Title Page

  • Site Reference: &

  • Conducted on

  • Select date

  • Audited by

  • Location
  • Additional Documentations ( Plan, ISO certificates, Policy,...)



1. General requirements

1.1 Requirements related to documentation system

  • What is the certification status of the company?

  • Is the management system described in full in a management manual ?

  • Are Q, S, E, HACCP, others management systems integrated or described separately?

  • Does the documentation cover all levels of the document hierarchy (processes, procedures, specifications, certificates, etc.)?

  • Are the company Processes presented in a form that enables the mutual dependencies and process responsibilities to be identified (e.g. process model, process mapping)?

  • Is the documentation system appropriately communicated and readely accessible (eg IT solutions)?

  • Are processes designed according to ISO NORMS?

1.2 Control and traceability of documents, data and records

  • Are appropriate users notified when new documents are issued or existing documents are updated?

  • Are these documents & data available at the right places?

  • Are there procedures to establish and maintain identification, collection, accessibility, indexing, filling, storage place & time, maintenance and disposition of records, including training, audit, reviews, problems, compliance certificates (MSDS, Packaging Directives) and pertinent subcontractor records, incl records related to Q, S, E, H, BI, IP, PI?

  • Are computorised records backed up and stored off site or in a secure environment. Paper records are maintained in a secure environment to prevent loss, damage, deterioration and confidentiality?

  • Are the raw materials, tools, machines, processing aids, SFG and FG identified appropriately throughout the production process?

  • Are these documents & data listed (hard / e) and reviewed?

  • Provided a finished product lot number (given by the auditor), what product identification and traceability information can you provide on raw material lot identification (to what level can raw material components be traced, production process information (tools,...), production equipment used, manufacturing sequence, finished product test results, and shipment information? Approximately how long does it take to provide all these informations?mations?

  • What is the level of detail of traceability (raw materials, tools, FG)?

  • How is the identity and traceability of reworked product/repaired tool maintained?

  • Are processing aids and hazardous materials recorded appropriately?

2. Management responsability

2.1 Management commitment

  • Is the development/introduction of the management system a strategic decision of the company management? (i.e. policies, MBO, budget, strategic plan )

2.2 Company policies

  • Does the company have written policies for Q, OHS, Environment, BI, IP ?

  • Are the policies consistent with the UPL policies?

  • Are the policies customer oriented?

  • Do they include : a commitment to continual improvement, prevention of accidents a commitment to comply with the law, local authority regulations and other contractual or market requirements?

  • Are the policies endorsed by top management ?

  • Are policies regularly reviewed in terms of their suitability and effectiveness?

  • To what extend is the work force involved in the policy and decision making process?

  • Are business sustainability and social responsibility taken into account when the organisation defines and/or updates the policies?

  • Are the policies accessible to interested parties and communicated to all employees so that it is understood and familiar at all levels of the organization?

2.3 Planning

2.3.1 Identifying hazards, risk assessment and risk control (aspects+risk management)

  • Is there a method for risk assessment?

  • Is the method is in line with international Standards or any reference to local regulation ?

  • Are risks associated with identified hazards determined by:

  • (a) the exposure to the hazard/danger/nonconformity?

  • (b) the population exposed to the hazard/danger/nonconformity ?

  • (c) the frequency of exposure to the hazard/danger/nonconformity?

  • (d) the duration of exposure to the hazard/danger/nonconformity?

  • (e) the potential severity of an incident/nonconformity?

  • (f) the probability of an incident/nonconformity?

  • Are identified hazards prioritised according to their risk?

  • Is suitable and qualified consulting expertise engaged when specialised skill is required to identify hazards and assess risks?

  • Has a risk assessment been performed for OHS aspects/impacts?

  • Has a risk assessment been performed for environmental aspects/impacts?

  • Has a risk assessment been performed for Quality / PI aspects/impacts?

  • Has the company carried out a preliminary environmental review?

  • Has risk assessment identified all necessary Critical Control Point's?

  • Is there a crisis management plan (emergency plan, contingency plan, crisis communication)?

  • Are local prevention plan and group contingency plan maintained and updated?

  • Has a trained media communication manager been appointed in case of emergency ?

2.3.2 Legal and other requirements

  • How can the company demonstrate knowledge of and accountability for, applicable regulations, company standards and customer's contracts, to which they are subject?

  • Is there a procedure for recording, maintaining and communicating (to appropriate users) regulations and legal & contractual requirements ?

  • Are there any indications that the supplier is NOT in compliance with established national and local regulations or with contractual specifications?

  • Has the company ever been cited for noncompliance with any regulations or contract? If so, when and for what ?

  • Has the company issued compliance certificates regarding heavy metals or any packaging regulation/directive ?

  • Are responsibilities and competences for Regulatory Affairs (regulation watch, compliance check and certification) and PI defined?

  • Is there an inventory of materials subject to regulations or contractual requirements?

  • Do you have a valid licence to operate ? are you recorded as a Seveso Site ?

  • Do you have a valid insurance policy? What the amount of the total damage insured?

2.3.3 Objectives & targets

  • To what extend do measurable goals exist against which progress can be tracked (KPI's, programmes, objectives)? Try to assess the relevance and level of challenge in any programmes

  • Is there a process for continuous setting and review of objectives of each individual level (i.e. KPI, MBO)?

2.3.4 OHS, Environmental & Q program

  • Do programme(s) exist and are they current and enforced?

  • Do these programme(s) specify the required activities and resources with specific responsibilities, the means and the time schedules in order to achieve objectives and targets?

  • Are all hierarchy levels and the relevant functions included?

  • Are the programs systematically reviewed and updated at planned intervals?

  • Are the programs adapted to suit the changes that may occur in the activities, products, services or working conditions of the organisation?

  • Are the applicable objectives integrated in the program(s)?

2.4 Roles & Responsabilities

  • How well does the organisational structure define OHS, environment, quality and PI responsabilities and authorities?

  • Clear organisational charts and job accountabilities are defined. Backup personnel are appointed for key positions

  • Quality and/or EHS responsible has been appointed and is a member of the Company Management?

  • Quality and/or EHS responsible has competence and authority to implement the system(s) and report on it?

2.5 Communication

  • Do these procedures provide the availability of appropriate instruments for topdown communication and vice versa as well as for any communication with third parties affected/concerned ?

  • Are changes in the activities and related effects communicated to the interested parties?

  • Are the employees:

  • included within the development and review of the risk management policy and procedure,

  • consulted for advisory purposes on changes which affect health and safety in the workplace,

  • represented in health and safety at workrelated matters,

  • informed as to who represents them in health and safetyrelated matters and who from the management is responsible specifically for health and safety?

  • Is external feedback systematically evaluated and used to improve the process?

  • How is communication ensured with headquarters regarding market and customer requirements?

  • How is communication ensured between affiliates and/or headquarters regarding market and ARE requirements?

2.6 Measurement, monitoring, analysis (statistical method)

2.6.1 KPI, PPI

  • Are there measures (KPIs) utilized to assess performance and drive process improvements

  • Costs of the QSE system are known (Prevention, Appraisal, Failures)?

  • Is there a process for describing the procedures on how data is collected and analyzed?

  • Is the scope of the data collection and analysis sufficient to:

  • ascertain the system effectiveness,

  • ascertain process reliability and suitability,

  • ascertain the level of Internal/external customer satisfaction,

  • ascertain agreement with the legal and stakeholders requirements,

  • ascertain all processes and product/service compliance,

  • evaluate suppliers?

  • Does the system identify the critical success factors of the realization processes, which influence the fulfilment of the requirements for product/services (CCP) ?

  • Are the procedures appropriate for monitoring nearmisses?

  • Is there evidence that these KPI's are reviewed by the management on a regular basis?

2.6.2 Audits (internal, external)

  • Have internal audits been conducted?

  • Are audits conducted according to the Company standard?

  • Describe your process for conducting internal/external audits (planning, scheduling, frequency, etc.)

  • Are the audit intervals appropriate and are the audit results taken into account when producing the program?

  • Does the company has a program to audit affiliates/sister companies ?

  • Are the auditors sufficiently qualified and independent?

  • Has the company been audited by customers?

  • Are the findings that are made during the course of the audit recorded and the competent personnel responsible informed accordingly?

  • Are the required corrective actions done, reviewed, checked on effectiveness and documented on the basis of the audit results?

  • Are the findings and actions communicated across the group/organisation ?

  • Does the company have a program to audit suppliers?

  • Are audits conducted according to the planning?

2.7 Management review

  • Are the management systems, strategic plan, policies, programs and objectives reviewed periodicaly?

  • Is there a documented review of the outcome of audits, client satisfaction, client complaints, employee satisfaction, product/service quality, nonconformance costs, CCP, adherence to requirements in respect of environment, safety and legislation as well as the evaluation of the financial results and the status of the improvement measures?

  • Is a process for continuous improvement in the management system and the company's performance defined and implemented?

  • Does the management review lead to an improvement program?

2.8 Preventive & corrective actions, improvement

  • Are there processes or tools to prevent incidents, nonconforming products, equipments, services?

  • What type of analysis is performed on records and customer/stakeholders complaints? (e.g. Pareto charts, trend analysis, control charts, Ishikawa, FMEA

  • Is there a monitoring of preventive and corrective actions?

  • Are all the inputs taken into consideration (audits, complains, incidents, alerts, near misses,

  • How is the effectiveness of corrective action evaluated?

  • Are all corrective actions from last UPL audit corrected as per time frame agreed on last audit corrective action plan?

  • Is there a process to prevent the immediate (prior to risk analysis) recurrence of an incident or nonconformity?

3. Resources

3.1 Resources availability & Human Ressources

  • Does the management provide the necessary resources for the implementation, control of and improvement in the management systems?

  • Are job descriptions available for all relevant roles

  • Are job descriptions reviewed when necessary (procedure exists, documented evidence)

  • Job description contains necessary competences and skills (professional (and related regulations), QSE, PI, IP, BI, HACCP, aspects are considered and adapted to each role of the organisation)

  • Is there a complete personnel process from recruitment right up to (use of job description, qualification profile, training needs, collegial decision) and including departure?

  • Are assigned personnel competent on the basis of training, skills or experience?

  • Induction programs are established systematically ("role change", refreshing sessions (frequency?), deputies, temporary employees & contractors as well)

  • There is a system for training needs evaluation

  • There is a system to measure employee satisfaction

  • There is a system for performance management and rewarding

  • There is a program for carieer development

  • Does the training ensure that all employees are aware of existing or potential consequences for their work activity in the event of failure to comply with the instructions,

  • Deputies, backups and succession plans are established

  • Is the training properly documented (docts signed by both parties and records are maintained as necessary e.g. on OHS topics)

  • Is the training adapted to all employees (language, method, visuals,

  • Training needs, performed, effectiveness and objectives are reviewed on a regular basis

  • Does the company evaluate the effectiveness of training?

3.1.1 Technical support (infrastructure)

  • Are procedures for pest control in place ( pest control system with identified targets, responsabilities, monitoring, corrective actions and measures of improvement is documented)?

  • The machinary, equipment, infrastructure show a suitable state of condition that will not adversely impact product quality, employee OHS or the environment

  • Are there inspection, cleaning and sanitizing procedures ? (for raw and inprocess material storage vessels and containers, processing equipment, and material delivery systems to include pumps,conveyors, hoses, discharge lines, containers, vehicles)

  • How adequate are storage areas and facilities?

  • Have any requirements for laboratory environmental conditions been determined for impact on measuring equipment? How are these conditions monitored and controlled?

  • Is a preventive equipment maintenance program in place?

  • To what extend does the supplier document tool wear and utilise it in preventive maintenance?

  • Is there a management of spare parts (critical one) ?

3.1.2 Quality, Safety and Environment Practices

  • Are Safe/Standard Operating Practices (related to QSE) available at the working place?

  • Are Inspection frequency and size established on the bases of process capability and/or risk assessment (supplier recommendations, regulations, norms, customer specifications)?

  • Do budgets are allocated to Q, S, E and PI ?

  • Do personal objectives are assigned to managment in term of Q, S, E ?

3.1.3 Finance and Controlling

  • Does the company have an appropriate procedure for financial resources allocated to QHSE ?

  • To what extend does the supplier's Accounting staff interact with Operating staff? Is reporting of results frequent and usefull?

  • To what extend is the supplier willing and able to provide the components of cost?

  • To what degree can the supplier demonstrate that they are actively involved in programs to control and reduce cost in the area of waste reduction, supplier cost control, productivity improvement, efficiency improvement, and technological advancement?

3.1.4 IS

  • Does the company have an appropriate data and information management (hardware, software)?

  • Does the company have for IS an appropriate crisis management plan and backups ?

  • Does the company have a clear policy for data security (access rights, employees, contractors, temporary work, frirewalls, hackers) ?

  • Does the company follow International Standards ?

4 Implementation and operation

4.1 Operational control

4.1.1 Sales

  • Is there an effective system with clear responsibilities for client communication (product/service information, order processing, customer complaints, information relating to product/service performance capability, process change)?

  • Is there a process for qualifying customers (reliability, BI)?

  • Are the client requirements for products/services defined in full (incl. the aftersales activities already determined and agreed)?

  • Is the amendments (last minutes changes or addon's) procedure an integral part of the process?

  • Is a feasibility study carried out and documented where appropriate?

  • Clients documents are properly converted into internal specifications, procedures, and manufacturing orders

  • How well can the company demonstrate that mutually agreed upon specifications exist for all items supplied the client?

  • There is a process for reviewing contracts/purchase orders to address revisions to specifications and new specifications

  • How is the client notified if contractual agreement can not be met

  • How does your planning or scheduling department obtain the necessary documents and information, including raw material stock, needed to produce to the customer's specification?

  • What is your planning process for handling the production of urgent jobs that may be required by your customers? To what extent can the supplier alter production schedules to meet changing demands?

  • How effective are the procedures to ensure and measure ontime delivery? To what extent is the company capable of providing the exact quantity ordered? To what extent does the company work to control and reduce leadtime?

  • Where servicing is specified in the contract, have procedures been established and maintained for verifying that servicing meets the specified requirements?

  • Is the customer satisfaction measured and monitored (survey, KPI's) ?

  • To what extent does the company provide field support to resolve operational problems?

4.1.2 Product development

  • Does the company have R&D facilities ?

  • Is there a technological survey ?

  • Is a design/development process defined and implemented (project phases, milestones, responsibilities)?

  • Does the company have an appropriate project management system for the realization of the design/development activities, which controls in particular the cost, and time standards?

  • How developments are coordinated across the group/organisation ?

  • Are there any restrictive patent or agreement ?

  • Are all Q, OHS, Environmental and PI, BI, IP aspects considered at the development stage (incl. Raw materials, waste, disposal, obsolete tools) ?

  • Is the client informed about potential restrictions/limitations in usage of the good or service due to the development stage ?

4.1.3 Production & Logistique

  • Planning : Is the planning coordinated with other requirements such as quality management, resources, processes, facilities, environment, requirements, assessment criteria, testing activities, records ?

  • Procurement : Do purchasing documents specify clearly the product or refer to a detailled specification sheet?

  • Procurement : Do purchasing specs define clearly quality, quantity, timing, purity and regulatory requirements?

  • Procurement : Are suppliers periodicaly evaluated, audited and do they get feedback?

  • Procurement : Are alternative/backup raw materials, tools and suppliers submitted for approval for Q, S, E and PI topics?

  • Reception

  • How are incoming materials received (tanker, rail car)? Are incoming raw material carriers dedicated to specific products? Describe raw material carrier inspection procedures. Are inspection procedures documented?

  • How do you determine that incoming materials conform to specifications (COA, sensory evaluations, standard physical and analytical analysis, compositional analysis, and microbiological analysis)?

  • Are COA's, supplier test data and/or your incoming test data evaluated against product specifications? Describe the process of reviewing COA's. When discrepancies are found between COA's, incoming inspection, and specifications, describe the steps taken for resolution?

  • Are material audits conducts to verify conformance to COA's? What is the frequency of these audits?

  • Is there a procedure for usage of raw materiel prior to completion of normal inspection/testing (used to meet urgent production needs)?

  • Have appropriate statistical techniques been selected to establish sampling plans for incomimg inspections and verification of the values reported in the COAs?

  • Is the accuracy of incoming inspection equipment enough ?

  • Are Incoming inspection records kept?

  • Are incoming inspection procedure in line with UPL standards?

  • Are the rules for retained samples of raw material defined, implemented?

  • Manufacturing

  • Are manufacturing processes validated (incl. the documentation of validation)?

  • What are your inprocess inspection, process control, final inspection and online control information (are instructions and specifications available at all level )?

  • How well are inprocess controls specified and performed?

  • Are the employees aware of the competencies and methods of approach to rectifying the deviations?

  • Are the rules for retained samples of SFG and FG defined, implemented? Are those rules in line with the customer requirements?

  • Are inspection records kept?

  • Can all or a part of the manufacturing be subcontracted ? If yes, what are the checks ?

  • Are procedures in place for secret products ?

  • What test data or COA is currently provided to UPL ?

  • How do you verify that only approved products/services are shipped/delivered?

  • Are responsibilities for status verification clearly defined?

  • Storage Distribution

  • Can the storage be subcontracted ? If yes, what are the checks ?

  • The infrastructure and transportation means show a suitable state of condition that will not adversely impact product quality, employee OHS or the environment

  • How can the company avoid the delivery of wrong references or mix of version?

4.2 Operational support

  • 4.2.1 Control of testing and measuring devices

4.2.1 Control of testing and measuring devices

  • Are all test materials and equipments systematically monitored, calibrated and maintained on a regular basis ?

  • Measurement capability/uncertainty has been assessed and is consistent with requirements

  • Is the verification of the test material and equipment based on acknowledged national or international standards? Otherwise, the basis used for calibration shall be recorded

  • Who is responsible for performing calibrations and maintenance of inspection, measuring, online control and test equipment? Is this person properly trained?

  • How are calibration records maintained?

  • How is calibration status identified for equipements or instruments?

  • When equipment is found out of calibration, is the validity of previous inspection assessed and documented?

  • Is the equipment identified accordingly?

  • What are the backup solutions when an equipment is out of calibration/service?

  • Are all inspections and test methods carried out according to defined procedures and methods? Are results compared to specification for identifying nonconforming products?

  • How comprehensively are analytical methods documented and applied?

  • Do you perform routine calibration checks with working standards between scheduled calibrations? Are these checks documented?

  • Have any requirements for laboratory environmental conditions been determined for impact on measuring equipment? How are these conditions monitored and controlled?

4.2.2 Treatment of non conformity, complaints & accidents

  • Are there defined procedures which stipulate the responsibility and authority regarding the handling and analysis of accidents, incidents, noncompliance (nonconformities) and the introduction of corrective and preventative measures?

  • Are appropriate measures initiated in the event of nonconformities being discovered following delivery/commissioning of the products/services (incl. recall process as required)?

  • Is there a system for reporting nonconformance, which ensures that the competent departments are informed of the type and extent of nonconforming products and take the necessary decisions?

  • Are corrective actions followed? Is effectiveness of actions undertaken checked?

  • Is there a process for the control of nonconforming products/services defined and implemented?

  • Are nonconforming products/services identified as such and picked out?

  • Do you have a segregated nonconforming holding area? If so, summarize how nonconforming materials are inventoried and reconciled

  • How do you verify that reworked product conforms to specifications?

  • Have you had any products or raw material recalls?

5. Fire: Electrical hazards

  • Are you safety cabinets clean and locked to un-authorized people

  • Who is authorized to access to electrical cabinet/panel ?

  • Could you provide us an example of authorized licence from electrician ?

  • Do you perform PAD testing and thermal infra-red checking

  • Do you have in the past a Safety alert linked with electrical hazard ( smouldering, ignition, fire ) ?

  • Do you have in place a pest control policy ? ( Avoid cables damages by rats/mice)

  • Do you install in the electrical cabinet a pest control element when the electrical cabinet is in the basement ?

  • Is there an Electrical Preventive Maintenance (EPM) program in place (including thermography) ?

  • Do you use an UPS (Uninterruptible Power Supply) in your premises ? If yes do you have considered sufficient Ventilation, Maintenance and specific fire detectors in the room the UPS is installed ?

6. Fire Prevention

  • Are fire exits clear of obstructions

  • Outside : Are combustible materials stored a minimum 5 meters away from the building/premises

  • Are fire extinguishers kept free from obstruction, in their correct storage location, undamaged, fully laden and in date

  • Are emergency spill kits present and accessible at any time

  • Are fire alarm call points free from obstruction

  • Are buildings protected with fire resistance doors and fire wall

  • Are building protected with sprinkler systems ?

  • Are storage protected with water or high /low density Foam system ?

  • What type of drainage are using (pumping, pipes, trenches) ? what are the volume ?

7. Personal Protective Equipment

  • Is high visibility and any others PPE ( gloves, masks, respiratory ) available to colleagues where appropriate

  • Are eye protection, gloves and aprons provided in charging areas

  • Is safety footwear being worn and soles in good condition

  • Are safety gloves being worn and in good condition, I.e. fingers not cut off

  • Are the mandatory hearing protection areas, if yes is hearing protection being worn

8.Equipment and Machinery

  • Is all equipment in good working order

  • Is the area around machinery, clean, clear and in good order

  • Are all fixed guards secured with only approved means, such as, nuts & bolts, Allen nuts - there should be no screws

  • Are interlocks functioning as they should - machine stops when open

  • Are all control panels locked and secure

  • Are all electrical sockets in good order

  • Are their any trailing or damaged cables

  • Are there any sharp edges on equipment

  • Are there any damaged emergency stop buttons

  • Are there any damaged isolation switches

  • Have all pre-start checks been completed

  • Are there any ladders/step ladders without ladder tags and or inspection record

  • If there is machinery being cleaned has isolation & lock off been implemented correctly

9.Hazardous Substances

  • Are substances stored and secured to prevent unauthorised use

  • Are containers used for displaying same label as original container

10. Forklift

  • What type of FLT are using ?

  • Do you manage a list of driving licences for drivers ?

  • Do you have rules for FLT entering in ATEX zones ?

  • Are using Charging stations fro FLT's (They are clean, fire protected, detached buildinds, ventilation)?

  • What are the rules for stacking IBC's and drums ( IBC max 2 level, Drums 4 levels ) ?


Management Systems & Training

  • Does your facility have a management system in place, or is it developing one, to assess environmental risks associated with production?

  • Is your facility management system in compliance with applicable environmental laws and regulations?

  • Does your facility have up-to-date ISO 14001, RC 14001, or EMAS certification?

  • Please list relevant certifications.

  • Does your facility hold the necessary license(s) or permit(s) for and has the facility received any fines, prosecution, or warnings by regulators in relation to (select all that apply):

  • Are environmental policies, practices, and expectations communicated to all employees and suppliers in local or appropriate languages?

  • Are employees trained on relevant environmental matters, including (select all that apply):

  • Does your facility have established environmental targets and objectives to improve environmental performance?

  • What are the targets & objectives?

  • Does your facility review its environmental performance annually?

Greenhouse Gas (GHG) Emissions & Energy Usage

  • Does your facility monitor and track energy consumption and conduct on-site energy audits?

  • Does your facility have a system in place to reduce the environmental impact of energy use and greenhouse gases?

  • Does your facility have a program and/or procedures to reduce the use of energy?

  • Does your facility have goals and targets to reduce GHG emissions?

  • What are the targets?

  • Does your facility have set goals and targets in relation to increased energy efficiency?

  • What are the targets?

  • Total annual GHG emissions in the most recent year measured (enter in total metric tons CO2e)?

  • Does your facility report GHG emissions and climate change strategy to the Carbon Disclosure Project (CDP) or publicly disclose an equivalent amount and type of information on an annual basis?

Air Emissions

  • Does your facility regularly test air emissions (i.e. NOx, SOx, mercury, hazardous air pollutants)?

  • Does your facility have a system in place to manage air emissions?

  • Does your facility have set targets in relation to reducing air emissions?

  • What are the targets?

  • Does your facility have pollution prevention devices on chimneys, vents, and extraction systems?

Water Management

  • Does your facility have a system in place to manage and monitor water withdrawals and consumption?

  • Does your facility have a program and/or procedures to reduce water use or reuse/recycle water?

  • Does your facility have set targets to reduce water consumption?

  • What are the targets?

  • Does your facility have a system in place to address wastewater generation and management?

  • Does your facility treat wastewater prior to off-site discharge?

  • What is the standard?

  • Does your facility identify the sources of its water (e.g. aquifers, municipal water sourced from local water body, harvested rainwater, etc.)?

  • Does your facility assess external supply and quality risks related to these water sources?

Waste Management

  • Does your facility have a program and/or procedures to reduce or eliminate pollution and waste in its operations?

  • Does your facility have a recycling program to reduce or eliminate pollution and waste in its operations?

  • Does your facility have a program and/or procedures to manage and dispose of hazardous waste (if applicable), wastewater, solid waste, and airborne emissions?

  • Does your facility have set targets to reduce the volume of waste generated?

  • What are the targets?

  • Does your facility maintain records of off-site transfer, treatment, and disposal of waste?

  • Does your facility have external waste contractors?

  • Do you conduct regular audits of those contractors?

  • Do they have relevant certifications?

  • Have they received any compliance violations within the past 3 years?


  • Does your facility have goals and targets to reduce, reuse, and recycle the amount of packaging used for its products?

  • What are the targets?

  • Does your facility incorporate packaging reduction, reuse, and recycling in its purchasing practices?

Pollution Prevention

  • Does your facility consider Design for Environment (DfE) in its development of products?

  • Does your facility use life cycle assessment (LCA) as part of determining chemical selection for product inputs?

  • Does your facility use chemical hazard assessment and/or comparative chemical hazard assessment as part of determining chemical selection for product inputs?

  • Does your facility assess whether substances stored, used, or handled on-site are prohibited by national or international laws or protocols?

  • Does your facility have a system in place to address pollution prevention and management of hazardous and potentially hazardous substances?

  • Does your facility maintain up-to-date material safety data sheets (MSDS) for all hazardous substances used on-site?

  • Does your facility set targets in relation to eliminating or reducing hazardous substances on-site?

  • What are the targets?

  • Does your facility conduct tests to identify impact on soil and groundwater from facility operations?

Other Raw Materials

  • Does your facility keep inventory of all chemical substances used, stored, processed, and manufactured?

  • Does your facility have a program and/or procedures to reduce the use of resources (other than water), and promote sustainable natural resource practices?

  • Does your facility have a policy statement and/or management system that addresses conflict minerals?

  • Does your company engage with the government, commercial contacts, or civil society groups regarding conflict minerals and/or rare earth materials?

  • With whom?

  • How?


  • Does your facility have in place targets and programs to reduce overall sustainability impacts by managing transportation logistics (e.g. prioritizing low impact transportation modes)?

  • What are the targets and programs?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.