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Supplier Sustainability Assessment

General information
Com pany nam e * Date *

/
DD Contact nam e * Em ail address * MM

/
YYYY

Position * Telephone num ber

Company information
Foundat ion y ear *

Number of employ ees 1 - 50 51 - 2 00 2 01 - 500 501 -1 '000 More than 1 '000

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Turnover 0 - 3 m > 3 m - 1 0m > 1 0m - 2 0m > 2 0m - 50m More than 50m

Indust ry t y pe * [ Please select ]

If other, please specify

Key indicators of sustainability

Please rate how im portant are the following indicators when y ou select y our suppliers.

Economic indicat ors Unim portant Reliable and on tim e deliv eries Flexible pay m ent arrangem ent Com petitiv e pricing of products Increased production y ield Labor productiv ity
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Slightly im portant

Im portant

Very im portant

Critical

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Good business reputation Financial independency and prosperity Risk awareness/ Ability to m anage risk Research to im prov e product Sales incentiv es and after sales support

Are there other econom ic factors y ou want y our suppliers to m easure?

Environment al indicat ors Unim portant Usage of ozone depleting substances Eco-design of products Energy efficiency initiativ es (renewable energy , green lights) Reduction of water and electricity consum ption during production Strategy to reduce greenhouse gas em issions Im plem entation of env ironm ental standards (ISO 1 4 001 , ISO 9 000) Public disclosure of env ironm ental record (e.g. Carbon Disclosure Project)
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Slightly im portant

Im portant

Very im portant

Critical

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Public disclosure of env ironm ental record (e.g. Carbon Disclosure Project) Toxic water pollution Use of green m aterials in the production process Consum ption of non toxic and hazardous m aterials Efforts to increase percentage of recy cled waste Use of recy clable packaging m aterial Av ailability of a waste m anagem ent sy stem

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Are there other env ironm ental factors y ou want y our suppliers to m easure?

Social indicat ors Unim portant Adoption of health and safety protocols and training sessions Establishing m orale am ong em ploy ees and top m anagem ent Recognition of the right to establish association Elim ination of discrim ination in respect of em ploy m ent Fair salary and working hours Com pliance to gov ernm ent dotsurvey.me/surround/preview/cc18xjc1-9f4zf18 regulations Slightly im portant Im portant Very im portant Critical

4/5

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Com pliance to gov ernm ent regulations Inv estm ent in com m unity dev elopm ent activ ities Fair com petition practices Effectiv e supplier and custom er com m unication Local em ploy m ent and education

Are there other social factors y ou want y our suppliers to m easure?

Based on t he Key indicators of sustainability and t he company s st rat egy , allocat e a t ot al of 10 point s t o indicat e t he value of economic, environment al and social paramet ers during t he select ion of y our suppliers?

Econom ic param eters *

Env ironm ental param eters *

Social param eters *

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