Requestfor Quotation - SMETA

Company Name

Address

Audit Method 2 Pillar

4 Pillar

Sedex Company ReferenceNo : Sedex Site Reference No : Sedex Login Account(optional input):

SedexLogin Password(optional input):

Contact Name Position
Telephone No. Email
Buyer(s)
Full Audit
Re-Audit/Follow-up audit
Audit Type Semi – announced

Unannounced

Preferred date of audit

Audit Scope

In order to allow LEVERAGE to prepare and execute the assessment, we need to determine the exact processes and activities involved in the applicant
company‘s/organization’s business and the state of implementation of the SMETA/SEDEXrequirements. It is therefore essential that all questions are
completed as fully and in as much detail as possible, please.

1. Please describe fully and in detail the products, processes and/or services of the company/organization, including the main production
materials/consumables. Append a separate sheet if necessary.

Main process of production

Material
Main product

2. Has the Company been SMETA/SEDEXaudited ? If yes, please advise the audit date and audit organization.

3. Is the Company having any other systems, such as ISO9001, 14001, OHSAS18001, and/or buyers code of conduct implemented and
certified/verified? If yes, please give details.

4. Has the Company done an internal gap analysis and necessary corrective actions?

Yes No Not Applicable

5. Number of Sites in addition to the main address given above to be covered under assessment:

Leverage SMETA RFQ - 1507 - en

The following information should be provided for each site involved in the social auditing process.

6. Number of employees
Site Total female employee child labor young worker temporary/ foreign nationality
seasonal worker employee

1
2
3
4

7. Native language of employees ：

English Other, please describe TAMIL

8. Does the company provide dormitory ？

Yes No

9.Working hour
Office hour
No. of Shift(s)
Shift shift time employees/shift
1st shift
2nd shift
3rd shift

10. Is the Organization’s work force Unionized? If yes, please provide the names of the Unions. Ifno Unions are operating; please mention the
alternative arrangements of representation existing in the Organization.
No union exists in the factory

11. Please provide names of active NGOs in your Organization’s vicinity and the nature of interaction with them. Has your facility been visited by
any of these NGOs?

Note：
The information supplied above will be used to preparation and execution of the SMETA/SEDEX audit for LEVERAGE.This is totally dependent upon
the information given herein. LEVERAGE therefore reserves the right to amend the execution should the information be found inaccurate or
incomplete.

Leverage SMETA RFQ - 1507 - en