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ISO 9001:2000 SA 8000
COMPANY DETAILS
Corporate name:
 Address:
 City:
 Province :
 ZIP :

 Telephone :
 Fax n.:
 E-mail :
 principal products or
    services that you realized:
 For the products furnished
    to C.M.O have you
    employed some under
    suppliers ?
YES      NO
Name in full:
 Rule :
STAFF STRUCTURE
  Men Women Italians Foreigners
Specialized workers :
Unspecialized workers:
Employed :
Managerial position:
Leadership:
Quality assurance:
TOTAL:      
Total amount of employees :  
Total amount of occasional workers:  
IWhen and for which duties are
   employed Occasional workers?
Workers Number inside your company
younger than 14 years:
15 - 16 years:
17 - 18 years:
19 - 21 years:
22 - 30 years:
30 years over:
regular employed pensioner:
SELF-EVALUATION ON STANDARD QUALIFICATIONS OF SA 8000 ED.2001
Manual to the questionnaire compilation
NA = Not Applicable the box will be crossed only in the case in which the requirement is not applicable to Your business reality (ex: lodgings)
Annotations in this space you write possible necessary additional information to the understanding of Yours request (ex: under suppliers check).
  Relatively to the spaces where the boxes are not present for the answer (of the type Yes / NO),that means that the question foresees an articulated answer (ex: how much people are for this hygienic service there?).
  Requirement Conformity Annotations
    YES NO NA  
1.0 INFANTILE WORK        
1.1 Are there some workers under 15 years?
1.2 Are the workers under 15 years relative of others workers?
2.0 FORCED WORK        
2.1 Do you ask to the workers for leave amount of money or documents during their working activity by you?
3.0 HEALTH AND SAFETY        
3.1 By you has evaluation of the risks has been effected for the health and the safety of the workers to the senses of the D.Lvo 626 / '94?
3.2 Is the work environment cleaned, hygienically checked?
3.3 Are the hygienic services cleaned, hygienically checked, well ventilated?
3.4 How much workers are for hygienic service there?
3.5 If some lodgings are offered are they cleaned, hygienically checked, well ventilated and illuminated?
3.6 How much people are for lodging there?
3.7 Are there emergency and evacuation plain exposed inside building and comprehensible from all in case of fire and emergency?
3.8 How much extinguishers are there?
3.9 With which frequency are the extinguishers submitted to maintenance?
3.10 on the set are available the means for a first intervention of first aid(ex: first aid box)?
3.11 Are fit protection means furnished to the workers? (ex: anti-accidental masks, gloves, shoes,).
3.12 Is formation performed to the employees in subject of health and safety?
4.0 LIBERTY' OF ASSOCIATION
4.1 Do the workers enjoy freely some legal right to the constitution/ adhesion to the labour unions freely?
5.0 DISCRIMINATION        
5.1 Do sexual, politics, religious racial discriminations exist, towards the employees?
6.0 DISCIPLINARY PRACTICES        
6.1 In the case in which a worker doesn’t behave in a conforming way with the business rule, which disciplinary actions are undertaken?
7.0 WORKING TIME        
7.1 Is which way is working time weekly developed in the business?
7.2 Is at least one day of vacation a week foreseen?
7.3 Do you asked for the overtime?
7.4 Can the workers suffer some repercussions if they refuse to do it?
7.5 If yes, which?
7.6 Does the extraordinary overcome the 12 weekly hours?
7.7 Is the overtime quantified in wages?
8.0 REMUNERATION        
8.1 Are the salaries conforming to the legal minima of the sector of affiliation?
8.2 Is the salary calculated in function of the working hours?
8.3 Are the workers paid regularly?
8.4 Are there situations in which the wage is held back?
8.5 If yes ,which?
8.6 How are the workers paid?
cash
check
banking transfer
weekly
monthly
8.7 Is the wage of lost working days guaranteed for reasonable and proved health motives?
8.8 Do the workers receive the liquidation to the cessation of the job contract?
9.0 CONTROL OF YOUR SUPPLIERS
9.1 To your suppliers has a self-evaluation questionnaire been sent on the standard SA8000 or however related to the Social Responsibility?
9.2 Is there a file of approved suppliers regarding the Social Responsibility?
10.0 PLANNING        
10.1 Has instruction been introduced on the SA 8000 argument for your employees?
10.2 Are there available and suitable resources to the management of possible ethical internal (to the firm) and external (suppliers) unconformity?
The furnished details will exclusively be used for the by the user required treatment, and, according to the laws in force, won’t be transferred to third party.

Pressing" I Authorize", the user guarantees the truthfulness of the furnished details and lends his/her own consent to the use of the above selected details as indicated.

He declares also to have taken vision of the follow information: the responsible of the site declare that the furnished details to the purpose to supply the required information in conformity with the art. 13 D.lgs. 196/2003

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The "Self-evaluation Supplier " module can be downloaded, compiled and sended by fax to: +39 585 833777

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