Evaluation Sheet

Document Sample
Evaluation Sheet Powered By Docstoc
					                                                                                                                                                                                                                                                                                      Appendix Table 1
Evaluation Sheet (Green Procurement Standards/Evaluation Survey) Ver2.1 (Appendix 2)                                                                                                                    Date of submission:                                                                   FGGP-002-1-A


                                                                                                                                                                                     Supplier Name:                                                     #REF!
1. Standard for Environment Management System (EMS)                                                                                                     Note 1)                      Supplier Code:                                                     #REF!
           Item                                                                       Evaluation Standards                                              Evaluation Points                      Manufacturer Name:
                                      ISO14001 certification is already acquired.                                                                                 40                           Company/Plant Name:
                                      ISO14001 certification will be acquired within 6 months.                                                                    30                           Address:
                                      A third party certification other than ISO14001 is already acquired.                                                        30                           Telephone number:
(1)                EMS structure      A third party certification other than ISO14001 will be acquired within 6 months.                                           20                          Main Product/Process:
                                      Original EMS of your company is already built.                                                                              20
                                      Original EMS of your company will be built within 6 months.                                                                 10                 Responsible person for control
                                      Original EMS of your company will not be built within 6 months.                                                   Nonconformance                   Position/Department:
                                                                                                                                                                                         Name:
2-1. Standard for Environmental Hazardous Substance (EHS)
           Item                                                         Evaluation Standards (based on GPC-001-A)                                       Evaluation Points            Person in charge
                Environment           Management promises "EHS control" in "Environment policy/objectives".                                                       5                       Position/Department:
(2)
               Policy/Objective       We do not have "Environment policy/objectives" itself, or if there is, it does not mention "EHS control".                   0                       Name:
                    Customer          Each related department defines the integrated target, means and program for the observance of GGP-001.                     10                      Telephone number:
  (3)
                   Requirement        Each related department does not have projects for the observance of GGP-001.                                               0                       Fax number:
                                      There are both responding organizations and responsible personnel for the observance of GGP-001.                            5                       E-mail:
(4)            Communication
                                      There are not both responding organizations and responsible personnel for the observance of GGP-001.                        0                  Notes:
                                      The compliance with GGP-001 is verified by internal audit.                                                                  5                1 Responsible person for control means responsible personnel for compliance with GGP-001.
  (5)              Internal Audit
                                      The compliance with GGP-001 is not verified by internal audit.                                                              0                2 If you are a trading company, please prepare this slip for yourself and your manufacturing facilities.
                                                                                                                                                                                     When you prepare this slip as a trading company, you should evaluate whether you have influence over applicable
                                      Prohibited EHS is defined as inspection matter in your company's inspection standard for part/material.                     10
            Selection of Suppliers                                                                                                                                                   manufacturers on each item.
(6)
                  and Parts        Prohibited EHS is not defined as inspection matter in your company's inspection standard for part/material.                    0                  Please submit only in writing because this slip is used as record of environmental conservation activities' evaluation of
                                                                                                                                                                                   3
                                                                                                                                                                                     suppliers.
                     Supplier         Written agreement for nonuse regarding prohibited EHS is exchanged with at least primary supplier.                          5
(7)
                   Management         Written agreement for nonuse regarding prohibited EHS is not yet exchanged with a supplier.                                 0                     Comments: please enter your opinion, requests, activity report and so on.(Another sheet is acceptable)
                     Receiving        Inspection items regarding prohibited EHS are defined for receiving parts/materials in your company.                        5
(8)
                   Parts/Materials    Inspection items regarding prohibited EHS are not defined for receiving parts/materials in your company.                    0
                                      Materials containing prohibited EHS and clean ones are separated in manufacturing process.                                  5
(9)                Manufacturing
                                      Materials containing prohibited EHS and clean ones are not separated in manufacturing process.                              0
                                      Material lot can be identified by shipping history.                                                                         5
 (10)                 Shipping
                                      Material lot cannot be identified by shipping history.                                                                      0
                    Recurrence        If prohibited EHS is found, the procedure for root cause analysis and recurrence prevention is defined.                     5
 (11)
                    Prevention        If prohibited EHS is found, the procedure for root cause analysis and recurrence prevention is not defined.                 0


2-2. The Result of EHS Audit/Sample Measurement by Pioneer                                                                                              Note 1)
           Item                       Evaluation Standards (The following items were reported by a department in charge of evaluation at our company.) Evaluation Points             Note 1) Please select every eveluation point from the right pull-down menu.
           The Result of EHS          EHS audit has not been conducted yet by Pioneer, or the result was conformance. (The latest audit conclusion)               0                  Note 2) If there is "Nonconformance" in "Evaluation Points" column, please enter "0" in "Total" column below.
 (12)
           Audit (Note 2)             The result of EHS audit by Pioneer was nonconformance. (The result of another audit still is not "conformance".   Nonconformance               Note 3) As to Item (12), if more than three years has passed since the last audit, it means "not conducted yet".
                                Measurement of mass products and parts to be newly inspected has not implemented yet, or the existence of                         0
           The Result of Sample prohibited EHS was not found as the result of the measurement.                                                                                       Note 4) As to Item (13), the evaluation period is for the past one year.
 (13)
           Measurement (Note 3) The existence of prohibited EHS was found by the measurement of either mass products or parts to be newly                    * Note 4)               Note 5) As to Item (13), when "EHS was found", some points are taken off from the total score.
                                inspected.


3. Green Procurement Evaluation: Please make self-evaluation and enter the evaluation points based on the standards stipulated in 1,2-1 or 2-2.
                                                                                                                                                                                                              Evaluation Points                                                                Total (Perfect
                                 Manufacturer Name                                                  Company/Plant Name
                                                                                                                                                            (1)        (2)   (3)       (4)       (5)        (6)       (7)        (8)        (9)      (10)       (11)       (12)      (13)      score is 100)
           #REF!
                   #REF!                                               #REF!                                                                                                                                                                                                                               0
Entry by   #REF!
                   #REF!                                               #REF!                                                                                                                                                                                                                               0
Pioneer
Supplie
           #REF!
                   #REF!                                               #REF!                                                                                                                                                                                                                               0
   r       #REF!
                   #REF!                                               #REF!                                                                                                                                                                                                                               0
           #REF!
                   #REF!                                               #REF!                                                                                                                                                                                                                               0




                                                                                                                                                        1

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:8
posted:10/4/2011
language:English
pages:1