CAREFUL, GLOBAL COMMENT IS MANDATORY CHAPTERS

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1 Date / Audit Auditor CSR Audit Vendor ( Name / City / Country ) Vendor Address Factory ( Name / City / Country ) Factory Address Persons / Attendees Audit Global Comments Audit overall scores BE CAREFUL, GLOBAL COMMENT IS MANDATORY CHAPTERS Score 01 - CONDITIONS OF EMPLOYMENT 02 - HEALTH AND SAFETY 03 - ENVIRONMENT 04 - SUPPLY CHAIN SOCIAL RESPONSIBILITY 05 - MANAGEMENT OVERALL Required Score (Set a value between 1 and 5) CONCLUSION COMMERCIAL CONSEQUENCES

2 01 - Conditions of Employment 02 - Health and Safety 03 - Environment 04 - Supply Chain Social Responsability 05 - Management Global Score Overall Audit Score Chapter 1 : Section 1.1 : Reference Titles Requirements CAP (/No) Result CFP (/No) CONDITIONS OF EMPLOYMEN T Age of Workers 1.1.1) The factory does NOT employ children below the age of 15 or the minimum legal age (if greater than 15) in the country where the factory operates? 1.1.2) What is the age of the youngest worker in the factory? (Put answer in comment) 1.1.3) Are adequate procedures in place to verify the ages of workers? 1.1.4) Are workers below the age of 18 prohibited from working at night (between 22:00 and 06:00), working on tasks that are potentially hazardous to health, and tasks that involve operation of heavy equipments? Section 1.2 : Hour of Work 1.2.1) Brief requirements of national/ local laws that regulate working hours.(put answer in comment) 1.2.2) Do normal contractual working hours (excluding breaks and overtime) meet the local requirements?

3 1.2.3) Are effective procedures in place to record working hours of all groups/ types of workers? 1.2.4) Do overtime hours meet the local requirements? 1.2.5) If not, are total weekly work hours not exceeding 60 hours? 1.2.6) If not, are total weekly work hours not exceeding 72 hours? 1.2.7) Are workers allocated to take at least 1 day off in every 7 days? 1.2.8) If not, are workers allocated to take at least 1 day off in every 14 days? 1.2.9) Are workers allowed to take break(s) during work hours, of which duration and interval is appropriate to the tasks? Guidelines : please provide in the comment cell the total per day of break sessions taken Section 1.3 : Wages 1.3.1) Are wages and benefits paid in line with the industry benchmarks and/ or local legal standards? 1.3.2) State the industry benchmarks or local standard wage. (Please put answer in comment)

4 1.3.3) Is overtime paid at an additional rate? 1.3.4) Describe how workers are paid ) Describe when workers are paid. Guidelines : if please enter all that apply from below list - Meal/Food - Accommodation - Electricity - Water - Uniform - Factory ID Card - Security Entry - Deposit - penalty/ Fine - Training fee - Union fee - Social insurance 1.3.6) Are any deductions made from wages? 1.3.7) Are all wage deductions clearly understood and reasonable in context of total wage? 1.3.8) Are suitable insurance schemes contributed to for workers? Section 1.4 : Worker Relations 1.4.1) The factory does NOT use forced, bonded or involuntary labour? 1.4.2) Workers are NOT forced to lodge unreasonable deposits, or their identity papers with their employers? 1.4.3) Workers are NOT subjected to physical abuse, the threat of physical abuse, verbal abuse or any other form of intimidation?

5 1.4.4) Are workers provided employment contract and issued with written copies? 1.4.5) Are factory rules written, and clearly communicated to workers? Describe rules that are subject to disciplinary action if breached ) If the workers are fined as a method of penalty, state the highest fine: (Please put answer in comment) 1.4.7) Are breaches of factory rules, and subsequent disciplinary actions recorded in a log? 1.4.8) Is there an effective process of worker representation or a process ensuring flows of information and concerns between workers and management? 1.4.9) Do workers have the right to bargain collectively, in unions or in groups of their choice? ) Can the factory demonstrate or can it be observed at the time of audit that there is no discrimination on any grounds in recruitment of workers, or their conditions of employment? Section 1.5 : Hygiene 1.5.1) Is policy available to control consumption of food and drink to specific areas? 1.5.2) Is policy available to restrict smoking?

6 Guidelines : Please state which apply: - Service Provider - Self Maintenance by Factory Frequency: 1.5.3) Is the factory regularly assessed for pest control, where relevant? 1.5.4) Do workers have access to drinking water during work hours? 1.5.5) Is the availability of toilets (and washing facilities) suitable for the size of workforce? 1.5.6) Does the kitchen have hygiene permit? 1.5.7) Do all kitchen staffs have health certificates? 1.5.8) Is food properly handled and the environment of kitchen suitable for food Section 1.6 : Accommodat ion (complete only if the factory provides worker accommodati on) 1.6.1) Accommodation, if provided, is clearly segregated from the factory / production area and from material storage areas? 1.6.2) Describe the state of the accommodation with respect to structural defects, dampness, infestation, lighting and ventilation. (Please put answer in comment)

7 1.6.3) Is the floor space per worker in each sleeping quarter adequate? 1.6.4) Is accommodation reasonably comfortable, and does it allow for individual's privacy? 1.6.5) Are sleeping quarters segregated by sex? Guidelines : Please state each apply: - Basketback Court - Table Tennis - Television - Library / Reading room - Internet - Others 1.6.6) Are recreational facilities provided? Chapter 2: Section 2.1 : Reference Titles Requirements CAP (/No) Result CFP (/No) HEALTH AND Health & Safety 2.1.1) Is factory and accommodation (if provided) safe and hygienic? 2.1.2) Can the factory demonstrate that training is provided for workers in safe handling methods of hazardous chemicals/ materials? Guidelines: - Cotton Mask - Mask with activated Carbon Filter - Ear-plug / Mufflers - Safety glasses / Goggles - Apron - Rubber boots - Steal toe boots - Cotton Gloves - Rubber Gloves - Metal Gloves - Others 2.1.3) List out personal protective equipment (PPE) given to workers ) Are suitable PPE provided and enforced?

8 2.1.5) Is adequate ventilation provided for dust or fumes? 2.1.6) Is the factory clean and uncluttered? Guidelines: Please describe the state of 'housekeeping' ) Is the level of lighting, heating or cooling in the factory adequate for local conditions? 2.1.8) Are machines fitted with adequate guards to eliminate obvious risk of occupational hazards to workers? 2.1.9) Can factory demonstrate that training is provided in the safe use of machinery? ) Is all electrical wiring in good condition? ) Are adequate medical facilities available? ) Are trained medical personnel available in the factory?

9 2.1.13) Is a log kept of accidents available? ) Is there appointed Health and Safety Manager? ) Is there a clear Health and Safety Policy? ) How many and what types of accidents have occurred in the factory over the last 12 months that have resulted in workers taking 3 or more days off work? ) Does the factory have a good understanding of the Health and Safety hazards associated with tasks in the factory? ) Describe any worker health monitoring that is undertaken. Section 2.2 : Fire Protection 2.2.1) Are adequate number of safe, unblocked fire exits, escape routes and fire fighting equipment accessible to workers from each floor or area of the factory and accommodation (if provided)? 2.2.2) Are all fire exits clearly marked in a language workers understand or shown graphically? 2.2.3) Are workers trained to use fire-fighting equipments and evacuation procedures?

10 Guidelines Please provide date of the last drill 2.2.4) How often are fire drills conducted? Provide date of the latest drill. Chapter 3: Reference Titles Requirements CAP (/No) Result CFP (/No) ENVIRONME Section 3.1 : Environment 3.1.1) Does the factory NOT knowingly and continually contravene local and national environmental legislation without being able to demonstrate a plan of action to improve? 3.1.2) Does the factory have a meaningful environmental policy that is endorsed by top management? 3.1.3) Does the factory have an Environmental Action Plan against which progress is monitored? 3.1.4) Does the factory obtain necessary local and/or national regulatory approval? 3.1.5) Has the factory operated for the past 3 years without being prosecuted under environmental legislation? 3.1.6) Is there NO evidence of local pollution from the factory? 3.1.7) Can the factory management identify its key environmental impacts (e.g. air emission, waste discharge, noise impact, etc.)?

11 3.1.8) Can the factory demonstrate year-to-year reductions in environmental impacts? Chapter 4: Section 4.1 : Reference Titles Requirements CAP (/No) Result CFP (/No) SUPPLY CHAIN SOCIAL Supply Chain Management 4.1.1) Describe the supply chain involved in manufacturing the product including raw materials and component parts. Attach a clear supply chain flow diagram clearly indicating the nature of each level in the supply chain e.g. factory unit, cottage unit/ home-worker. (refer to attached file) 4.1.2) Is the factory willing to divulge full details of its supply chain? 4.1.3) Describe the processes in place to assess each part of the supply chain. (Please put answer in comment) 4.1.4) Does assessments include regular on-site visits? 4.1.5) Does the factory have a good understanding of the key ethical and environmental issues within its supply chain? 4.1.6) Are action plans in place for all manufacturing units within this supply chain to meet the Kingfisher CFP requirements? Section 4.2 : Cottage units / home-

12 4.2.1) Are cottage units/home-workers employed at any point within factory's supply chain? If yes, provide details ) Does the factory understand the conditions and issues (i.e. conditions of work, average pay, average work hours, etc.) in associated cottage units/ home-workers? 4.2.3) What are the steps that the factory has taken to manage these issues? (Please put answer in comment) 4.2.4) Are all the key issues being addressed with action plans in place to ensure that workers are not exploited? Chapter 5: Section 5.1 : Reference Titles Requirements CAP (/No) Result CFP (/No) MANAGEME Management Attitude to 5.1.1) Does the factory management demonstrates a willingness to improve on any significant areas of concern identified, and is committed to working towards meeting the standards of Kingfisher Code of Conduct? 5.1.2) Describe management attitude during audit ) Describe any previous work undertaken by the factory which demonstrates real innovation in improving best practice in conditions of employment, health and Safety, environment and supply chain management. Section 5.2 : General Information 5.2.1) Does the factory have a valid business license?

13 Guidelines : Please list out: Example of system certification BSCI ICTI SEDEX SA 8000 ISO ISO LCMP by WWF OHSAS FSC/COC 5.2.2) List relevant certification/ scheme in environmental or social compliance that factory has achieved ) List the number of workers during factory assessment.(please put answer in comment

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