Site Visit & Monitoring Report

• Client / Site

• Project name and number

• Prepared by

• Date and Time

  Date
• Location
  Address

• INSTRUCTIONS
  ------------------------------
  1. Please answer the questions provided below.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Action click on the paperclip icon then "Add Action," provide a description, assign to a member, set priority, and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

EMPLOYMENT FIGURES

• Slide to "ON" for employment figures if they are available.

  Off

  On

• Upload a completed employment figure chart.

  Media

ESMS

• Slide to "ON" for ESMS Questions

  Off

  On

• Does the Project have an overarching Environmental and Social Policy in place that conforms with OPIC and or IFC expectations?<br>

  Yes

  No

  N/A

• Are employees and management aware of the ESMS?

  Yes

  No

  N/A

• Describe how employees and management are made aware.

• Does the system address specific legal requirements, including local permits?

  Yes

  No

  N/A

• Are responsibilities for implementation clearly defined?

  Yes

  No

  N/A

• Is there a process in place to periodically review performance (e.g. internal audits)?

  Yes

  No

  N/A

• Are effective training programs in place, if yes - state how training is documented.

  Yes

  No

  N/A

• Describe how training is documented.

• Are monitoring procedures and results properly documented?

  Yes

  No

  N/A

• Describe how these procedures and results are documented.

OHS & ENV

• Switch to "ON" For OHS & ENV Questions

  Off

  On

GENERAL OHS QUESTIONS

• Does the project have an occupational, health and safety policy or plan?

  Yes

  No

  N/A

• Does the project have a safety manager or a safety committee?

  Yes

  No

  N/A

• Name and contact of the person in charge.

• If the project does not have a safety manager or committee who is managing the safety program?

• Are hazardous areas, materials, emergency exits etc. clearly marked in accordance with international signage standards?

  Yes

  No

  N/A

• Are all employees trained to work safely in the hazards associated with their work?

  Yes

  No

  N/A

• Is there an adequate supply of ventilation & clean air in the workplace?

  Yes

  No

  N/A

• Is the lighting adequate for the type of work being done?

  Yes

  No

  N/A

• Is adequate potable water and sanitation available to employees?

  Yes

  No

  N/A

• Are fire extinguishers accessible and serviced regularly?

  Yes

  No

  N/A

• Does the project have procedures in place to reduce accidents related to electrocution?

  Yes

  No

  N/A

• Does theproject have procedures in place to reduce accidents related to burns or other physical hazards associated with machinery??

  Yes

  No

  N/A

• Does the project have procedures in place to reduce accidents related to the collapse of structures, such as trenches?

  Yes

  No

  N/A

• Does theproject have procedures in place to reduce accidents related to falling objects?

  Yes

  No

  N/A

• Are there worker accommodations and do they provide adequate and sanitary living conditions?

  Yes

  No

  N/A

• Are emergency procedures in place and periodically tested?

  Yes

  No

  N/A

• Are all employees working in hazardous situations required to wear company- issued personal protective gear?

  Yes

  No

  N/A

• Do local environmental, health and safety authorities visit the project?

  Yes

  No

  N/A

• If yes, then state: frequency of visits, authority name and contact information and date of last visit.

HAZARDOUS MATERIALS MANAGEMENT

• Does the project transport, use or store hazardous materials, including petroleum products that are subject to local, host country or international requirements?

  Yes

  No

  N/A

• Is there evidence that the site may be contaminated with hazardous materials or petroleum concentrations above background or naturally occurring levels?

  Yes

  No

  N/A

• Are sampling/monitoring records available on-site for review?

  Yes

  No

  N/A

• Do employees receive training in the safe management of hazardous materials?

  Yes

  No

  N/A

• Does the project maintain an accurate inventory of hazardous materials and are records stored on site?

  Yes

  No

  N/A

• Does the project have a spill prevention, control and counter measures plan in place?

  Yes

  No

  N/A

• Has the project conducted a formal hazard or risk assessment of the potential for spills, fires or explosions?

  Yes

  No

  N/A

• Has the project experienced any incident(s) regarding the transport, use or storage of these materials?

  Yes

  No

  N/A

• Please describe the incident(s)

• Has the company been under investigation or cited by a regulator for suspected or actual violations of hazardous materials or waste management?

  Yes

  No

  N/A

• Describe the investigation or the citation.

• Are hazardous or toxic compounds properly labeled, easily identifiable and regularly inspected for container/storage leaks or failures?

  Yes

  No

  N/A

• Are Safety Data Sheets readily available to all employees in the local language?

  Yes

  No

  N/A

• Are all employees working in and around hazardous materials provided with appropriate personal protective equipment?

  Yes

  No

  N/A

• Has information regarding hazards and risks been shared with the potentially affected communities in a timely and culturally sensitive manner?

  Yes

  No

  N/A

NOISE

• Does the Project generate noise above the background level at the facility perimeter?

  Yes

  No

  N/A

• Describe how the Project will mitigate the noise impacts to neighbors.

• Are the noise levels in compliance with local, host country and international requirements?

  Yes

  No

  N/A

• For areas where noise levels exceed occupational safety levels, are workers and visitors issued protective gear?

  Yes

  No

  N/A

• Has the Project installed noise control equipment and is it effective?

  Yes

  No

  N/A

• Are noise levels monitored and reported?

  Yes

  No

  N/A

• Has the Project been required by any regulator to take corrective actions with respect to noise?

  Yes

  No

  N/A

ENERGY CONSERVATION

• Has the Company developed an energy management program?

  Yes

  No

  N/A

• Does the project have a high performance building scorecard (e.g. EDGE, LEED, etc.)?

  Yes

  No

  N/A

• Are the energy, water and/or renewables strategies committed to in the scorecard installed in the project?

  Yes

  No

  N/A

• If the project does not have a high performance score card, has the project implemented any measures to reduce energy demand (e.g. insulation, repairs, or energy efficient upgrades)?

  Yes

  No

  N/A

• Does the project have a tenant/employee engagement program to encourage energy and water conservation in building operation?

  Yes

  No

  N/A

• Please describe or attach the plan.

• Is the project pursuing third party certification for environmental sustainability (e.g. EDGE, LEED, etc.)? If yes, then what is the status of the certification?

  Yes

  No

  N/A

WATER USE AND EFFLUENTS

• Does the project have a Water Management/Budget Plan?

  Yes

  No

  N/A

• Is the project’s total water use in compliance with local or host country requirements?

  Yes

  No

  N/A

• If the project involves the provision of safe drinking water to employees or members of the public, is the water confirmed to be potable?

  Yes

  No

  N/A

• Does the project regularly test drinking water quality and are records kept on site regarding this water testing?

  Yes

  No

  N/A

• Does the project generate liquid effluents that are discharged to a municipal treatment system, storm drain, septic system or body of surface water? (If so, where does it discharge)

  Yes

  No

  N/A

• Please describe where the discharge goes.

• Are all liquid effluent discharges in compliance with local, host country and international standards?

  Yes

  No

  N/A

• Does the project separate sanitary wastewater from other waste steams?

  Yes

  No

  N/A

• Has the project installed oil/water separators or grease traps in areas using or storing hydrocarbons?

  Yes

  No

  N/A

• Has the project been required by any regulator to take corrective actions with respect to liquid effluent discharges or have they been notified of non-compliance?

  Yes

  No

  N/A

• Please describe or attach the notification of non-compliance

• Attach supporting documentation.

  Media

• Does the project properly dispose of sludge generated in the process or treatment process?

  Yes

  No

  N/A

• Does the project monitor effluent and treated effluent?

  Yes

  No

  N/A

• Are sampling/monitoring records available on-site for review?

  Yes

  No

  N/A

• Is the project making any effort to reduce the volume of water used or the volume of liquid effluents generated?

  Yes

  No

  N/A

SOLID WASTE MANAGEMENT

• Does project have a Waste Management Plan?

  Yes

  No

  N/A

• Is housekeeping in waste storage areas adequate?

  Yes

  No

  N/A

• Is solid waste stored properly and serviced by municipality or licensed contractor?

  Yes

  No

  N/A

• Has the project been required by any regulator to take corrective actions with respect to waste management?

  Yes

  No

  N/A

AIR EMISSIONS

• Is the project required to report greenhouse gas operations on an annual basis?

  Yes

  No

  N/A

• Has the Project submitted, planning to submit, or in compliance with reporting requirements?

  Yes

  No

  N/A

• Are there plans to phase out the use of any ozone-depleting substances?

  Yes

  No

  N/A

• Is the project operating in compliance with local, host country and international requirements for air emissions?

  Yes

  No

  N/A

• Has the project been required by any regulator to take corrective actions with respect to air emissions or have they been notified of non-compliance?

  Yes

  No

  N/A

• Describe the corrective action and or include a scan of the regulators notice to the project.

• Does the project have an up-to-date site plan identifying all point sources?

  Yes

  No

  N/A

• Does the company monitor ambient air quality and point source emissions?

  Yes

  No

  N/A

• Does the company control dust to reduce nuisance impacts?

  Yes

  No

  N/A

• Is there any open burning of waste?

  Yes

  No

  N/A

• Does the project use CFCs, halon, carbon tetra-chloride, methyl bromide or HBFCs?

  Yes

  No

  N/A

• Are the amounts within regulation or permit limits?

  Yes

  No

  N/A

EMERGENCY AND SAFETY

• Does Company have Emergency Response Plan?

  Yes

  No

  N/A

• Does the Company routinely coordinate with local officials on issues related to such things as emergency response?

  Yes

  No

  N/A

• Does the Project include housing with four or more stories?

  Yes

  No

  N/A

• Does the Project have a Fire Life and Safety Plan?

  Yes

  No

  N/A

• Upload the plan here if available.

  Media

• if the plan is not available, please describe whether it conforms to international standards.

CLIMATE CHANGE RESILIENCE

• Does the project have a plan to address potential risks from climate change?

  Yes

  No

  N/A

• Were any climate resilience factors/risks assessed or noted in the clearance?

  Yes

  No

  N/A

• Describe and similarities or differences from the clearance.

• Does the site visit reveal that is there potential climate risk/vulnerability to the site or project infrastructure (i.e., does the site visit reveal vulnerability to floods, droughts, wildfires, erosion, flooding, subsidence, landslides, temperature or precipitation changes)?

  Yes

  No

  N/A

• Describe the observed vulnerabilities.

LABOR AND WORKING CONDITIONS

• Slide ON to access labor and working conditions.

  Off

  On

• Is there a written human resource manual covering procedures, terms and conditions of employment?

  Yes

  No

  N/A

• Is the client familiar with local and national social and worker rights requirements?

  Yes

  No

  N/A

• Is the project in compliance with local social and labor laws?

  Yes

  No

  N/A

• Are workers provided an employment contract that covers terms and conditions of employment?

  Yes

  No

  N/A

• Are the terms and conditions of employment communicated in terms workers understand?

  Yes

  No

  N/A

• What are the expected hours of work per day and per week?

• Is there a method of oversight of working hours?

  Yes

  No

  N/A

• Is there evidence of excessive overtime?

  Yes

  No

  N/A

• Is there evidence of labor or social-related lawsuits/administrative actions (during time of investment)?

  Yes

  No

  N/A

• Describe the lawsuits or administrative actions.

• Is the project experiencing financial distress?

  Yes

  No

  N/A

• Describe the financial conditions.

• Are wages compliant with national law?

  Yes

  No

  N/A

• Are wages consistent with prevailing wages?

  Yes

  No

  N/A

• Is overtime pay compliant with national law?

  Yes

  No

  N/A

• Are wages paid on time and in full?

  Yes

  No

  N/A

• Are employee benefits compliant with national law?

  Yes

  No

  N/A

• Are benefits beyond legal requirements provided? If yes, describe.

  Yes

  No

  N/A

• Describe how the benefits are beyond legal requirements.

• Is there a mechanism for labor/social complaints/reports internally and externally?

  Yes

  No

  N/A

• Describe this mechanism.

WORKER ORGANIZATION

• Does national law allow for unions?

  Yes

  No

  N/A

• Are workers on the project unionized? (include name of union(s))

  Yes

  No

  N/A

• Are there other worker organizations?

  Yes

  No

  N/A

• Does the project have a collective bargaining agreement?

  Yes

  No

  N/A

• Is the project compliant with any collective bargaining agreements?

  Yes

  No

  N/A

• Is there a positive working relationship between management and unions?

  Yes

  No

  N/A

• Is there any evidence of managerial interference?

  Yes

  No

  N/A

• Describe the interference. Include dates and all relevant information.

• Is there evidence of strikes or work stoppages?

  Yes

  No

  N/A

• Describe the evidence.

• Attach any reports or evidence of the work stoppage or strike.

  Media

WORKER GRIEVANCE MECHANISM

• Is there a written grievance policy and or procedure?

  Yes

  No

  N/A

• Is this grievance procedure accessible to all workers?

  Yes

  No

  N/A

• Is the policy communicated to all workers?

  Yes

  No

  N/A

• Is there an anonymous mechanism to submit the grievance?

  Yes

  No

  N/A

• Are there at least two avenues for workers to file grievances?

  Yes

  No

  N/A

• If yes, provide both methods (e.g. list phone number, or email address)

CHILD LABOR

• Does the project have a child labor policy?

  Yes

  No

  N/A

• Is there any evidence of harmful child labor at the project?

  Yes

  No

  N/A

• Are project activities at high risk for child labor?

  Yes

  No

  N/A

• Describe project policies to mitigate this risk.

• How does the project verify that workers are over 18 years old?

• Are any workers under the age of 18?

  Yes

  No

  N/A

• Are there any workers under age 18 performing hazardous work?

  Yes

  No

  N/A

• Is there a high risk of child or forced labor in the primary supply chain?

  Yes

  No

  N/A

• Project has policies and procedures for monitoring supply chain for risks or incidents of child or forced labor.

  Yes

  No

  N/A

• Describe the projects policies in place to mitigate this risk.

FORCED LABOR

• Does the Project have a forced labor policy?

  Yes

  No

  N/A

• Are project activities at high risk for forced labor?

  Yes

  No

  N/A

• Describe the project's policies to mitigate this risk.

• Is there any evidence of forced labor?

  Yes

  No

  N/A

• Do workers have access to their personal identification documents? (e.g. Passport, Visas, ID's, etc.)

  Yes

  No

  N/A

• Does the Project use third party labor brokers?

  Yes

  No

  N/A

• Are migrant workers engaged on substantially equivalent terms?

  Yes

  No

  N/A

• Does the employer cover the cost of returning workers to their place of recruitment?

  Yes

  No

  N/A

SUB CONTRACTOR & THIRD PARTY LABOR MANAGEMENT SYSTEM

• If the Project uses Sub-Contractors or Third Party Workers, turn to "ON" to complete the following questions.

  Off

  On

• Has the Project conducted due diligence to ensure that third party contractors have appropriate labor management system?

  Yes

  No

  N/A

• Does the Project include labor covenants in agreements with third party contractors?

  Yes

  No

  N/A

• Does the Project have established policies and procedures for monitoring the labor performance of third party contractors?

  Yes

  No

  N/A

• Do third party workers and or sub-contractors have access to a grievance mechanism?

  Yes

  No

  N/A

• Are site visits conducted to assess labor compliance?

  Yes

  No

  N/A

• Does the Project ensure Labor-related registration and compliance confirmation (relevant licenses and permits, etc.)

  Yes

  No

  N/A

RETRENCHMENT

• If Retrenchment is an issue please slide to "ON" to answer the following.

  Off

  On

• Does the project have a retrenchment plan?

  Yes

  No

  N/A

• Does the project have an analysis of alternatives?

  Yes

  No

  N/A

• Is there evidence of collective dismissals?

  Yes

  No

  N/A

• Is there evidence of appropriate consultations with workforce, workers organizations, government?

  Yes

  No

  N/A

• Do workers receive(d) notice of dismissal?

  Yes

  No

  N/A

• Are workers provided severance pay/back pay?

  Yes

  No

  N/A

SECURITY PERSONNEL

• Are or will security personnel be present? If yes, click switch to ON.

  Off

  On

SECURITY PERSONNEL

• Does the Project engage security guards?

  Yes

  No

  N/A

• Indicate number, whether direct, private contractors, or government.

• Are the guards armed?

  Yes

  No

  N/A

• Has a security risk assessment been performed?

  Yes

  No

  N/A

• Are guards trained on use of force, rules of conduct?

  Yes

  No

  N/A

• Have there been any incidents of use of force by the guards?

  Yes

  No

  N/A

• Describe any incidents of use of force.

• Attach after incident reports, use of force, or documents related to use of force for review.

  Media

• Is there a grievance mechanism in place for community/worker complaints and concerns related to security.

  Yes

  No

  N/A

STAKEHOLDER ENGAGEMENT

• Slide to "ON" for Stakeholder Engagement Questions

  Off

  On

• Does the Project have a formal program on stakeholder engagement?

  Yes

  No

  N/A

• Does the Project have a designated community liaison officer?

  Yes

  No

  N/A

• Does the Project have a grievance mechanism in place to address community complaints and concerns?

  Yes

  No

  N/A

• Are there two methods of submitting the grievance?

  Yes

  No

  N/A

• Describe the two methods.

• Does the Project issue regular public reports on Project status and monitoring results?

  Yes

  No

  N/A

• Has the Project met commitments for social impact mitigation and community development?

  Yes

  No

  N/A

• Does the Project have ongoing/outstanding/unresolved grievances that are not being tracked or monitored?

  Yes

  No

  N/A

• Please describe the length of time the grievance has been filed. Assign an action to ensure it is tracked to completion.

RESETTLEMENT

• Will there be or was there any resettlement of people associated with the Project? If yes, then click switch to "ON".

  Off

  On

• Did the Project involve any involuntary physical displacement of people?

  Yes

  No

  N/A

• Has the Project provided details of the resettlement plans, impacts, actions, next steps, compliance, etc.

  Yes

  No

  N/A

• Has the Project developed a Resettlement Action Plan (RAP)

  Yes

  No

  N/A

• Is the Project operating in compliance with the RAP?

  Yes

  No

  N/A

• Has the Project developed a Resettlement and/or a Livelihood Restoration Framework?

  Yes

  No

  N/A

• Is the Project operating in compliance with Resettlement and/or Livelihood Restoration Framework?

  Yes

  No

  N/A

• Did the Project involve involuntary economic displacement?

  Yes

  No

  N/A

• Did the Project require land acquisition?

  Yes

  No

  N/A

• Was the land associated with the Project originally purchased through a voluntary transaction at market rates?

  Yes

  No

  N/A

INDIGENOUS PEOPLES

• Switch to "ON" if the Project will or does affect Indigenous Peoples

  Off

  On

• Will the Project affect indigenous peoples?

  Yes

  No

  N/A

• Is the Project operating in/near land used/accessed by Indigenous Peoples?

  Yes

  No

  N/A

• Please complete applicable selections in Appendix A

• Has the Project has developed and implemented Indigenous Peoples Plan (IPP)?

  Yes

  No

  N/A

• Please describe the plan.

• Please attach a copy of the plan if available.

  Media

NOTES, OVERVIEWS and SUMMARIES

• Site Visit Notes/Overview

• Documents Reviewed (Payroll records, time sheets, employment contracts, human resource manual, Collective Bargaining Agreement, ESMS, contractor/loan agreements, etc.)

• Worker Interview Summary (State whether an interpreter was used, interference from management, number of interviews, employee gender and job type, notable demeanor or comments, etc.)

• List contacts or points of contact for project here.

• Attach business card scans here.

  Media

• Attach project pictures here.

  Media

COMPLETION AND SIGN-OFF

• Auditor's Name and Signature

  Sign

• Project Description

• Public Summary Profile