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Is medical waste segregated and properly disposed of?YesNo Are first aid supplies reasonably available at the facility and dormitory?YesNo Does the facility keep injury/ illness records and are they used for corrective actions?YesNoCOMMENTS Does facility have written procedure for handling medical emergencies?Date of Issue:YesNo Have the authorized forklift operators received forklift safety training?YesNoN/A Are floor and roof openings covered or protected to prevent falls?YesNoN/A Are open stairs, platforms, and elevated floors guarded by railings on open sides?YesNoN/A Have the authorized crane/hoist operators received jobspecific safety training?YesNoN/A Are any machines, equipment, and fixtures not covered above, in safe operating condition?YesNo Are machine safeguards provided and used?a) Points of operation?b) Power transmission devices?c) Other hazardous moving parts?d) Pulleys and belts?e) Fan blades protected with a guard and have limited openings?Yes Yes Yes Yes Yes YesNo No No No No No Is loose clothing, jewelry, and long hair prohibited near moving machinery?YesNoCOMMENTS Are all reported accidents and near misses investigated?a) Accident/near miss investigation form used and filled out pletely?b) Employees instructed and encouraged to report accidents and near misses?c) Corrective/preventive actions tracked to pletion?Yes Yes Yes YesNo No No No Have the employees been trained on the subject of chemical safety?YesNo Do containers ing onto the facility have legible affixed labels?YesNo Are all employees given the opportunity to voice EHS opinions/concerns? If so, describe.YesNo Does the facility have an EHS mittee/team?YesNos written EHS programs available to all employees in the local language?YesNo Are fires investigated to determine root causes and examined to prevent a reoccurrence?YesNo Are fire extinguishers fully charged and visually inspected monthly?YesNo Are fire alarms clearly marked, accessible, and maintained operational?YesNo Are solvent spray painting or dustproducing operation areas maintained, clean and constructed of nonbustible materials and at least 20 feet from flames, sparks, operating electric motors, and other ignition sources?YesNoN/A Are flammable liquids in use properly stored in safety dispensing containers?YesNoN/A Are security personnel adequately trained?YesNo Are adequate toilet facilities available, functional, and in clean condition?YesNo Is there evidence of unequal treatment between employee representative(s) and other employees? Describe.YesNo9. Facilities AUDIT QUESTIONS Are there management representative(s) appointed to interface with employee representative(s)?YesNo8. Employee RepresentationAUDIT QUESTIONS7. Discrimination AUDIT QUESTIONS Is there any evidence of the use of corporal punishment or physical coercion?YesNo6. Disciplinary Practices AUDIT QUESTIONS5b. Prison Labor AUDIT QUESTIONSCOMMENTS Does the facility have a written policy concerning forced labor, which meets the requirements of the ICTI Code? Date of Issue:YesNo If young workers are employed, are they on assignments allowable, as specified by law?YesNoN/A In the absence of law, does the facility39。4. Underage Labor AUDIT QUESTIONS Are legally required benefits provided (bonus, paid vacation, meal allowances, etc.)? Are employees made aware of these withholdings and other deductions prior to employment?YesNo being withheld correctly, and being paid to the proper agency(s)? Minimum Hourly Rate: Minimum Overtime Rate: Regular Work Days: Rest Days: Are legal and pany minimum wage rates posted or available to employees?YesNoCOMMENTS Does facility have written policy on wages and pensation which is in pliance with the local laws?Date of Issue:YesNo a) meal breaks?b) personal breaks?YesYesNoNo What are the maximum overtime hours worked per month? _______hours.(Provide detailed analysis.)Is this within the legal maximum and written policy for work hours?YesNo Is overtime voluntary?YesNoCOMMENTS Does facility have a written policy for working hours and overtime in pliance with local law(s)?Date of Issue:YesNoTool RoomSewing MachinesPlating ProcessElectronics AssemblyWarehouse/DistributionMaintenance Local Language) Address:(English amp。 reference no.:QC audit amp。 reference no.:1st reaudit date amp。 Safety (EHS) Yes No11b. Health amp。 date:Date of audit:Name of factory:(English amp。 Local Language)Add