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Pre-audit Questionnaire
 

ETHICAL STANDARDS  DEPARTMENT       
        
 Wal-Mart Pre-Audit Questionnaire       
        
 SUPPLIER DETAILS:  (PLEASE NOTE THIS SHOULD BE COMPLETED BY THE FACTORY)       
 Supplier Name:       
 Physical Address:       
        
 Mailing Address:       
        
 Type of Location  (i.e. Free zone, industrial area, rural area, etc.)      
 Telephone:          Fax:  
 Name of Contact:          e-mail:  
 FACTORY DETAILS:       
 Factory Name:        
 Physical Address:        
         
 Mailing Address:        
         
 Type of Location  (i.e. Free zone, industrial area, rural area, etc..)       
 Telephone:          Fax:   
 Name of Contact:          e-mail:   
         
 Ownership Type        
 (please check applicable box)        
     (please state other type here) 
 Year Facility Established:  19_ _      
 Name of Factory Manager:          e-mail:   
 Telephone:          Fax:   
 Opening Hours:        
 Maximum Capacity:  (number of pieces / pairs/ tons produced per month)      
 Percentage of factory's capacity devoted to Wal-Mart Production:        
 Produced Product:        
         
 Next Scheduled production run of Wal-Mart Products:        
 Other Major Customers:  1)    2)  
 (Due to confidentiality this can be optional)   3)    4)  
   5)    6)  
 Total No. of Employees:  Foreign workers:    Local:  
 If Foreign Worker Employed, Length of Contract:        
 Native Language's) of the Factory Employees:        
   1)    2)  
   3)    4)  
   5)    6)  
 Address of Dormitories:        
 (If Applicable)        
         
 Completed by:  (Please fill in section below)       
 Name:     Title:   
 Signature:     Date:   
 FACTORY COMPLIANCE WITH THE LOCAL LAW:        
1 Does the factory obtain current information on relevant local and national laws and regulation?          
2 Does the Facility promptly incorporate this information in its business practices?                                 
 COMPENSATION        
 What is the legal minimum wage required at this factory?    (Exchange Rate: 1USD =)    
 Local Currency:   USD     
 What is the current or average hourly wage for trained workers in the same industry in this location/ area?        
 Local Currency:   USD     
 What is the lowest wage paid at this factory for trained (i.e., production) employees?        
 For untrained (i.e., janitors, trainees) employees?         
 How are workers paid?   Cash Cheque Electronic Pay Other (Please state if other) 
 How often are workers paid?    Bi-Weekly Monthly Other (Please state if other) 
 How is the pay rate calculated?    Piece Rate Per Day Other (Please state if other) 
 Are workers given work to take home?        
 If Yes, how are wages for this work determined?        
         
 Is work time electronically documented by a timecard?        
 If No, explain system by which hours worked are recorded?        
 What records are used to calculate workers paid under a piece rate system (if applicable)?        
         
 Are there any deductions from employees' wages?        
 What charges are deducted from employees' pay?        
         
 How is this documented?        
         
 Does this facility employ temporary workers?        
 What allowances and benefits are provided to employees in this facility?        
 Housing    Sick leave     
 Meals    Emergency Leave    
 Transportation    Maternity Leave    
 Health Care    Vacation    
 Child Care    Religious Leaves    
 Other   If Yes, please give details:     
         
 Are any workers excluded from receiving benefits?        
 If Yes, please give details:        
         
 Are benefits and /or allowances included in calculating the minimum wage?        
 If Yes, please give details:        
         
 Are there any incentive plans offered (i.e. bonus)?        
 If Yes, please give details:        
         
 Does the facility provide training programs?        
 If Yes, please give details:       
        
 Are workers paid for training (if applicable)?       
 If No, please give details:       
        
 Do you pay for overtime?       
 If Yes, how are overtime wages calculated.        
        
 HOURS OF LABOUR       
 How many work shifts do you run in your facility?       
 How many hours per work shift?       
 What is the maximum number of working hours per day?        
 What is the maximum number of working hours per week?       
 What is the average number of overtime hours worked per employee per month ?       
 Do employees have at least one day off in seven?       
 Do employees have time each day for a meal / breaks?       
 FORCED LABOUR       
 Are all employees voluntarily working in this facility?       
 Are there any employees in this facility that are prisoners, have been assigned by the military, or any other branch of government?       
 Are employees free to leave the factory premises at any time?       
 If No, please give details:       
        
 Are guards posted only for normal security reasons?       
 If Yes, what are their basic duties?       
        
 CHILD LABOUR       
 What is the age of the youngest worker in this facility?       
 Are there any restrictions for workers under  the minimum legal working age?       
 If Yes, please give details:       
        
 What procedures does this facility have in place to verify the age of the employees?       
        
 What records does the facility obtain from job applicants before hiring to determine age?       
        
 Are age documents or records for all workers maintained at factory site?       
 DISCRIMINATION       
 How are employees recruited?       
 Agent:   Newspaper ad:    
 Contract:   Other  If other, give details:  
 Do you restrict employment by age, ethnicity, religion, gender, sexual orientation or political affiliation       
 If Yes, please give details:       
        
 During the previous two years, have any employees filed a complaint of discrimination against this factory?       
 If Yes, please give details:       
        
 HEALTH AND SAFETY       
 Does the factory provide any of the below       
 Fire Safety Equipments / Systems       
 First Aid  / Health care?       
 Electrical &  machinery safety?       
 DORMITORIES       
 Do you provide residential housing for workers?       
        
 IF YES TO THE QUESTION ABOVE, PLEASE ANSWER ALL QUESTIONS BELOW:       
        
 Number of buildings:     Average number of people sleeping in a room:  
 No of employees residing in this dormitory:       
 Please state the distance of dormitory buildings to the production sites:       
 Are sleeping quarters separated for male and female?       
 Are directions for evacuation plan posted in all sleeping quarters in employees native language?       
 Number of toilets for workers:       Male:  Female:
 Number of shower¡¯s/ washing cubicles for employees:     Male:  Female:
 Are kitchen facilities provided?       
 Are employees charged for the following?    (If Yes to any of the below, please give details of the amounts charged in space provided)   
 Pre-employment fee / deposit       
 Uniforms       
 Sleeping quarters:       
 Meals:       
 Transportation:       
 Others: (if yes, give details)       
 If Yes, please give details,       
        
 Are there any curfews on employees?       
 If Yes, please give details,       
        
 Do employees have unrestricted access to drinking water?        
 HARASSMENT AND ABUSE       
 Are workers disciplined for misconduct or poor performance?       
 If Yes, please give details,       
        
 What records are kept to document disciplinary measures?       
 Are there any procedures through which workers can appeal to disciplinary actions against them?       
 If Yes, please give details,       
        
 ENVIRONMENT       
 What efforts does the company make to protect the environment (e.g. wastewater management, air purification, hazardous material disposal)?       
 RIGHT OF INSPECTION       
 Are workers provided with contract of employment?       
 SUBCONTRACTING       
 Do you subcontract any of your production?       
 Please complete the following for all subcontractors used for the assembly of Wal-Mart products. (Please attach additional sheets if required)       
 Subcontractor # 1  Name:     
   Address:     
   Product:     
        
 Subcontractor # 2  Name:     
   Address:     
   Product:     
 Do you subcontract to individuals, families, or collective work groups?       
 If Yes what articles/components are produced by these workers?       
 How are these workers paid?       
 Warehouse / storage facility (outside of the factory compound)       
 Is there any warehouse located outside of the factory compound?       
 If yes, please specify the detail address and contacts.       

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