EHS_Form II.xlsx

8/9/2019 EHS_Form II.xlsx

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SAQ - Ver 1 Introduction 2011

Responsibility Standards for Suppliers

Self-Assessment Questionnaire

Johnson & JohnsonFamily of Companies

his !uestionnaire is desi"ned to "ather information re"ardin" the mechanisms your facility mana"ementhas in place to mana"e its #usiness conduct$ human ri"hts% la#or and employment practices$ or'er health%safety and ell-#ein" practices$ sustaina#ility and en(ironmental responsi#lity$ and efforts associated ithtransparency and disclosure) his information ill #e used to assure conformance to Johnson & Johnson*sResponsibility Standards for Suppliersand to determine if additional follo up may #e necessary)

+hen anserin" the !uestions% ,mechanisms, may include pro"rams% policies% procedures% practices%trainin"% communications% meetin"s% internal inspections% internal audits% or mana"ement re(ies) he

mechanism need not #e documented or formalied to #e considered effecti(e) o #e considered effecti(e%the mechanism should deli(er the desired results on a continuous #asis)

.lease complete the !uestionnaire as thorou"hly as possi#le) +e encoura"e you to pro(ide details in thecolumn mar'ed ,.lease #riefly e/plain all responses, since this ill ma'e the re(ie process most efficientfor your or"aniation and ours) .lease return the file #y email to your J&J contact) our J&J contact ill #ein touch ith you to discuss your responses and any necessary follo-up) han' you in ad(ance for yourtime and effort to complete this !uestionnaire) our partnership is "reatly appreciated)


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SAQ - Ver 1 Introduction 2011

All contents Copyri"ht Johnson & Johnson 200-2003) All 4i"hts 4eser(ed)


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SAQ - Ver 2 Site 5etails 2011

SITE DETAILS

Company Name:

Street Address:

City: State:

Country: Zip Code:

CNTACT IN!R"ATIN !R #ERSN$S% C"#LETIN& T'E Q(ESTINNAIRE

Name: Title:

#)one Number: Email Address:

Completion and "ana*ement Re+ie,

Responsibility Standards for SuppliersSelf-Assessment Questionnaire


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ET'ICS and (SINESS CND(CT SEL!-ASSESS"ENT

.es No Not Appli/able #lease briefly e0plai

21

21

21

21

31 Le*al Complian/e

31 Le*al Complian/e

41 !air usiness

Area ofAssuran/e

.es 5 Implemented and effe/ti+e1Needs Impro+ement 5 Implemented but not /ompletely effe/ti+e1No 5 Not implemented or not effe/ti+e1

Johnson & Johnson*s suppliers are e/pected to #eha(e ethically and ith

inte"rity in all #usiness transactions)

Needs

Impro+ement

"ana*ementSystems7communications8

1)1 5oes the facility mana"ement ha(e amechanism7s8 to communicate its commitment andre!uirements for ethical & le"al #usiness practices toits employees9

"ana*ementSystems

7report concerns8

1)2 5oes the facility mana"ement ha(e amechanism7s8 for employees to report concernsrelated to ethical or le"al misconduct ithout threatof reprisal% intimidation or harassment9

"ana*ementSystems7in(esti"ateconcerns8

1): 5oes the facility mana"ement ha(e amechanism7s8 to in(esti"ate reports of ethical orle"al misconduct and for ta'in" disciplinary action9

"ana*ementSystems7re(ie operations8

1); 5oes the facility mana"ement ha(e amechanism7s8 to re(ie its #usiness for ethical andle"al misconduct and to implement correcti(e actions

if necessary9

2)1 5oes the facility mana"ement ha(e amechanism7s8 to understand all le"al re!uirementsfor #usiness conduct that are applica#le to its#usiness9

2)2 5oes the facility mana"ement ha(e amechanism7s8 to comply ith the le"al re!uirementsfor #usiness conduct that are applica#le to its

#usiness9

:)1 5oes the facility mana"ement ha(e amechanism7s8 to uphold standards for fair #usinesspractices includin" accurate and truthful ad(ertisin"


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.es No Not Appli/able #lease briefly e0plain

Area ofAssuran/e




Needs

Impro+ement

61 Anti-Corruption

71

71

81 Communi/ations

91

;)1 5oes the facility mana"ement ha(e amechanism7s8 to prohi#it the e/chan"e of pri(ile"es%ai(er of penalties or fines% or special #enefitsthrou"h payment of #ri#es% ille"al politicalcontri#utions% or other illicit payments or methods9

ConfidentialInformation

)1 5oes the facility mana"ement ha(e amechanism7s8 to safe"uard a"ainst improper use

and disclosure of confidential or sensiti(e informationincludin" intellectual property% pricin"% employee andpatient information9

ConfidentialInformation

)2 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent% detect and report -di(ersion% theft and counterfeitin" of J&J productsand processes at its facility7ies89


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.es No Not Appli/able #lease briefly e0plain all res

Area ofAssuran/e




Needs

Impro+ement

91Treatment ofAnimals

3)2 If the facility underta'es animal testin"% does thefacility mana"ement ha(e a mechanism7s8 to follothe principles of replacement% refinement% andreduction of la#oratory research animal testin"9


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SAQ - Ver 2 =a#or - SA 201

'("AN RI&'TS LAR ; E"#L."ENT SEL!-ASSESS"ENT

.es No Not Appli/able

21

31

Area ofAssuran/e


Johnson & Johnson*s supplierss are e/pected to treat people ith di"nityand respect) Needs

Impro+ement#lease briefly e0plain

all responses1

21"ana*ementSystems7communications8

1)1 5oes the facility mana"ement ha(e amechanism7s8 to communicate its commitment andre!uirements for appropriate or'place conduct to itsemployees9

21"ana*ementSystems7report concerns8

1)2 5oes the facility mana"ement ha(e amechanism7s8 for employees to report concernsrelated to or'place misconduct ithout threat ofreprisal% intimidation or harassment9

21"ana*ementSystems7in(esti"ateconcerns8

1): 5oes the facility mana"ement ha(e amechanism7s8 to in(esti"ate reports of or'placemisconduct and for ta'in" disciplinary actions9

"ana*ementSystems7correct concerns8

1); 5oes the facility mana"ement ha(e amechanism7s8 to re(ie the or'place for misconductand to implement correcti(e actions if necessary9

Le*al

Complian/e

2)1 5oes the facility mana"ement ha(e amechanism7s8 to understand all le"al re!uirements

for human ri"hts% la#or and employment practicesthat are applica#le to its #usiness9


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Area ofAssuran/e


Johnson & Johnson*s supplierss are e/pected to treat people ith di"nityand respect) Needs

Impro+ement#lease briefly e0plain

all responses1

31

41 or discrimination #ased on race%color% reli"ion% "ender% pre"nancy% ?IV status% se/ualorientation% national ori"in% a"e% disa#ility% (eteran*sstatus% marital status or political affiliation9

71 Treatment of#ersons

)1 5oes the facility mana"ement ha(e amechanism7s8 to maintain a or'place that is free ofharsh and inhumane treatment% includin" any se/ualharassment or a#use% corporal punishment% mental orphysical coercion or (er#al a#use of or'ers and freeof any threat of such treatment9

81 =or>in* 'ours=a*es and

enefits


9/29SAQ - Ver 2 =a#or - SA 201



Area ofAssuran/e


Johnson & Johnson*s supplierss are e/pected to treat people ith di"nity

and respect) NeedsImpro+ement

#lease briefly e0plainall responses1

81 =or>in* 'ours=a*es andenefits


10/29SAQ - Ver 2 =a#or - SA 2011



Area ofAssuran/e



and respect) NeedsImpro+ement

#lease briefly e0plainall responses1

91 Employment of.oun* #ersons

3)2 5oes the facility mana"ement ha(e amechanism7s8 to comply ith the Johnson & Johnson6mployment of oun" .ersons .olicy hich prohi#itsemployin" anyone under the a"e of 1@ to performhaardous or'9

?1 !reedom ofAsso/iation

@)1 5oes the facility mana"ement ha(e amechanism7s8 to maintain a or'place here theri"hts of its employees to ma'e informed decisionsfree of coercion% threat of reprisal or unlafulinterference re"ardin" their desire to oin or not oinor"aniations are respected9

@1 Colle/ti+e

ar*ainin*

B)1 5oes the facility mana"ement ha(e amechanism7s8 to maintain a or'place here the

ri"hts of its employees to #ar"ain collecti(ely ithoutunlaful interference are respected9


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Area ofAssuran/e



and respect) NeedsImpro+ement#lease briefly e0plain

all responses1

21 'umanTraffi/>in*

10)1 5oes the facility mana"ement ha(e amechanism% includin" policies and>or procedures toe(aluate and address ris' of human traffic'in" 7asdefined #y the nited Dations and "enerally thoru"htof as the recruitment% transporation% transfer%har#ourin" or receipt of persons #y threat or use offorce% coercion% a#duction% fraud% decepetion% a#useof poer or (olunera#ility% or "i(in" payments or#enefits to a person in control of the (ictim89


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'EALT' SA!ET. and =ELL-EIN& SEL!-ASSESS"ENT


21

Area ofAssuran/e


Johnson & Johnson*s suppliers are e/pected to maintain the or'place

and any li(in" !uarters used to house employees in a clean% orderly% andsafe manner) Needs

Impro+ement#lease briefly e0p

responses

21"ana*ementSystems7communications8

1)1 5oes the facility mana"ement ha(e amechanism7s8 to communicate its commitment andre!uirements for or'place health and safety to itsemployees9

21 "ana*ementSystems7assess ris's8

1)2 5oes the facility mana"ement ha(e amechanism7s8 to assess the potential ris's associatedith the presence of chemical% #iolo"ical% physicalhaards in the or'place9

21"ana*ementSystems7control e/posure8

1): 5oes the facility mana"ement ha(e amechanism7s8 to control e/posure to chemical%#iolo"ical% and physical haards in the or'place andto maintain these controls on a routine #asis9

"ana*ementSystems 7chan"em"mt8

1); 5oes the facility mana"ement ha(e amechanism7s8 to mana"e chan"es in the or'placeand update documents% procedures% practices andcontrols related to health and safety as necessary9

21"ana*ementSystems

7health & safetytrainin"8

1) 5oes the facility mana"ement ha(e amechanism7s8 to train employees on their o#-specific

haards 7e)")% chemical% physical8% safe operatin"procedures and the proper use of controls9


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Area ofAssuran/e




Impro+ement#lease briefly e0p

responses1

21

21"ana*ementSystems7trac' incidents8

1)< 5oes the facility mana"ement ha(e amechanism7s8 to report and trac' health and safetyconcerns and incidents in the or'place9

21"ana*ementSystems7report incidents8

1)3 5oes the facility mana"ement ha(e amechanism7s8 to report health and safety incidents toapplica#le re"ulatory authorities and to J&J asappropriate9

21

"ana*ement

Systems7?&S performanceimpro(ements8

1)@ 5oes the facility mana"ement ha(e a

mechanism7s8 to re(ie its health and safetyperformance% identify opportunities for impro(ementand implement correcti(e action as necessary9

"ana*ementSystems7contract or'ers8

1)B 5oes the facility mana"ement ha(e amechanism7s8 to ensure contract or'ers performin"acti(ities at the facility comply ith all re!uirements

related to health and safety9


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Area ofAssuran/e



and any li(in" !uarters used to house employees in a clean% orderly% andsafe manner)Needs

Impro+ement#lease briefly e0pl

responses1

31

31

31

Le*alComplian/e

2)1 5oes the facility mana"ement ha(e amechanism7s8 to understand all or'er health andsafety le"al re!uirements applica#le to its operations9

Le*alComplian/e

2)2 5oes the facility mana"ement ha(e a

mechanism7s8 to comply ith all or'er health andsafety le"al re!uirements applica#le to its operations9

Le*alComplian/e

2): ?as their #een a compliance audit to (erify that thefacility complies ith all or'er health and safety le"alre!uirements applica#le to its operations9

41 C)emi/al'aBards

:)1 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure tochemical haards in the or'place9

41 C)emi/al'aBards

:)2 If applica#le% does the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure tohaards associated ith acti(e pharmaceutical

in"redients 7A.I8 in the or'place9


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Area ofAssuran/e



and any li(in" !uarters used to house employees in a clean% orderly% andsafe manner)Needs

Impro+ement#lease briefly e0pl

responses1

61

6

71

71

41 C)emi/al'aBards

:): If a J&J A.I is handled at the facility and J&J hasdetermined a .erformance -#ased Eccupational6/posure =imit 7.E6=8 or Eccupational 6/posure=imit% does the facility mana"ement ha(e amechanism7s8 to control e/posures in the or'place tothis limit9

iolo*i/al'aBards

;)1 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure to#iolo"ical haards in the or'place9

iolo*i/al'aBards

;)2 5oes the facility mana"ement ha(e amechanism7s8 to pro(ide safe and pota#le drin'in"ater to its employees9

#)ysi/al'aBards7confined space8

)1 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent unauthoried confined spaceentry9

#)ysi/al'aBards7radiation8

)2 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure toradiation haards in the or'place9


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Area ofAssuran/e




Impro+ement#lease briefly e0

responses

71

71

71

71

71

#)ysi/al'aBards7cuttin">mo(in"e!uip8

): 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure to thephysical haards associated ith cuttin" or mo(in"e!uipment in the or'place9

#)ysi/al'aBards7li(e electricity8

); 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure to thephysical haards associated ith or' in(ol(in" li(eelectricity9

#)ysi/al'aBards7stored ener"y8

) 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure to thephysical haards associated ith stored ener"y 7e)")%electrical% pneumatic% chemical8 durin" ser(icin" of

machinery9

#)ysi/al'aBards7physicallydemandin" tas's8

)< 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure to thephysical haards associated ith physicallydemandin" tas's in the or'place such as tas'sin(ol(in"G repetiti(e motion% a'ard posture% physicalstress% prolon"ed static posture% (i#ration% ortemperature e/tremes9

#)ysi/al'aBards7poered (ehicles8

)3 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posure to thephysical haards associated ith .oered IndustrialVehicles 7.IVs8 such as for'lifts in the or'place9


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Area ofAssuran/e



and any li(in" !uarters used to house employees in a clean% orderly% andsafe manner) NeedsImpro+ement

#lease briefly e0presponses

71

71

71

71

#)ysi/al'aBards7noise8

)@ 5oes the facility ha(e a mechanism to pre(entemployee e/posures to the physical haardsassociated ith #ein" routinely su#ected to noise atmore than @ deci#els in the or'place9

#)ysi/al'aBards7ele(ated hei"hts8

)B 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posures to thephysical haards associated ith performin" or' atele(ated hei"hts or near e/ca(ations in the or'place9

#)ysi/al'aBards7materials athei"hts8

)10 5oes the facility mana"ement ha(e amechanism7s8 to pre(ent employee e/posures to thephysical haards associated ith materials fallin" fromhei"hts such as materials in stora"e or #ein"

transported #y hoists or cranes in the or'place9

#)ysi/al'aBards7safe al'in" He"ress8

)11 5oes the facility mana"ement ha(e amechanism7s8 to ensure house'eepin" practices andfacility desi"n allo for safe or'in"% safe al'in" andsafe e"ress9


18/29



Area ofAssuran/e



and any li(in" !uarters used to house employees in a clean% orderly% andsafe manner) NeedsImpro+ement

#lease briefly e0presponses1

81 #ro/ess Safety

91

91

91

91

or corrosi(e chemicals9

Emer*en/y#reparedness ;Response

3)1 5oes the facility mana"ement ha(e amechanism7s8 to identify and plan for potentialemer"encies 7fires% e/plosions% medical incidents8 inthe or'place and>or company pro(ided li(in"!uarters9

Emer*en/y

#reparedness ;Response

3)2 5oes the facility mana"ement ha(e a

mechanism7s8 to pre(ent and miti"ate the impacts ofemer"ency situations9


3): 5oes the facility mana"ement ha(e amechanism7s8 to arn or'ers of emer"encysituations and to e(acuate or'ers from #uildin"sincludin" li(in" !uarters9


3); 5oes the facility mana"ement ha(e amechanism7s8 to e/ecute emer"ency responseprocedures9


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Area ofAssuran/e


Johnson & Johnson*s suppliers are e/pected to maintain the or'placeand any li(in" !uarters used to house employees in a clean% orderly% and

safe manner) NeedsImpro+ement

#lease briefly e0plain alresponses1

? 'ealt) #ro*rams

@)1 5oes the facility mana"ement ha(e amechanism7s8 to promote health pro"rams 7fore/ampleG fitness pro"rams% smo'in" cessation% #loodpressure monitorin"% etc)8 that positi(ely impact thehealth of the employees9


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SAQ - Ver 2 6n(ironment - SA 2011

S(STAINAILIT. and EN


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SAQ - Ver 2 ransparency - SA 2011

TRANS#ARENC. AND DISCLS(RE SEL!-ASSESS"ENT


21

21

21

Area ofAssuran/e


Johnson & Johnson*s suppliers are e/pected to operate in an

en(ironmentally responsi#le mannerH) NeedsImpro+ement

#lease briefly

e0plain allresponses1

Transparen/y andDis/losure

1)1 5oes the facility mana"ement ha(e amechanism7s8 to assess hat is material to itsoperations and to determine hich are mostsi"nificant9


1)2 5oes the facility mana"ement ha(e amechanism7s8 to identify and en"a"e 'eysta'eholders9


1): 5oes the facility mana"ement ha(e amechanism7s8 to pu#licly disclose efforts andperformance correspondin" to hat is material9

EHS_Form II.xlsx

Documents

Transcript of EHS_Form II.xlsx