UL驗(yàn)廠工廠審核前問卷調(diào)查
Global Social Compliance Programme (GSCP)
Pre-assessment Questionnaire 審核前問卷
一、Company Overview 工廠概況
1.Company name 公司名稱 : ?
2.Year company formed 公司成立日期: ?
3.Phone 電話: ? Fax 傳真: ?
4.Ownership type (e.g. Joint Venture, Partnership, Corporation, Foreign Investment, Other) 公司類型（合資公司，股份公司，私有企業(yè)，外資公司）: ?
5.Does the company own any other employment sites? 公司是否有其他分廠 (Y/N) ? If yes, how many and in which area? 如果有，有多少個分布在哪些地方 ?
6.Industry sector 工廠行業(yè)領(lǐng)域: ? Principal products 主要產(chǎn)品: ?
7.Main production processes 主要生產(chǎn)工序 (e.g. Stitching, labelling, injection, moulding, baking, harvesting, dyeing etc.): ?
8.Main raw materials used 主要原材料: ?
9.ite size: 工廠面積 (please state units used) ?
10.Is the site owned or leased? 工廠廠房是自有還是租賃？ Owned 自有 Leased 租賃
11.No. of factory building(s) 工廠生產(chǎn)樓數(shù)目 ?
12.Are all factory buildings on the same site? 工廠生產(chǎn)樓是否都在同一廠區(qū) (Y/N) ?
13.Are there any other parties on site as tenants or sub‐tenants? (If yes, please name them) 廠區(qū)內(nèi)是否有其他工廠，如果有請列出其廠名 ?
14.Are there any sensitive habitats nearby, such as nature reserves, national parks, wetlands or sites of special scientific interest? (If yes, please describe) 工廠周圍是否有環(huán)境敏感區(qū)域，例如自然保護(hù)區(qū)，國家公園和濕地等 ?
UL驗(yàn)廠環(huán)境審核問卷：
二、 Environmental Management System 環(huán)境管理體系
1.Does your site have a policy defining its approach to environmental management? If yes, please attach. 工廠是否有環(huán)境方針？
2.Is your site committed to any industry or governmental environmental codes?
If yes, please provide details:
工廠是否有承諾遵守行業(yè)內(nèi)的環(huán)境方面行為準(zhǔn)則，如果有請列出：
3.Does your site have a dedicated manager who is responsible for environmental issues? If yes, please specify exact title and name
工廠是否有環(huán)境管理者代表，如果有請列出其姓名和職位：
4.Has your site assessed its environmental risks?
工廠是否有識別生產(chǎn)過程中的環(huán)境因素？
5.Does your site have specific written environmental procedures (e.g. for waste handling and disposal, spill prevention etc.)?
工廠是否有建立環(huán)境方面的書面管理程序，例如廢棄物管理，目標(biāo)指標(biāo)管控等？
三、 Energy Use, Transport and Greenhouse Gases (GHGS) 能源和溫室氣體管理
1.What energy sources does your site use (e.g. mains electricity, locally generated electricity, coal, oil, gas etc.)?
工廠有使用哪些能源，例如電力，天然氣，燃油等，請在橫線上列出。
2.Does your site monitor and track energy consumption?
工廠是否有定期監(jiān)控能源消耗情況？
3.Is your site required to monitor or calculate energy and/or GHG emissions to demonstrate compliance with applicable permits?
當(dāng)?shù)厥欠裼蟹ㄒ?guī)要求工廠監(jiān)控和計算能源和溫室氣體消耗情況?
4.Does your site monitor or routinely assess emissions of GHGs associated with site processes/activities, fuel use for on‐site or off‐site transportation, agricultural activities etc.?
工廠是否有計算工廠內(nèi)的溫室氣體排放情況？
四、 Water Use 用水管理
1.If your site uses water abstracted from on‐site boreholes or from rivers, streams, lakes etc. does it require a permit or license for this activity? If yes, are there limits and/or conditions associated with this permit/license?
如果工廠使用天然水源，包括地下水，河水和湖水，當(dāng)?shù)厥欠裼蟹ㄒ?guī)要求獲取取水許可證？
如果有，工廠是否有獲取到該許可證？
2.Does your site have systems or procedures in place that manage water consumption/use?
工廠是否有用水管理方面的程序？
3.Does your site monitor and track water consumption?
工廠是否有定期監(jiān)控水的消耗情況？
4.Is your site free from any fines, prosecution or warning by the regulators in relation to water use?
If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has been resolved or is ongoing).
工廠是否在用水管理方面從未受過當(dāng)?shù)卣奶幜P？ 如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
五、 Wastewater / Effluent 廢水管理
1.What wastewater/effluent streams are generated at your site? 工廠內(nèi)有產(chǎn)生哪些廢水：
2.Does your site treat wastewater/effluent prior to off‐site discharge?
工廠是否有廢水處理站對產(chǎn)生的廢水進(jìn)行預(yù)處理？
3.Does your site hold the necessary license or permit for discharging wastewater/effluent via the drainage system?
工廠在廢水排放方面是否有排污許可證？
4.If your site does have a permit/license, has your site been fully in compliance with the requirements and conditions of the permit/license for the last three years?
如果有排污許可證，工廠在最近三年的排污情況是否都符合許可證的要求？
5.Does your site have systems or procedures in place that address wastewater generation and management?
工廠是否有廢水管理方面的程序文件？
Is your site free from fines, prosecution or warning by the regulators in relation to wastewater management?
6.If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has been resolved or is ongoing).
工廠是否在廢水管理方面從未受過當(dāng)?shù)卣奶幜P？ 如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
六、 Emissions to Air 廢氣管理
1.Are there abatement or pollution prevention devices (e.g. filters, scrubbers) on point source emissions to air?
工廠是否有廢氣處理設(shè)施?
2.Does your site hold the necessary licenses or permits for emissions to air?
工廠是否有廢氣方面的排污許可證？
3.If your site does have a permit/license, has your site been fully in compliance with the requirements and conditions of the permit/license for the last three years?
如果有排污許可證，工廠在最近三年的排污情況是否都符合許可證的要求？
4.Does your site have an inventory of equipment on‐site that contains ozone depleting substances (ODSs) (e.g. air conditioning equipment that contains refrigerants)?
工廠是否有ODS(臭氧層破壞氣體)清單？
5.Does your site have systems or procedures in place that manage:? Emissions to air? ? ODSs?
工廠是否有廢氣管理和ODS管理方面的程序文件？
6.Is your site free from any fines, prosecution or warning by the regulators in relation to emissions to air or ODSs?
工廠是否在廢氣管理方面從未受過當(dāng)?shù)卣奶幜P？
7.If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has bee resolved or is ongoing). 如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
七、Waste Management 廢棄物管理
1.Does your site generate hazardous waste?
工廠內(nèi)是否有產(chǎn)生危險廢棄物？如果有，請在橫線上列出：
2.What are the main non‐hazardous wastes your site generates? 工廠內(nèi)主要的一般廢棄物有哪些？
3.Does your site have systems or procedures in place that address waste management?
工廠是否有廢棄物管理方面的程序文件？
4.Is your site required to be registered as a waste producer with the regulatory authorities?
工廠作為一個廢棄物產(chǎn)生單位是否要到當(dāng)?shù)丨h(huán)保局做備案登記？
5.Are hazardous wastes separated from non‐hazardous waste streams?
工廠內(nèi)的一般廢棄物和危險廢棄物是否有分開存放?
6.Does your site treat wastes on‐site prior to off‐site disposal?
If yes, are you required to have a license or permit do undertake this activity?
工廠是否自行處理產(chǎn)生的廢棄物？如果是，是否有相關(guān)的許可證？
7.Does your site use external waste contractors?
工廠是否有使用外部的廢棄物處理商？
8.Are waste contractors required to be licensed by a regulator or local authority?
廢棄物處理商是否需要有相關(guān)的資質(zhì)？
9.Is your site free from any fines, prosecution or warning by the regulators in relation to waste issues?
工廠是否在廢棄物管理方面從未受過當(dāng)?shù)卣奶幜P？
10.If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has been resolved or is ongoing). 如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
八、Pollution Prevention / Hazardous and Potentially Hazardous Substances 污染預(yù)防及危險化學(xué)管理
1.Does your site store, use or handle hazardous or potentially hazardous substances?
If yes, what are the main ones?
If yes, does it maintain an inventory of those hazardous substances?
工廠內(nèi)是否有儲存或使用危險化學(xué)品？
如果有，請列出：
工廠內(nèi)是否有化學(xué)品目錄？
2.Is your site required to hold a licence or permit for the hazardous substances present on‐site?
If yes, does it hold the requisite licence or permit?
工廠是否需要獲取化學(xué)品儲存方面的許可證？
如果是，工廠是否有該許可證？
3.Has your site assessed whether any substances stored, used or handled on‐site are prohibited by national or international laws or protocols?
工廠是否有識別化學(xué)品以確保不會使用到禁用的化學(xué)品例如石棉等？
4.Have there been any instances of incidents/spills of hazardous or potentially hazardous materials on‐site (or of off‐site incidents caused by your site’s activities) in the past two years?
工廠最近兩年內(nèi)是否發(fā)生過化學(xué)品泄漏的事故？
5.Is your site free from any fines, prosecution or warning by the regulators in relation to the storage or use of hazardous substances?
工廠是否在化學(xué)品管理方面從未受過當(dāng)?shù)卣奶幜P？
6.If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has been resolved or is ongoing).
如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
九、Major Incident Management 緊急事件管理
1.Have there been any major incidents at your site in the past 2 years?
工廠最近兩年內(nèi)是否有發(fā)生過重大環(huán)境事故？例如化學(xué)品泄漏，廢水泄漏，廢水超標(biāo)等？
2.Is your site required to hold a permit/license or be notified to the authorities given the potential for a major incident?
工廠是否需要將其環(huán)境應(yīng)急預(yù)案去當(dāng)?shù)卣畟浒福?nbsp;
3.Does your site have a site emergency response plan and/or procedure?
工廠是否有緊急事件應(yīng)變預(yù)案？
4.Are drills or major incident scenarios practiced?
工廠是否有舉行過環(huán)境方面緊急事件的演習(xí)？
5.Is your site free from any fines, prosecution or warning by the regulators in relation to any major incidents on‐site or caused by the site?
工廠是否在緊急事件管理方面從未受過當(dāng)?shù)卣奶幜P？
6.If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has been resolved or is ongoing). 如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
十、Contaminated Land / Soil and Groundwater Pollution Prevention土壤和地下水污染預(yù)防
1.Has your site assessed the site sensitivity and potential pathways and receptors in the vicinity of the employment site?
工廠是否有識別廠區(qū)附近的環(huán)境敏感接受體？
2.Has your site identified any known impact to soil and groundwater from current activities/operations (is there soil and/or groundwater contamination)?
工廠是否有識別廠區(qū)內(nèi)的生產(chǎn)活動隊(duì)土壤和地下水的潛在影響？
3.Is your site aware of any legal requirements in relation to contaminated land?
工廠是否知道土壤污染預(yù)防方面的法律法規(guī)？
4.Is your site free from any fines, prosecution or warning by the regulators in relation to any major incidents on‐site or caused by the site?
工廠是否在土壤和地下水污染預(yù)防方面從未受過當(dāng)?shù)卣奶幜P？
5.If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has been resolved or is ongoing). 如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
十一、 Land Use and Biodiversity 土地使用和生物多樣性
1.Has your site assessed the potential impacts of the site operations on designated protected areas or the ecosystem (plants, animals and microorganisms)?
工廠是否有識別廠區(qū)內(nèi)的生產(chǎn)活動對周圍生態(tài)環(huán)境的影響？
2.Is your site aware of the legal requirements in relation to land use and biodiversity that apply to the employment site?
工廠是否知道環(huán)境影響評價方面的法律法規(guī)？
3.Is the site required to hold a permit/license in relation to land use or biodiversity issues?
工廠是否需要環(huán)境評價方面的手續(xù)文件？
4.Does your site assess land use implications and legal requirements when planning major on‐site projects or expansions?
工廠在生產(chǎn)擴(kuò)建或工藝變化時是否會考慮對周圍環(huán)境的影響？
5.Is your site free from any fines, prosecution or warning by the regulators in relation to any major incidents on‐site or caused by the site?
在環(huán)境影響評價手續(xù)方面，工廠是否從未受到過當(dāng)?shù)卣奶幜P？
6.If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has been resolved or is ongoing). 如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
十二、Nuisance 滋擾
1.Has your site identified where there is the potential for nuisance could be caused by on‐site operations?
工廠是否有識別出其生產(chǎn)過程中可能產(chǎn)生的滋擾？
2.Has your site received any instances of nuisance or complaints relating to on‐site activities in the last 2 years?
工廠在最近兩年是否有因?yàn)樽虜_而被投訴過？
3.Is your site free from any fines, prosecution or warning by the regulators in relation to any major incidents on‐site or caused by the site? 在滋擾方面，工廠是否從未受到過當(dāng)?shù)卣奶幜P？
4.If not, please provide details (including reason for fine/prosecution/warning, the date on which it occurred, the cost of any fine / details of any custodial sentence or restriction on site activities and whether the matter has been resolved or is ongoing). 如果不是，請在橫線處列出處罰的原因，罰金的數(shù)額，處罰日期以及后續(xù)的改善措施。
上海勵奧質(zhì)量技術(shù)服務(wù)有限公司
地址：上海市青浦區(qū)滬青平公路2799弄8號1樓
電話：021-36529816
Email： lm@leocorp.cn
浙江地區(qū)：
聯(lián)系人:張經(jīng)理
手機(jī)：13524968276
江蘇地區(qū)：
聯(lián)系人:劉經(jīng)理
手機(jī)：13524551252
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