| Carrefour | Factory name£º | |
| Prepared by: | |
| Sector/Office: | |
| Prepared on: | ¡¡ | File number: | ¡¡ | ¡¡ | page 3 of 4 |
| 4.Forced labor: |
| NO | Checkpoint | Supplier's answers | Conclusion |
| 4.1 | Are any penalties deducted from the workers salaries in case of poor behavior,low productivity,quality problems? | | |
| 4.2 | Do workers have to give a deposit when they are employed(for equipment,uniforms provided¡)? | ¡¡ | |
| 4.3 | Do your keep original copies of work permit,ID papers,cards or professional certificates for the workers? | | |
| 5.Freedom of association |
| NO | Checkpoint | Supplier's answers | Conclusion |
| 5.1 | Do employees have the right to form and join free trade unions or employees associations? | | |
| 5.2 | Is there a procedure by which workers can raise issues of concern to the management? | | |
| 5.3 | How do you dismiss or terminate a contract with a worker?(warning letters¡) | | |
| 6.Conclusion: | | | | | | | |
| NO | Checkpoint | Supplier's answers | Conclusion |
| 6.1 | Do you feel your factory complies with Carrefour Suppliers Social Charter? | | |
| 6.2 | Do you feel your factory complies with the mational or local Labor Code? | | |
| 6.3 | Is the factory regularly audited(social audits) by customers or by local labor bureau ? (If yes give details). | | |
| | | | | | | | | |
| Scoring:A=Outstanding£¯B=Acceptable£¯C=Below requirement£¯D=Absent or irrelevant | ¡¡ |
| D:©…Audit Kit aug.10,2005©…Carrefour©…Social Audit©…ICS©…7.Self Assessment Form.doc | Last printed 8/12/2005 1:55:00PM | ¡¡ |
| ¡¡ |
| Prepared by£º | On£º | Approved by£º | On£º |