广州某公司供应商社会责任审查表
Audit Date 审核日期:Report Date 报告日期:
Type of audit New supplier release 新供应商批准Type of supplier 审核类别
Existing supplier evaluation 现有供应商评估
供应商类别
Outsourcing supplier 外发供应商 Sub-contractor 转包商
Grade according to the scoring 根据分数进行的评级:Grade 等级A
B
C
Score 分数100≥X ≥80
79＞X ≥70
69＞X ≥60
Judgement 评价
Preferred cooperation 优先合作 Preferred cooperation
优先合作，同时跟踪改进情况
Continue cooperation
可以合作，同时跟踪改进情况Actions 行动
No need Corrective action plan 不需要改进计划
Corrective action plan
需根据审核结果提供改进计划
Corrective action plan
需根据审核结果提供改
进计划Scoring Status of Audit Items 审核项目得分情况：
Section No.
Scoring
Target Score
15028531254905756
50475
Scoring Regulation 评分规则 ：
Scoring 分数
Scoring criteria 评分标准
1 分
2 分
3 分
4 分
5 分N/A (不适用)
Final total scoring after weighted= (total scorings/total target scores)*100
Total
Not implementation at all, without relevant documents and records.供应商未执行，没有相关的文件记录，配合度差。
Poor implementation, and relevant documents/records not completed.供应商执行较差，相关的文件记录不完整。
Health & Safety 健康与安全
供应商名称:
Supplier address:供应商地址:
Main products/service of supplier:Audit Item
Environmental management 环境管理Ethics 道德 Raw material supplier 原材料供应商Supplier name:Supplier No. (Sourcing or ERP)供应商编号:
Supplier Cert. Status 供应商认证状态: ISO9001 ISO14001 QC080000 SA8000 Other .E
Employment conditions 雇佣状况
D
Suggest avoiding business
cooperation
建议避免与该供应商合作
Supplier Social Responsibility Audit Form
供应商社会责任审核表格
File No. 文件编号:Not applicable for assessment or not assessed. This will not be included in Final Total Scoring.不适用的评估项目或没有评估, 这项不会包括在评估的最后总得分中。
供应商的主要产品/服务:
X ＜39
Audit Leader 审核组长:Supplier's key participants 供应商参与人员:
Auditors 审核员:Restricted cooperation 可进行小批量订单合作尝试，同时
跟踪改进情况Working time, remuneration & benefit 工作时间、报酬和福利Need corrective action plan &re-audit
需提供改进计划和重新审核
Communication 沟通
Supplier does implement partially, however somewhat deviated and some documents/records not completed.供应商有部分执行，但执行中存在偏差，部分文件记录不完整。
Supplier does implement basically, and has corresponding documents/records which are effective and completed basically.供应商基本上有执行，系统方面有相应的文件和记录，且文件记录基本上完整有效。
Supplier does fully implement, has applicable documents and show enough effective records, up to SQCC/DICOTA requirements.供应商较为完善地执行，系统方面有适用的文件以及完整有效的记录，达到SQCC/DICOTA 的要求 。59＞X ≥40
Approved by: Alice Lau Date: 30 Nov.2009
Page 1 of 7
Approved by: Alice Lau
Date: 30 Nov.2009
Page 2 of 7
Approved by: Alice Lau
Date: 30 Nov.2009
Page 3 of 7
Approved by: Alice Lau Date: 30 Nov.2009
Reviewed by: Godng Zhang Approved by: Alice Lau Date: 30 Nov.2009
preventive actions 突发事件/事故的预防措施
Page 5 of 7
Approved by: Alice Lau Date: 30 Nov.2009
communication
内部沟通
Approved by: Alice Lau
Date: 30 Nov.2009
Page 7 of 7