Supplier Self Assessment template by N99wsBl0

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									                                                               2.4. Processes for purchase

Quality Assurance                                    Supplier Self Assessment(SSA)
                                                             Document no 2006-051, rev. 3
1. Does your company have a documented quality system in accordance with:
a. ISO 9000
     Yes                    No
b. QS 9000
     Yes                    No
c. TS 16949
     Yes                    No

d. Other simular third part certification?
     Yes                    No

If yes, name of certification:_____________________________

If no on a-d, does your company have quality objectives and quality procedures
(a manual)?
     Yes                    No

2. Is there an organization chart showing the quality function?
     Yes                    No

If yes, please enclose organization chart to this document

3. Who is in charge of the quality department:________________________

4. Who is our contact person in quality matters:_______________________

5. Is there a procedure for quality assurance during the production:

   Control of first units at production starts      Yes                  No
   Process control                                  Yes                  No
   Inspection by test sample (value in percentage)_____%

6. Is final control made:

              100% final control                      Yes                No
              inspection by test sample (value in percentage) _____%

7. Does your company have a procedure for handling of complaint?
     Yes                    No

If yes, please enclose procedure to this document

8. Do you have demands on your suppliers regarding how to handle nonconformities detected at your
Yes              No
If yes, please attach a description of your process/demands.

9. Does your company have a procedure for corrective handling according to
deviant products?
     Yes                  No

10. Do you work with preventive actions and continues improvements?
     Yes                  No

If yes, please attach a description of the process.

11. Are incoming goods from subsuppliers inspected?
     Yes                  No

12. Is there an implemented FIFO-system?
     Yes                  No

13. Does your company perform internal quality audits?

     Yes                  No

14. Are measuring results documented, and can they on request be handed
over to Electrolux Laundry Systems ?

     Yes                  No


15. Are necessary measuring devices and test facilities available?

     Yes                  No


16. Does your company have calibration routines for measuring devices?

     Yes                  No

17. Is Electrolux Laundry Systems guranteed access to perform audits with
prior notice (one week)?
     Yes                  No

18. Is there continous training for all personel?
     Yes                  No

If yes, is there a routine to follow up that all personel keeps the skills needed?
Yes                          No

19. Is all personel informed about the customers demands?

a. The costomers demands?
     Yes                  No

b. About the present status?
Yes                       No

20. Does your company follow a process during R&D development projects (Only valid for companies
Yes                  No

If yes, please attach a description of the process.

Date                                                    Signature & title

______                                           ________________________
Processes for purchase

Assessment(SSA)
ent no 2006-051, rev. 3




andle nonconformities detected at your factory?
ment projects (Only valid for companies with an R&D department)?
                                                                                                                                              2.4. Processes for purchase
GSQA          EL29001                                                                                                             Supplier Self Assessment(SSA)
                                                                                                                                            Document no 2006-051, rev. 3
SUPPLIER PROFILE

     Profile Number:                                                                    Completion Date:

     Person Responsible for Profile:
            Company                Name                       Job Function              Tel no.              Fax no                  Internet Addr.




Holding or Parent Company                                     Only if Parent company answering
1. Name of Company:

2. Date company established:                                                                                 (YYMM)

3. Address
      BUILDING NAME/STREET NAME/BOX NO
      INDUSTRIAL ESTATE/TOWN
      MAJOR TOWN/CITY
      ZIP/POSTAL CODE

          Telephone Number:
          Facsimile Number.

   Production and Sales
4. Select Commodities produced, if not currently purchased by AB Electrolux
                                                   To be selected from our Commodity table see sheet 3                         Quote IDCO




5. What % of the Gross Sales is Local,National, Global

              Local                                     %     National                                    %   Global                                     %
                             (within 100 miles)                                 (within country)                                     (exported)
                                     (150 km)                                           Above must total 100%

     Primary Business Contact Person (Ordering product etc)
6.                             Name                 Job Function                        Tel no.              Fax no                  Internet Addr.


   Credit References:
7. Bank name
      Address
      BUILDING NAME/STREET NAME/BOX NO
      INDUSTRIAL ESTATE/TOWN
      MAJOR TOWN/CITY
      ZIP/POSTAL CODE

          Telephone Number:
          Facsimile Number.

     Ownership
8.     Company Legal Status
       (choose from)                    Sole Proprieter                                   Partnership:                        Wholly owned Subsidiary:
                                        Publicly owned:                           Private Ltd. Liability:                               Joint Venture:
                                          Cooperative:                                   State owned:                                    Corporation:
          It is recommended that an Organisational chart be submitted with this profile                                                         Other:
                 Organisational chart submitted?                        Yes                          No      Describe Other

     General factory information

9. How many factory locations supply AB Electrolux?

          Quote the most important Affiliated companies and their location
             Company Name                                  Town                                              Country
      1
      2
      3

     If there is only one facility is the Holding company and facility in the same location?
     Is Holding Company and Factory same location?                                                  Yes                 No
                                                                                                                                                 2.4. Processes for purchase
GSQA         EL29001                                                                                                                 Supplier Self Assessment(SSA)
                                                                                                                                               Document no 2006-051, rev. 3
SUPPLIER PROFILE

     Profile Number:                                                                Completion Date:

     Person Responsible for Profile:
            Company                Name                    Job Function             Tel no.                     Fax no                  Internet Addr.




Prime facility/Specific Factory

     The following should be answered for                  each of the factory locations
                                                           create additional sheets for each factory location
     General

1. Name of Company:

2. Date company established:                                                                                    (YYMM)

3. Address
      BUILDING NAME/STREET NAME/BOX NO
      INDUSTRIAL ESTATE/TOWN
      MAJOR TOWN/CITY
      ZIP/POSTAL CODE

        Telephone Number:
        Facsimile Number.

     Primary Business Contact Person (Ordering product etc)
4.                             Name                 Job Function                    Tel no.                     Fax no                  Internet Addr.


     Key Personnel
5.          Plant Mgr
            Sales Mgr
            Purchase Mgr
            Materials Mgr
            Engineering Mgr
            Quality Mgr
            Product Mgr
            Dispatch Mgr
            Environment Mgr
            Health & Safety Mgr

6. Ownership
     Company Legal Status
     (choose from)                    Sole Proprieter                                  Partnership:                              Wholly owned Subsidiary:
                                      Publicly owned:                          Private Ltd. Liability:                                     Joint Venture:
                                        Cooperative:                                  State owned:                                          Corporation:
        It is recommended that an Organisational chart be sumitted with this profile                                                               Other:
               Organisational chart submitted?           Yes                       No                           Describe Other
   Production and Sales ( Facility
7. State Commodities produced, currently of interest to AB Electrolux
                                                         To be selected from our Commodity table see sheet 3                   Quote IDCO




8. What % of the Gross Sales is Local,National, Global

            Local                                    %     National                                   %   Global                            %
                           (within 100 miles)                               (within country)                                   (exported)
                                   (150 km)                                         Above must total 100% and be whole numbers only

9. Name all AB Electrolux facilities supported from this site, and the commodities supplied
                                                            To be selected from our Facility table see sheet 3                 Quote Code

                                                     All commodities for each facility should be quoted
                                                           To be selected from our Commodity table see sheet 3                 Quote IDCO

                    Facility                                                      Commodity (IDCO)




   Stability - Facility Credit reference
1. Bank name
      Address
      BUILDING NAME/STREET NAME/BOX NO
      INDUSTRIAL ESTATE/TOWN
      MAJOR TOWN/CITY
      ZIP/POSTAL CODE

        Telephone Number:
        Facsimile Number.

2. Do Trade Union Agreements exist?                                                              Yes                 No

                               Union Name                                          Contract Expiration Date               (YYMM)




3. Are Industial relations satisfactory?                                                         Yes                 No




4. Does company have Product Liability Insurance?                                            Yes                     No
      If Yes, quote
      Name of Insurer                                                            Policy Number
      It is recommended that a copy of the Policy be submitted with this profile
                                                  Insurance policy submitted?                Yes                     No
   Manufacturing General Information
1. Facility Type Classification:                                 Distribution:                                           Import:
                                                             Manufacturing :                                             Export;
                                                     Manufacturing & Design:                                              Home:
                                                                     Service:
                                                                       Agent:
                                                                    Stockist:

2. Manufacturing classification -                      Quote predominant class
                                                                   Manual:
                                                            Semi-automatic:
                                                                 Automatic:

3. List Major Processes
                                                                   Moulding:                                        Assembly:
                                                                  Machining:                                       Fabrication:
                                                                   Forming:                                 Surface Treatment:

4. Manufacturing Area:                                       Sq. M                                        % of area utilised        %

5. Major Production Equipment List
      It is recommended that a copy of the Equipment List be submitted with this profile
                                                 Equipment List submitted?                         Yes                         No

6. If Non Manufacturing (Distribution, Agent, Stockist,Testing, Service)         Select major processes

                Receiving:                                           Sorting:                                        Packaging:
               Inspection:                                       Assembling:                                          Dispatch:

   Design Capability
1. Does facility do product design and development for Customers?                                  Yes                         No
   If Yes
2. Is Design On or Off site?      On                    Off                            Both                     None

3.      Address of design site (if offsite)

     Name
        Address
        BUILDING NAME/STREET NAME/BOX NO
        INDUSTRIAL ESTATE/TOWN
        MAJOR TOWN/CITY
        ZIP/POSTAL CODE

        Telephone Number:
        Telefax Number:

4. Design site Contact person
                                    Name                     Job Function              Tel no.                  Fax no              Internet Addr.


   Management System Accreditation
1. Is Management System accredited to one of the following modules?
                                                                                                                                    Planned Date
        If not yet accredited what is planned date           QS 9000                               Yes                         No
                                                             ISO 9001                              Yes                         No
                                                             ISO 9002                              Yes                         No
                                                             ISO 9003                              Yes                         No
        If so quote module:                  Module:
                   Accreditation Certificate number:                                    Accred. Body:
        It is recommended that a copy of the Certificate be submitted with this profile
                                                     Certificate submitted?                      Yes                           No

2. Other Customer Management Systems Approvals obtained                                            Yes                         No
      If so quote:
                                  Company                                                                 System Name / no.
   Computerisation
1. Computerisation                                                                                                      Type
   Do you use CAD in design?                              Yes                   No
   Do you use CAM in manufacturing?                       Yes                   No
   Are Cad /CAM interlinked?                              Yes                   No

     Do you have a CD Rom capability?                     Yes                   No
     How many PCs on site?                       0                       1-5                  5-10                >10


2. Do you use Invetory control systems?                               Yes                      No
                          Mark all functions that apply
                                 Invoice payment:                                        Receipts:
                             Material Scheduling:                                   Sales orders:
                               Purchase ordering:                              Stock transactions:

3. Person responsible for Computerisation

                                  Name                    Job Function          Tel no.              Fax no                    Internet Addr.


     Purchase Orders
1.      State by which means you are able to accept Purchase Orders (Mark all that apply)

             EDI                  Postal                  Telephone             Telefax              Telesales                 Other Elect

2. Transportation
   What kind of transportation is used?             Own Transportation:
                                                Customer Transportation:
                                                                Others:

     Major Customers and Subcontractors                                                                                        AB Electrolux
                                                                                                                               Ranked Position
                                                                 1                        2                   3
1. Top 3 Customer Detail
      Name:
      Type of industry;
      % of Business by Sales value

2. Top 3 Supplier Detail
      Name:
      Major Material or Process:
      % of Total Buy

3. Top 3 Competitor Detail
      Name:
   Business Philosophy Aspects
                        If program is planned show start up date in YYMM
a) Programme Participation                            Are you already doing this?         Is it Planned ?   Are you willing
                                                                                          When              to participate?
   1.      Electronic communications
                            (e.g. EDI)                             Yes               No
   2.      Advanced Inventory Systems
                            (e.g. MRP II)                          Yes               No
                            ( Kanban)                              Yes               No
   3.      Bar Coding                                              Yes               No
   4.      Cost Transparency
                            (Open Book approach)                   Yes               No
   5.      Part No.Identification On Part                          Yes               No
   6.      Factory of origin identified on Part                    Yes               No
   7.      Provision of Certificates of Test
           or Analysis with deliveries?                            Yes               No


b) Continuous Improvement                                                                 Is it Planned ?   Are you willing
                                                       Are you already doing this?        Date              to participate?


   1.      Cost Improvement programme                              Yes               No
   2.      Quality Improvement
           (e.g. TQM; SPC)                                         Yes               No
   3.      Energy Conservation                                     Yes               No
   4.      Vendor Rating Scheme                                    Yes               No

           If answer is Yes to above, name person responsible
     1
     2
     3
     4
     Last Year Performance
            Calender Year (Jan - Dec) information                                                      Last Year

1. Employee Details

        Total Number Employed:
        Number of Indirects
            Sales & Administration
            Engineering & Development
            Quality
            Supply management

        Total Employee      Turnover                (% of total number employed)                                        %
                            Absenteeism             (% of total number employed)                                        %

2. Financial & Investment
                                                           Quote Dun and Bradstreet Number
                                  If Dun and Bradstreet Number quoted there is no need to answer
                                  the following Financial or Logistic questions

                                                    Quote Currency used:           see table           quote figures in Millions
        Turnover (Gross Sales)                                                                                          Mil.
        Net Income after Tax:                                                                                           Mil.
                   Design & Development spend:      ]                                                                   %
                                Material spend:     ]    % of Gross                                                     %
                                 Quality spend:     ]    Sales                                                          %
                                 Capital spend:     ]                                                                   %

3.   Capital Spend (Top 5)
            Quote value in Millions in Currency used above; for Top 5
            Value                 Item Desc              Value                     Item Desc           Value                   Item Desc
      1                                                3                                           5
      2                                                4


     Last years Costs

1.             Scrap cost: ]      % of Gross                                                                            %
2.           Re-work cost: ]      Sales                                                                                 %

     Last years Logistics

 5      Inventory Turns overall (average Year results)

            Signature:                                   Supplier:


                                                         AB Electrolux:
                                                                                        2.4. Processes for purchase
                                                                               Supplier Self Assessment(SSA)
                                                                                       Document no 2006-051, rev.3




Supplier name:


                                       Actual according to
Criteria                               criteria explanation   Committed Goal        Comments
Quality and process system assurance
Quality Performance
Capacity Flexibility
Delivery Performance, in time
Lead Time
Financial Position
Environmental systems and efforts
Strategic confidence
Supplier commitment
R & D Capabilities
Price level
Price risk/trend
Supplier fire prevention commitment
Date and responsible person



For further information about each criteria enter http://www.laundrysystems.electrolux.com/
    Fire Prevention                                                                  2.4. Processes for purchase

                                                                       Supplier Self Assessment(SSA)
                                                                                   Document no 2006-051, rev.3

All suppliers to Electrolux Laundry Systems (ELS) are forced to have a fire prevention system activated in
order to avoid hazardous events which can give interference for delivery of parts and other ordered items to
ELS.


ELS will submit every Supplier with a questionnaire where the Supplier shall fill in its own judgment
according to 27 different items with a point system from 3, 5, 7 and 9

The items are separated in 6 different summaries

First one concerns organization, planning, inspection and education and will be critical when checking
questionnaire

Second is about maintenance of all process equipments, as a good scheduled maintenance is important for
running a safe and secure environment wherever it is situated

Third chapter takes care of routines for employees, inspections and use of inflammables

Forth part handles security and use of fire protection equipments, building safety and protection by external
fire alarms, i.e. to fire brigade

Fifth part is about technical matters, such as equipment for fire fighting, manual and automatic, i.e.
sprinklers

Sixth chapter concerns storing of inflammable liquids and electrical lightning risks

Seventh chapter concerns backup of critical software, drawings and routines

Every question can be answered in four different points,
3 = cannot answer the question due to not in use at all
5 = items are in an introduction phase
7 = running in a good state
9 = has been in operation since 3 years

Note
If the Suppliers judgment is 3 or 5 on any item then ELS expect to have an answer explaining what the
Suppliers intention is.
                                                                                                     3     5   7   9
  1     Catastrophic plan in case of fire or other hazards
  3     Organisation for fire preventing actions, fire prevention group etc.
  4     Frequent inspection by own staff, min. once a year
  5     Education and training of employees in fire preventing actions

  6     Maintenance of machines and equipment, according to plan
  7     Maintenance of electrical installations, according to plan
  8     Maintenance of fire prevention equipment, according to plan

10      Smoking regulations for employees
11      Checks on ”Hot works”, routines, internal own or/and hired personal
12      Checks on movable units, e.g. forklifts, cranes
13      Checks on use of inflammable liquids and gases
14      Checks on external exposure – material location

15      Security and safety, i.e external security company regular checkpoints
16      Personal protection and escaping plans available for all employees
17      Use of/access to fire fighting equipment
18      Fire walls/fire restrictions in production areas
19      System for fire alarm directly to fire brigade (internal/external)

20      Evacuation facilities of smoke in case of fire
21      Supply of water for fire-fighting
22      Manual equipments for fire-fighting, i.e. fire-extinguisher
23      Automatic fire-fighting equipment (sprinkler/gas)
24      Special fire fighting equipment (i.e. in computer room)
25      Safe places for battery-charging

26      Storing and handling of inflammable chemicals
27      Lighting, elimination of risk (i.e. security lightning for fluorescent tubes)

28      A completely separate fireprotected serverroom used for all backup
29      Daily backup of all measured parameters in production
30      Backup of drawings, specifications, checklists, SW running productionequipment
                                                                                        Total sum


        Made by/sign:                                                                               Date
        (Name in print):                                                                            Phone

SPT-VALUE:_________
(to be filled in by purchasing/quality dept)
Processes for purchase

Assessment(SSA)
ment no 2006-051, rev.3
Sum
  0
  0
  0
  0

  0
  0
  0

  0
  0
  0
  0
  0

  0
  0
  0
  0
  0

  0
  0
  0
  0
  0
  0

  0
  0

  0
  0
  0
  0
                                                                  2.4. Processes for purchase

Quality Assurance Plan Enclosed                          Supplier Self Assessment(SSA)
Are the following available if requested by Electrolux           Document no 2006-051, rev.3

Process flow chart

      Yes                      No

Risk assessment (e.g. FMEA)

      Yes                      No

Control Plan

      Yes                      No

Measuring protocol

      Yes                      No
Agreement                                                                     2.4. Processes for purchase
                                                                    Supplier Self Assessment(SSA)
                                                                            Document no 2006-051, rev. 3
Agreement and exhibits can be found on http://www.electrolux.com/laundrysystems/node252aspx

The Standard Version Supply Agreement, including all exhibits, has been read ?

      Yes                      No

The Standard Version Supply Agreement, including all exhibits, has been accepted ?

      Yes                      No

If NO, please specify which section and what cannot be accepted or shall be changed



Contingecy planning
Is there an contingency plan as required by ELS?

      Yes                      No

See http://www.laundrysystems.electrolux.com/, document 'ELS Contingency Planning' for requirements


Process description
Please describe below in a flowshart the processen in Your Company:


ESD
(this section is only valid for companies that handle ESD-sensitive components)
According to which ESD-standard is your company certified?            ______________________
How often is this certificat renewed and by whom?                     ______________________


Language
What are the languages spoken at Supplier?
What languages does keyroles speak that interface to customer?


E-mails
How big e-mail can the Supplier receive in mB?


RoHS
Does the Supplier fulfill the RoHS directive?

      Yes                      No               If No, from when?      ______________________


WEEE
Does the Supplier fulfill the WEEE directive?

      Yes                      No               If No, from when?      ______________________
REACH
Does the Supplier fulfill the REACH directive?

      Yes                     No             If No, from when?   ______________________
Processes for purchase
Assessment(SSA)
ent no 2006-051, rev. 3




nning' for requirements
Supplier Evaluation Questionnaire - Environmental Performance                                                      2.4. Processes for purchase

                                                                                                       Supplier Self Assessment(SSA)
Name of company:                                                                                                  Document no 2006-051, rev.3

Address:
Country:
Telephone number:
Main product(s), specify by IDCO code(s):
Questionnaire was completed by (name):
Questionnaire was completed (date):
Actions have to be followed up before (date):

Click 'Yes' or 'No' to answer. Please answer all questions, unless grayed out.                                        0                     0




Please answer all questions                                                                                Yes                   No


1. Does your company comply with all applicable environmental local laws and regulations?        1.         Yes                  No




2. Does your company have access to and an understanding of all environmental                               Yes
                                                                                                 2.                              No
   legislation relevant to your company?


3. Does your company have all necessary operating permits?                                       3.         Yes                  No




4. Does your company comply with the following requirements?

   a/ Do you have a copy of the Electrolux Environmental Policy? (see homepage)                  4a.        Yes                   No



   b/ Do you have a copy of the Electrolux Restricted Material List (RML)? (see homepage)        4b.        Yes                   No


  c/ Are the components/products you supply to Electrolux in compliance with the RML and
                                                                                                 4c.        Yes                   No
  RoHS?

5. Does your company have, or are implementing, an Environmental management
                                                                                                 5.         Yes                   No
   system?
    If Yes a/ Is it implemented and certified (ISO14001 or EMAS)?                                5y.        Yes                   No

           If No a/ Do you have an environmental policy?                                         5a.        Yes                   No

                 b/ Are significant environmental aspects defined?                               5b.        Yes                   No

                 c/ Do you have environmental targets?                                           5c.        Yes                   No

                 d/ Do you have environmental measurements?                                      5d.        Yes                   No

                 e/ Are operators that perform work with significant aspects properly trained?   5e.        Yes                   No

                 f/ Do the management review the environmental performance?                      5f.        Yes                   No

                 g/ Do you perform environmental audits at least annually?                       5g.        Yes                   No

                 h/ Do you have routines for handling non-conformances?                          5h.        Yes                   No

                 i/ Do you have a contingency plan in case of accidents or emergencies?          5i.        Yes                   No



6. Does your company's environmental measurements show improvement?                              6.         Yes                   No



7. Does your company have environmental targets on its products                                  7.         Yes                   No



8. Does your company evaluate its suppliers environmental performance?                           8.         Yes                   No




Please note that you may be requested to provide further information or
evidence in support of the statements you have made above.
                                                                                                                2.4. Processes for purchase
                                                                                                   Supplier Self Assessment(SSA)
Supplier Evaluation Questionnaire - Electrolux Workplace Code of Conduct                                      Document no 2006-051, rev. 3



Name of company:
Address:
Country:
Telephone number:
Main product(s), specify by IDCO code(s):
Questionnaire was completed by (name):
Questionnaire was completed (date):
Actions have to be followed up before (date):

Click 'Yes' or 'No' to answer. All questions have to be answered!                                                   0                    0




Note: All questions have to be answered!                                                               Yes                     No


 1. Does your company comply with all applicable local laws and regulations?                 1.         Yes                     No


 2. Does your company have access to and an understanding of all legislation                 2.         Yes                     No
    relevant to your company?

 3. Does your company comply with the following provisions of
    the Electrolux Workplace Code of Conduct?
   a/ Child labor                                                                            3a.        Yes                     No

   b/ Forced labor                                                                           3b.        Yes                     No

   c/ Health & Safety                                                                        3c.        Yes                     No

   d/ Non-discrimination                                                                     3d.        Yes                     No

   e/ Harassment and abuse                                                                   3e.        Yes                     No

   f/ Working hours                                                                          3f.        Yes                     No

   g/ Compensation                                                                           3g.        Yes                     No

   h/ Freedom of association & Collective bargaining                                         3h.        Yes                     No

   i/ Environmental compliance                                                               3j.        Yes                     No


 4. Does your company's management systems include written procedures that
    ensure effective implementation of local laws and the requirements of
    the Electrolux Workplace Code of Conduct in the following areas?
   a/ Child labor                                                                            4a.        Yes                     No

   b/ Forced labor                                                                           4b.        Yes                     No

   c/ Health & Safety                                                                        4c.        Yes                     No

   d/ Non-discrimination                                                                     4d.        Yes                     No

   e/ Harassment and abuse                                                                   4e.        Yes                     No

   f/ Working hours                                                                          4f.        Yes                     No

   g/ Compensation                                                                           4g.        Yes                     No

   h/ Freedom of association & Collective bargaining                                         4h.        Yes                     No

   i/ Environmental compliance                                                               4j.        Yes                     No



 5. Does your company maintain documentation in the areas covered by the
                                                                                             5.         Yes                     No
    Electrolux Workplace Code of Conduct?

 6. Would the company be prepared to develop a management system and document
                                                                                             6.         Yes                     No
    handling of the areas covered by the Electrolux Workplace Code of Conduct?

 7. Does your company have a Code of Conduct or policy covering the same aspects as
                                                                                             7.         Yes                     No
    the Electrolux Workplace Code of Conduct? If yes, please attach.

 8. Do you have a formalized procedure for employees to report on observations
                                                                                             8.         Yes                     No
    or dissatisfaction with conditions or problems in the workplace, i.e. whistle blowers?

 9. Does the company’s Code of Conduct, policies and management systems extend
                                                                                             9.         Yes                     No
    beyond local legal requirements and the Electrolux Workplace Code of Conduct?


10. Does your company monitor your suppliers on social issues?                               10.        Yes                     No




11. Has your company been monitored on social issues and passed or corrected
                                                                                             11.        Yes                     No
    identified problems?

12. Has your company been certified on social issues by external certification
                                                                                             12.        Yes                     No
    organization such as e.g. SA8000 or similar?



Please note that you may be requested to provide further information or
evidence in support of the statements you have made above.

								
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