經對外貿易協(xié)會許可，本文件中的內容不可以任何形式，或任何方式如電子、機械、影印、錄制等方式復制、轉化或保存于一個檢索系統(tǒng)中，或傳輸出去，不得外借、轉售、出租或者流傳。copyright 2004 fta 設於布魯塞爾的對外貿易協(xié)會； gsm 設於科隆的環(huán)球可持續(xù)管理有限責任公司；migros蘇黎世m(xù)igros連鎖超市集團；漢堡systain咨詢有限責任公司bsci 5-01/09january 20092009年1月a. master dataa. 主要資料location of company公司地點basic data基本資料company nam

2、e公司名稱year of foundation成立年份http:/www.網址：legal status公司性質street街道language(s) spoken in company公司所在使用的語言city城市self assessment date:自我評估日期：zip code郵政編碼contact person聯(lián)系人country國家name姓名phone電話position / language職位/語言fax傳真phone電話e-mail電郵business structure商業(yè)架構no. of customers?客戶數量no. of companies own units

3、?(see production unit record sheet)公司轄下部門數量（見生產部門記錄單）no. of subcontractors?(see production unit record sheet)分包商的數量（見生產部門記錄單）no. of suppliers, sub-suppliers?(see production unit record sheet)供應商、分供應商的數量（見生產部門記錄單）a.1 company figuresa.1 公司概況share of sales revenue for export and domestic market during

4、the last 3 years:最近三年出口和國內市場銷售額的比例export markets出口市場year年份export/local出口/本地%turn over (us $)營業(yè)額(美元)capacity 能力 total capacity per month(including unit of measurement)月生產能力（測量部門）business activities 業(yè)活動clothing:服裝:construction material:建筑材料:electronic groups:電子集團:eyewear (glasses):各類眼鏡(眼鏡):furniture:家

5、具:leather goods (except shoes):皮制品 (除鞋類):machinery:機械:other hard goods:其他耐用品:shoes:鞋類:textiles:紡織品:toys:玩具:textiles raw material or accessories紡織原料或配件:a.2 company size & structure a.2 公司規(guī)模和結構company size公司規(guī)模property area產權所在地factory area廠址dormitories宿舍provided已提供not applicable不適用number of workers/em

6、ployees living in dormitories provided by the company:在公司宿舍居住的工人/員工人數location of dormitories varies from the site location:宿舍地址與公司地址不同：請說明宿舍所處位置：1)2)3)請列出位于公司的所有部門以及各部門工人/員工的人數：departments部門.5.no. of workers/employees工人/員工人數departments部門.10.no. of workers/employees工人/員工人數a.3 employment

7、 structure a.3 雇傭結構number人數number人數workers/employees in total工人/員工總數young workers/employees aged to 18 years未成年員工年齡 18歲female workers/employees女工人/員工pregnant / maternity leave 懷孕/產假/male workers/employees男工人/員工apprentices 學徒b. social performanceb. 社會績效questions問題please mark with a cross請打勾yes是no否b.1

8、have social audits already been conducted in your company? 你的公司已經進行了社會責任審核嗎？if yes, please indicate who has conducted the audit:如果是，請說明審核執(zhí)行方：if yes, please indicate the standard (code of conduct) which has been audited:如果是，請說明已經進行了審核的標準（行為守則）：b.2are audit reports available? 有審核報告嗎？if yes, please att

9、ach a copy of these reports:如果是，請附上這些審核報告的副本：b.3has your company been certified according to any social standard?(i.e. sa8000 or other recognised standards)? 你的公司依照社會責任標準進行了認證嗎？（比如：sa8000 或者其它公認的標準）？ if yes, please indicate who has conducted the audit:如果是，請說明審核執(zhí)行方：if yes, please indicate the social

10、standard:如果是，請說明依照的社會責任標準：if yes, please attach a copy of this certificate: 如果是，請附上認證證書的副本： b.4is your company under preparation for a social certification procedure? 你的公司正在準備進行社會認證程序嗎？if yes, please indicate the social standard:如果是，請說明依照的社會責任標準：b.5did you receive the bsci code of conduct?你收到bsci的行為

11、守則嗎？b.6are you aware of the bsci requirements?你知道bsci責任要求嗎？liability declaration責任聲明herewith i confirm that all data have been given to my best knowledge and belief.在此我聲明，我已經收到所有資料，非常理解其中內容并且認同。date / signature / stamp company 日期 /簽名 / 印章 公司production unit record sheet生產部門記錄單production unit no. 1生產部

12、門1name姓名street街道city, zip code城市，郵編country國家phone電話fax傳真e-mail電郵contact person聯(lián)系人active for the supplier since (date) 供應商起始有效日期own unit (share of production %)轄下部門（生產比例%）subcontractor (share of production %)分包商（生產比例%）supplier / sub-supplier(mark with a cross)供應商/下級供應商（用x劃去不適用者）social audited社會責任是否審核

13、yes是 no否 if yes如果是audit company審核公司audit number審核編號date of audit審核日期result結果associated with bsci?是否與bsci有聯(lián)系？production unit no. 2生產部門 2name姓名street街道city, zip code城市，郵編country國家phone電話fax傳真e-mail電郵contact person聯(lián)系人active for the supplier since (date)供應商起始有效日期own unit (share of production %)轄下部門（生產比例

14、%）subcontractor (share of production %)分包商（生產比例%）supplier / sub-supplier(mark with a cross)供應商/下級供應商（用x劃去不適用者）social audited社會責任是否審核yes是 no否 if yes如果是audit company審核公司audit number審核編號date of audit審核日期result結果associated with bsci?是否與bsci有聯(lián)系？production unit no. 3生產部門 3name姓名street街道city, zip code城市，郵編

15、country國家phone電話fax傳真e-mail電郵contact person聯(lián)系人active for the supplier since (date)供應商起始有效日期own unit (share of production %)轄下部門（生產比例%）subcontractor (share of production %)分包商（生產比例%）supplier / sub-supplier(mark with a cross)供應商/下級供應商（用x劃去不適用者）social audited社會責任是否審核yes是 no否 if yes如果是audit company審核公司a

16、udit number審核編號date of audit審核日期result結果associated with bsci?是否與bsci有聯(lián)系？production unit no. 4生產部門 4name姓名street街道city, zip code城市，郵編country國家phone電話fax傳真e-mail電郵contact person聯(lián)系人active for the supplier since (date)供應商起始有效日期own unit (share of production %)轄下部門（生產比例%）subcontractor (share of production

17、 %)分包商（生產比例%）supplier / sub-supplier(mark with a cross)供應商/下級供應商（用x劃去不適用者）social audited社會責任是否審核yes是 no否 if yes如果是audit company審核公司audit number審核編號date of audit審核日期result結果associated with bsci?是否與bsci有聯(lián)系？production unit no. 5生產部門 5name姓名street街道city, zip code城市，郵編country國家phone電話fax傳真e-mail電郵contact

18、 person聯(lián)系人active for the supplier since (date)供應商起始有效日期own unit (share of production %)轄下部門（生產比例%）subcontractor (share of production %)分包商（生產比例%）supplier / sub-supplier(mark with a cross)供應商/下級供應商（用x劃去不適用者）social audited社會責任是否審核yes是 no否 if yes如果是audit company審核公司audit number審核編號date of audit審核日期resu

19、lt結果associated with bsci?是否與bsci有聯(lián)系？production unit no. 6生產部門 6name姓名street街道city, zip code城市，郵編country國家phone電話fax傳真e-mail電郵contact person聯(lián)系人active for the supplier since (date) 供應商起始有效日期own unit (share of production %)轄下部門（生產比例%）subcontractor (share of production %)分包商（生產比例%）supplier / sub-supplie

20、r(mark with a cross)供應商/下級供應商（用x劃去不適用者）social audited社會責任是否審核yes是 no否 if yes如果是audit company審核公司audit number審核編號date of audit審核日期result結果associated with bsci?是否與bsci有聯(lián)系？production unit no. 7生產部門 7name姓名street街道city, zip code城市，郵編country國家phone電話fax傳真e-mail電郵contact person聯(lián)系人active for the supplier s

21、ince (date)供應商起始有效日期own unit (share of production %)轄下部門（生產比例%）subcontractor (share of production %)分包商（生產比例%）supplier / sub-supplier(mark with a cross)供應商/下級供應商（用x劃去不適用者）social audited社會責任是否審核yes是 no否 if yes如果是audit company審核公司audit number審核編號date of audit審核日期result結果associated with bsci?是否與bsci有聯(lián)系

22、？production unit no. 8生產部門 8name姓名street街道city, zip code城市，郵編country國家phone電話fax傳真e-mail電郵contact person聯(lián)系人active for the supplier since (date)供應商起始有效日期own unit (share of production %)轄下部門（生產比例%）subcontractor (share of production %)分包商（生產比例%）supplier / sub-supplier(mark with a cross)供應商/下級供應商（用x劃去不適

23、用者）social audited社會責任是否審核yes是 no否 if yes如果是audit company審核公司audit number審核編號date of audit審核日期result結果associated with bsci?是否與bsci有聯(lián)系？production unit no. 9生產部門 9name姓名street街道city, zip code城市，郵編country國家phone電話fax傳真e-mail電郵contact person聯(lián)系人active for the supplier since (date)供應商起始有效日期own unit (share

24、of production %)轄下部門（生產比例%）subcontractor (share of production %)分包商（生產比例%）supplier / sub-supplier(mark with a cross)供應商/下級供應商（用x劃去不適用者）social audited社會責任是否審核yes是 no否 if yes如果是audit company審核公司audit number審核編號date of audit審核日期result結果associated with bsci?是否與bsci有聯(lián)系？date / signature / stamp company日期

25、/ 簽名 / 印章 公司b. bsci social requirementsb. bsci 社會責任要求b.1 management practiceb.1 管理實踐questions問題please mark 請打勾yes是no否b.1.1has a senior management representative been appointed who, irrespective of other responsibilities, ensures compliance with the bsci code of conduct?已經委派了高級管理代表嗎？其職責是確保符合bsci行為守則，

26、暫不考慮其它職責。if yes, please indicate name and function: 如果是，請說明其姓名和職位： b.1.2have representatives of the operational level (production, human resources, storage etc.) been appointed who are responsible to ensure compliance with the bsci code of conduct? 已經委派了管理層（生產、人力資源、倉儲等）的代表嗎？其職責是負責確保符 合bsci行為守則？if ye

27、s, please indicate name/s and function/s: 如果是，請說明其姓名和職位： b.1.3are executives, management and staff aware of the legal rights and duties under labour legislation?行政人員、管理人員和員工都知曉勞工法賦予的法律權利和職責嗎？b.1.4is a system implemented to identify specific risks for health and safety of the employees and prevent re

28、currence of work accidents?實施了一個用來辨別對員工健康和安全的特殊危險以及防止工傷事故發(fā)生的體系嗎？b.1.5is a cost accounting method in use?采用了成本會計方法嗎？b.1.6 is there a system in place for anti-corruption/anti-bribery for all business activities? 對于所有業(yè)務活動的反腐敗/反賄賂，公司是否有適當的體制？b.1.7is a capacity planning method in use?采用了生產能力計劃方法嗎？b.1.8do

29、 you have a procedure for updating and implementing legal regulations with regard to matters subject to continuous change like wages and safety?針對薪水和安全這樣持續(xù)變化的問題，你制定了用來晉升、實施法令規(guī)章的程序嗎？questions問題please mark 請打勾 yes是no否b.1.9have you forwarded the bsci code of conduct to your subcontractors and informed

30、them about the requirements?你已經將bsci行為守則發(fā)給你的分包商并傳達了其中的要求嗎？b.1.10are social standards ensured at your subcontractors production facilities?在分包商的工廠中能保證社會責任標準嗎？b.1.11do you have established a system to monitor your subcontractors social performance?你已經建立監(jiān)控分包商的社會績效體系嗎？b.1 number of questions out of 10 a

31、nswered with yes or nob.1 回答為yes或者no10個以上的問題數目 b.2 documentationb.2 文件questions問題please mark 請打勾 yes是no否b.2.1is a written policy documented that describes the social responsibility of the company especially with regard to child labour, female employees, discrimination, forced labour, working hours,

32、compensation, working conditions, health and social facilities, safety, freedom of association and collective bargaining?書面的方針形成文件了嗎？該方針說明了公司的社會責任，尤其是在對待童工、女員工、歧視、強迫勞工、工時、報酬、工作條件、健康和社會福利設施、安全、結社自由以及集體談判等方面的社會責任。b.2.2do personnel data files (e.g. copies of id-cards, working contracts) exist? 有個人資料檔案嗎

33、（例如：身份證和工作合同的副本）？b.2.3is a time record system in place ( e.g. attendance list, punch and time cards) where the beginning and the end of a workday is registered for each individual employee?具備時間紀錄系統(tǒng)（例如：出勤表、打孔卡和時間卡），用來登記每位員工工作日的開始和結束時間？b.2.4do the employees receive payslips?員工有工資單嗎？b.2.5do wage lists

34、exist?有薪水清單嗎？questions問題please mark 請打勾 yes是no否b.2.6do work rules exist and are they documented and applied to all employees?有工作規(guī)則嗎？都形成文件了嗎？它們都適用于所有員工嗎？b.2.7is documentation on health and safety training (e.g. fire protection) available?有關于健康和安全培訓（例如防火培訓）方面的培訓記錄嗎？b.2.8is documentation on all hazardo

35、us chemicals in use available (especially material safety data sheets/msds)?有關于正在使用中的所有有危害化學品的文件證明嗎（尤其是物料安全數據表/msds?b.2.9are certificates on first-aid qualification available?有關于急救資格的證書嗎？b.2.10are inspection documents for lifts and machinery available?有電梯和機械設備的檢查記錄嗎？b.2.11do you keep records of acci

36、dents and injuries?你們有事故和工傷記錄嗎？b.2.12is a business licence available?有營業(yè)執(zhí)照嗎？b.2 number of questions out of 12 answered with yes or nob.2 回答為yes或者no12個以上的問題數目b.3 working timeb.3 工作時間questions問題please mark 請打勾 yes是no否b.3.1what is the regular number of working hours per working week in your company?你公司

37、每周正常的工作小時是多少？hours:小時：what is the statutory number of working hours per working week in your country?你公司每工作周法定的工作小時數為多少？hours:小時：are working hours in compliance with statutory laws and regulations?工作小時數符合國家的法律法規(guī)嗎？b.3.2what is the regular number of working days per working week in your company?你公司每周正

38、常的工作天數為多少？days:天數：what is the statutory number of working days per working week in your country?你公司每工作周正常的工作天數為多少？days:天數：are working days in compliance with statutory laws and regulations?工作天數符合國家的法律法規(guī)嗎？b.3.3what is the average amount of overtime hours per week?每周平均加班小時數？hours:小時數：what is the maxim

39、um amount of overtime hours per week defined by your national labour laws?你所在國家勞動法規(guī)定每周最多的加班工作小時數？hours:小時數：are hours worked overtime in compliance with statutory laws and regulations?加班工作小時數符合國家法律法規(guī)嗎？b.3.4is ensured that the maximum amount of working hours for the workforce does notexceed 48 hours o

40、f regular working time plus 12 hours of overtime a week in the case that there are no stronger legal regulations? (for example, if the regular hours allowed are 40, the total maximum should be 52).如果當地沒有更嚴厲的法規(guī)，最多工作時數是否保證不會超過每星期48小時固定工時及12小時超時工作呢？（例如：如果固定工時為40小時，那么最多工作時數應是52小時）b.3.5are employees prov

41、ided with at least one free day following six consecutive days worked?員工連續(xù)工作了六天至少有一天的休息嗎？b.3 number of questions out of 5 answered with yes or nob.3 回答為yes或者no5個以上的問題數目b.4 compensationb.4 報酬questions問題please mark 請打勾 yesyesno否b.4.1what is the lowest basic wage for regular working time paid in the co

42、mpany for regular fulltime workers/employees?你公司中正式的全職工人/員工的正常工作時間所得的最低基本工資是多少？ amount:grossnetcurrency:數額總共凈所得貨幣what is the statutory minimum wage for the regular working time per month for regular fulltime employees?法律規(guī)定正式全職工人/員工的正常工作時間每月最低基本工資是多少？ amount:grossnetcurrency:數額總共凈所得貨幣is every employe

43、e paid at least the statutory minimum wage?每位員工都能得到法律規(guī)定的最低工資嗎？b.4.2what are the overtime supplements paid in your company?你公司中對加班工作的報酬怎樣？normal workday / 正常工作日sunday / 周日holiday / 假日nightshift / 晚班 % % % %what are the overtime supplements required by law?法律要求的加班報酬怎樣提供？normal workday / 正常工作日sunday /

44、周日holiday / 假日nightshift / 晚班 % % % %are the required overtime supplements paid to all employees?法律要求的加班補償支付給所有員工了嗎？b.4.3 do all employees receive paid leave according to statutory regulations? 根據法律法規(guī)，所有員工都享有有薪假嗎？b.4.4do all pregnant employees receive statutory maternity benefits and maternity leave

45、?懷孕員工能得到法律規(guī)定的津貼和產假嗎？b.4.5do you pay the statutory contribution for all employees to social insurance funds? (e.g. health insurance, retirement benefits, unemployment insurance, accident insurance or others)你公司為所有員工交納了社會保險嗎？（例如：健康保險、退休津貼、失業(yè)保險、事故保險以及其它）b.4.6do all employees receive a written and trans

46、parent information on wages and termsof payment upon employment?所有員工都能得到有關工資和雇傭支付時間的書面和透明的信息嗎？questions問題please mark 請打勾 yes是no否b.4.7do all employees receive a written pay slip indicating the amount in the official currency? 所有員工都能收到用官方貨幣單位說明工資數額的書面工資單嗎？b.4.8do you have social contributions to emplo

47、yees (health insurance, pension fund, child care, education etc.)你公司向員工支付了社會保險嗎？（健康保險、養(yǎng)老金、兒童護理、教育等等）b.4 number of questions out of 8 answered with yes or nob.4 回答為yes或者no8個以上的問題數目b.5 child labour / young employeesb.5 童工/未成年工questions問題please mark 請打勾 yes是no否b.5.1what is the age of the youngest emplo

48、yee and since when working in the company?進入公司最小員工的年齡是多少？age since working in the company年齡 自從 進入公司what is the statutory minimum age for employment? 法律規(guī)定員工的最低年齡是多少？ age年齡do all employees employed by your company have at least the minimum age required by law?你公司雇傭的所有員工都符合法律規(guī)定的最低年齡嗎？b.5.2are id cards and/or birth certificates or other documents checked in order to assure that only employees are hired who are above the legal minimum age?為保證聘用超過法律規(guī)定最低年齡的員工，檢查了員工的身份證/出生證明或者其它文件嗎？b.5.3do you collect and file the personal data of all employees?采集所有員工的個人