Corporate Responsibility Questionaire - Home - English ... · Web viewAll the information you provide us will be used for this self-assessment only. We will not transfer it to any

企业责任自我评估 3.0版 / Corporate Responsibility Self Assessment v 3.0

© Siemens 2012, All Rights reserved.

慕尼黑，二零一二年二月亲爱的合作伙伴：可持续发展是结合我们的经济、环境和社会绩效的一种战略和管理方法，从而以符合道德规范的方式来创造与保护有形和无形价值。对于我们来说，“供应链中的可持续发展”意味着使用优质和创新的供应商，以产生长期的附加值——并且秉承明确的经济、生态和社会责任而行动。我们仅能通过与供应商更密切的合作，以及将我们的可持续发展原则纳入所有相关的业务流程来实现这一目标。西门子期望所有供应商证明他们对《西门子供应商行为准则》中设定的标准与原则的坚守与承担(www.siemens.com/scm/code-of-conduct)。我们确信，与供应商在业务合作中共同遵守的这些规定能有助于生态、社会和经济的进步。因此，依照我公司的“供应链中的企业责任”，我们感谢您配合进行下列自我评估工作（《企业责任自我评估》）。满足规定的最低企业责任要求是我公司选择新供应商非常重要的一个方面。所有供应商都必须满足《西门子供应商行为准则》的最低要求。如果自我评估中有明显迹象表明其企业责任方面存在潜在风险，并且该风险在调查中得到证实，我公司将采取强化改进方案或终止合作关系。该评估符合我们双方的利益。如果您有任何关于问卷填写方面的疑问，请联系负责的采购经理或发送邮件至：[email protected]

Yours faithfully此致Siemens西门子

V3.0 Copyright © Siemens AG 2012. All rights reserved Page 2

mailto:[email protected]

Confidentiality statementAll the information you provide us will be used for this self-assessment only. We will not transfer it to any external organizations or companies. Your information will be used in accordance with German law.

保密声明您所提供的所有信息仅用作自我评估。我们绝不会转给其他外部组织或公司。我们将在德国法律允许范围内使用您的信息。一般信息 / General Information公司信息 Company information0.01贵公司的名称和法律形式 / Name and legal form of your company / facility

0.04 城市 / City

0.02 街道 / Street 0.05国家 / Country

0.03邮编 / ZIP code 0.06 邓白氏编码（如有）/ D-U-N-S® Number (if available)

在贵公司，谁是负责可持续发展／企业责任／企业社会责任等事务的联系人？Who is the contact person within your company for the topic of sustainability / corporate responsibility / corporate social responsibility?0.07负责联系人姓名 / Name of responsible contact

0.09电子邮件地址 / E-mail address

0.08电话号码 / Telephone number 0.10组织／职能 / Organization / Function

0.11 贵公司是否已建立并执行有关遵守贵公司本身和／或客户可持续发展要求的管理机制？ Does your company have a program in place to manage adherence with your own and/or customers’sustainability requirements?

是 / Yes 否 / No

0.12 贵公司近年来是否开展过可持续发展审计？ (如果为"否"，请直接跳到 0.17)Has your company undergone a sustainability audit during recent years? (If “No”, please continuewith question 0.17)

是 / Yes 否 / No


0.13 谁执行的审计／评估？ / Who performed the audit/assessment?

独立审计事务所（例如SGS、Intertek、BV、TÜV）An independent audit firm (e.g. SGS, Intertek, BV, TÜV)

其他客户的审计师 / Other customer auditors 其他 / Other

0.14如果为” 其他”，请注明If “Other”, please specify

0.15审计/评估完成日期:Audit/Assessment completion date:

0.16 审计的重点是什么？（只需要在 0.17的答案为“是”时回答本题） What was the scope of the audit?

可持续发展计划：EICC、BSCI、WCA Sustainability programs: EICC, BSCI, WCA

另一客户有关可持续发展的审计计划 Auditor program by another customer on the topic of sustainability

其他 / Other

如果为” 其他”，请注明If “Other”, please specify

0.17 请从下面选择最恰当描述贵公司／工厂的选项 Please select the option below that best describes your company.

专门从事行政、管理、服务、营销、销售咨询业务 / Exclusively operating in administration, management, services, marketing, sales consulting

制造和加工业（例如化学工程、重型工程、机械工程、物流（含和不含危险品）、电子工程等） / Manufacturing and processing industry (e.g. chemical engineering, heavy engineering, mechanical engineering, logistics (with and without hazardous substances), electrical engineering, etc.)

0.18 贵公司／工厂有多少名员工？ How many people does your company employ?


0.19 贵公司的总部位于哪个国家？ In which country is your headquarters located?

0.20 贵公司的主要生产／服务场所位于哪个国家？（列出所有适用项） In which country is / are your main production / service site(s)? (List all that apply)

我们作为西门子的供应商承诺并保证，与西门子股份公司及其关联公司存在供应关系的我们的所有关联公司均应履行我们在此问卷模块中所承担的义务。We, as supplier, undertake to ensure that all companies affiliated to us and maintaining a supply relationship with Siemens AG or one of its affiliated companies fulfill the obligations assumed by us in this module, too.

是/ Yes 否/ No


1. 遵守法律，禁止腐败和贿赂 / Compliance with legislation and prohibition of corruption and bribery

1.1 贵公司行政管理层中，是否有专职成员（例如董事）负责反腐败、反贿赂和反垄断行为？Is a member of your company's executive management (e.g. director) nominated with responsibility for combating corruption, bribery, and antitrust violations?

是 / Yes 否 / No

1.2 过去 5年中，贵公司是否曾因腐败、贿赂或反垄断而牵涉到法律诉讼中？ Has your company been involved in legal proceedings regarding corruption, bribery, or antitrustduring the past 5 years?

是 / Yes 否 / No

如果回答"是"，请注明什么制裁，导致上述调查If yes, please state what sanctions were resulting from the aforementionedinvestigations:

1.3 贵公司是否在全公司实施了合规管理或合规流程？（最低要求：相关员工的合规教育和培训、说明反贿赂或反腐败和反垄断等合规情况的内部处理流程）Do you have an implemented company-wide Compliance program or procedures? (minimum requirements: Compliance communication and training for relevant employees, process specifying how compliance cases of bribery or corruption and antitrust should be internally handled)

是 / Yes 否 / No


2. 尊重员工的基本人权 / Respect for the basic human rights of employees

2.1 贵公司是否制定有与当地法律相一致、管理员工最长工作时间的内部规章制度？ Do you have internal regulations aligned with local legislation that govern the maximum number of working hours for your employees?

是 / Yes 否 / No

请说明每周最长工作时间（小时）： / Please state the maximum number of working hours per week:

2.2 贵公司是否制定有管理员工最长连续工作天数的规则？ Do you have rules that govern the maximum number of consecutive working days for youremployees?

是 / Yes 否 / No

请说明最长连续工作天数： / Please state the maximum number of consecutive working days:

说明： / If “No”, please specify

2.3 贵公司是否有违背《国际劳工组织公约》对员工处以罚金或其他形式处罚的行为。?/Do you contravene ILO (International Labor Organization) conventions by imposing monetary or other relevant sanctions on employees (www.ilo.org)

是 / Yes 否 / No

2.4 贵公司是否记录员工的工作时间（包括加班时间）和工资付款，以确保遵守 ILO（国际劳工组织）标准和当地法律？（更严格的法规优先适用） Do you keep records of your employees' working hours (including overtime) and wage payments in order to ensure compliance with ILO (International Labor Organization) standards and local legislation? (The stricter regulation applies)

是 / Yes 否或仅部分记录 / No or only partially

如果为“否或仅部分记录”，请解释原因： / If "No or only partially", please specify:


http://www.ilo.org/

2.5 贵公司／工厂向员工支付薪资的频率？ How often are salaries paid to employees at your company / facility?

每月／每月超过一次 Monthly / more than once per month

每两个月一次或更长时间一次 Every two months or less

2.6 贵公司是否为员工提供向管理层提出反馈和投诉的机会？ Does your company provide an opportunity for your employees to give feedback & complaints to management?

是 / Yes 否 / No

2.7 贵公司支付的工资是否等于或高于法律规定的最低工资？（如果没有法律规定最低工资，贵公司是否提供公平的薪酬？）

Is your company's / facility´s pay equal to or above the legally regulated minimum wage? (If there isno legally regulated minimum wage, do you provide fair remuneration?)

是 / Yes 否 / No


3. 禁用童工 / Prohibition of child labor

3.1 贵公司是否制定有规定最低用工年龄的指引，且该最低用工年龄符合当地法律和 ILO（国际劳工组织）公约的最低规定？（更严格的法规优先适用）

Does your company / facility have a guideline regulating the minimum age for employment that isaligned with the minimum requirements of local legislation and the ILO (International LaborOrganization) convention? (The stricter regulation applies)

是 / Yes 否 / No

请说明最低年龄：/ Please specify minimum age:

3.2 贵公司是否在招聘过程中核对和验证员工所报的年龄，包括通过招聘代理、猎头等进行招聘的情况？Do you check and verify the age stated by your employees during the hiring process, including when hiring through recruitment agents, headhunters, etc?

是 / Yes 否或仅部分记录 / No or only partially

3.3 贵公司是否将所有员工的法定年龄证明文件存档？（只需要在 3.2的答案为“是”时回答本题）Do you keep copies of legal proof of age documentation on file for all employees? (Only required if you answered “Yes” to 3.2)

是 / Yes 否 / No


4. 员工健康与安全 / Health and safety of employees

有关 2008年《西门子供应商行为准则》“职业健康与安全”一节的进一步信息 Further information on the Code of Conduct for Siemens Suppliers, Occupational Health and Safety Section, as of 2008

https://w9.siemens.com/cms/supply-chain-management/en/supplier-at-siemens/basic-information/environment/management/Pages/management.aspx

4.1 贵公司／工厂是否获得OHSAS 18001认证？（如果“是”，请继续完成第 5部分） Is your company / facility certified to OHSAS 18001? (If "Yes", please continue to section 5)

是 / Yes 否 / No

4.2 贵公司是否制定有适合业务的健康与安全政策，并以当地语言传达到员工？ Does your company have a health and safety policy that is adequate for your business, which is communicated in the local language?

是 / Yes 否 / No

4.3 贵公司是否曾开展风险评估，以识别业务中与健康和安全有关的风险？ Have you conducted in your company / facility risk assessments to identify risks relating to health and safety in your business?

是 / Yes 否 / No

4.4 贵公司是否对所有相关员工进行职业健康与安全培训，并同时保存培训记录？（例如安全操作机器） Does your company conduct occupational health and safety training for all relevant employees, and also keep training records? (e.g. in the safe operation of machines)

是 / Yes 否 / No

在我们的业务中，没有必须进行职业健康与安全培训的流程 / There are no processes within our operations that necessitate training on occupational health and safety

4.5 贵公司是否强制使用个人防护装置？（例如护目镜、安全鞋、护耳用具、防护手套等） Does your company / facility enforce the use of personal protective equipment? (e.g. safety goggles, safety shoes, ear protection, protective gloves, etc.)

是 / Yes 否 / No在我们的业务中，没有必须佩带个人防护装置的流程。/ There are no processes within our operations that necessitate the wearing of personal protective equipment

4.6 贵公司是否制定有向受伤员工提供急救的流程？ Does your company / facility have a process for providing first aid to injured employees?

是 / Yes 否 / No




5. 环境保护 / Environmental protection

5.1 贵公司／工厂是否有获得认证的环境管理体系？（如果不选择“否”，请继续完成第 6部分） Does your company / facility have a certified environmental management system? (If you do not select "No", please continue to section 6)

ISO 14001 EMAS 否 / No

5.2 贵公司是否已制定符合西门子最低要求的环境管理体系？ Do you have an environmental management system that complies with Siemens minimum requirements?https://w9.siemens.com/cms/supply-chain-management/en/supplier-at-siemens/basic-information/environment/management/Pages/management.aspx

是 / Yes 否 / No

5.3 在贵公司，是否设有负责实施当地环境法律的管理职位？ Is there a management position within your company with nominated responsibility for implementing local environmental legislation?

是 / Yes 否 / No




6. 供应链责任 / Supply chain responsibility

6.1 贵公司是否尽合理努力促进贵公司供应商遵守《西门子供应商行为准则》或贵公司本身的同等准则？（例如商业合同、采购条款和条件等） Do you use reasonable efforts to promote compliance with the Code of Conduct for Siemens Suppliers or your own equivalent code among your suppliers? (e.g. in commercial contracts, terms and conditions of purchase, etc.)

是 / Yes 否 / No

6.2 贵公司的采购决定是否因遵守《西门子供应商行为准则》或贵公司本身的同等准则而受到影响？Is your sourcing decision influenced by compliance with the Code of Conduct for Siemens suppliers or your own equivalent code?

是 / Yes 否 / No

6.3 在发现供应商违反《西门子供应商行为准则》或贵公司本身的同等准则的情况下，贵公司是否采取纠正措施？ Do you take corrective action if you identify a breach of the Code of Conduct for Siemens Suppliers or your own equivalent code by a supplier?

是 / Yes 否 / No

日期： / Date: 地点： / Place:

签名： / Signature:_____________________ 公司印章： / Company seal:

本文件必须由贵公司的授权代表签署并返还给西门子。／This document must be signed by an authorized representative of the company and returned to Siemens.


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Corporate Responsibility Questionaire - Home - English ... · Web viewAll the information you provide us will be used for this self-assessment only. We will not transfer it to any