1、Form No.: GSV-F14 Issue Date: 25 April 2009Issue No. : 02 Page 1 of 4GSV Self-Assessment FormGSV 自我评估表Please complete this Self-Assessment Form and return to Intertek GSV coordinator before the audit date. 请填写以下自我评估表，并在审核日期前发送至 GSV 协调员。Factory Name : GSV Registration Number :工厂名称： GSV 注册号：Factory In
2、formation工厂信息1What type of commodity is produced by the factories? 贵工厂生产的产品类型是什么？ 厨房用品2What year was the company established?公司在哪一年成立？ 2007/11/123What is the approximate percentage of export into the U.S.?出口美国的比例是多少？4How many containers are shipped to US per month or year from this facility?该工厂每月或每年
3、运往美国的集装箱是多少？ 每月 15 个柜左右5Numbers/types of building?建筑物数量/类型？ 4 栋厂房，1 栋宿舍6Approximate property size?工厂大约的面积？ 12000 平方米7Who are the companys major customers?贵公司的主要客户？ COSC8What are the hours of operations?工作时间？ 8 小时9How many entrance for external in your facility?贵工厂有多少个通往外部的出口？ 2 个10How many employees
4、 work in the factory? (Full/Part Time/ Seasonal)工厂有多少员工？(全职/兼职/季节性) 230 人11What are the names of the companys brokers/freight forwarders? 公司的货运代理的名称？ 12What are names of the companys transportation providers and their current address?公司的运输商及其现驻址？ General综合信息Yes/No/N/A是/否/无13Do you have a policy that
5、 requires all security procedures to be documented? 是否要求所有安全程序有书面制度？ Y14Do you have a designated security department/chief? 是否有专职的保安部/主管？ YPersonnel Training 人员培训Yes/No/N/A是/否/无15Is there a process in place to screen prospective employees and to periodically check current employees? 是否对应聘人员进行筛查，并对现在
6、员工进行定期检查？ YForm No.: GSV-F14 Issue Date: 25 April 2009Issue No. : 02 Page 2 of 416When allowed by law, are background checks conducted on all employees? 在法律允许的范围内，是否对所有员工进行背景审查？ Y17Is the issuance of employee identification centralized and controlled by a specific department?员工证的发放是否专门的部门负责？ Y18Does
7、 new employee orientation include security and threat awareness training? 新员工的入职培训是否包括安全和危险意识培训？ Y19Have you identified restricted areas and determined who is authorized to be present? 工厂内是否设有禁区，是否有进入权限的规定？ Y20Is all training for new employees documented (including information such as subject, date,
8、 attendees)?是否对所有的新员工培训进行记录(包括主题、日期、参加人员等 )？ Y21Do you have a written code of conduct for employees? 是否有书面的员工行为守则？ Y22Is there an established procedure to conduct unannounced security checks periodically for all areas of concern? 是否有相关制度，对所有重点区域是否定期进行突击安全检查？ YPhysical Security 实体安全Yes/No/N/A是/否/无23D
9、oes the facility have an intrusion detection or alarm system? 工厂是否有非法进入监测和报警系统？ Y24Is an employee identification system used for positive identification and access control?是否实施了员工身份认证系统和出入控制？ Y25Do adequate locking devices protect all access points (doors, windows, gates)?所有出入口(门、窗、大门等)都装有完备的锁闭装置吗？
10、Y26Do you have a documented procedure regarding facility Key Control (assign, date out-in, tracking)? 工厂是否有书面的钥匙管理制度(发放、收发日期、追踪)？ Y27Is your building perimeter secured by an adequate wall or fence? 建筑物周围是否有完善的围墙或护栏？ Y28Is there any outside flood lighting of entrances, exits, cargo handling and stora
11、ge areas?入口、出口、货物装卸和储存区是否有外部泛光照明？ Y29Are inbound shipments containerized? 输入的物品是否用集装箱装载？ N30If yes, are the shipments seals verified and documented? 如果是，是否对货物的封条进行查验并记录？ N31Do you store empty or loaded containers on site?是否将空的或已装货的集装箱存放在工厂内？ Y32If yes, are the container doors sealed or locked?如果是，集装
12、箱的门是否贴封条或上锁？ Y33Do you have a designated security guard force? 工厂是否有专门的保安力量？ Y34Are closed circuit television cameras (CCTV) used to monitor the activity inside/outside the facility? 是否采用闭路电视摄像机（CCTV）监控工厂内/外部的情况？ Y35Are closed circuit television cameras (CCTV) used to monitor the shipping dock and c
13、ontainer loading areas? 是否采用闭路电视摄像机（CCTV）监控运输区和集装箱装货区？ YForm No.: GSV-F14 Issue Date: 25 April 2009Issue No. : 02 Page 3 of 436Do you have the recording data stored?是否储存记录资料？ Y37Is there a visitors log maintained? 是否有访客记录？ Y38Are visitors, delivery drivers, and transportation drivers required to sho
14、w a picture ID before permitted access to the facility?访客、送货司机和运输司机是否需要出示身份证明才能进入工厂？ Y39Is a container security seal verified for accuracy against shipping documents prior to departing the factory? 集装箱离开工厂前是否要根据运输文件对安全封条的准确性进行验证？ Y40Is vistitor parking away from entrances and docks? 访客停车区是否与入口和货运区分开
15、？ Y41Are vehicles prohibited/prevented from parking near cargo conveyances?是否禁止/防止车辆停在货物运输工具附近？ Y42Are there procedures in place for detecting and reporting shortages or overages in incoming shipments? 是否有相应程序，检查或汇报入厂货物的短缺或超量？ YInformation Access Controls信息资料控制Yes/No/N/A是/否/无43Do you have procedures
16、 concerning access to automated systems and documents? 是否有进入自动系统和查看文件的权限控制？ Y44Do you have established password controls for your automated systems?自动系统是否有密码控制？ Y45Shipment Information Controls运输信息控制 Yes/No/N/A是/否/无46Is there a designated company representative responsible for providing accurate inf
17、ormation to the broker?公司是否有专人负责向代理商提供准确的信息？ Y47Storage & Transportation/Distribution 储存和运输/分销Yes/No/N/A是/否/无48Are stored container doors secured with a high security locking device or seal? 工厂中存放的集装箱是否装有高安全性锁闭装置或封条？ Y49Who provides and affixes the seals to conveyances?由谁负责提供和加贴封条？ Y50Is dangerous c
18、argo (including hazardous materials) stored separately and properly identified?危险货品(包括有害材料)是否单独存放或标注识别信息？ Y51Is loading of containers supervised by a security guard or designated supervisor?集装箱的装运是否由保安或专门的主管监管？ Y52Are there procedures for tracking shipments? (From where to where?)是否有追踪货物的程序？(从哪里到哪里？
19、) Y53Are containers utilized for shipments? 运输是否采用集装箱？ Y54Do you only use ISO17712 high security compliant seals for ocean shipments?海运货物是否只采用符合 ISO17712 高安全性要求的封条？ Y55Do you have a documented policy on how to affix,replace, record, and track seals placed on containers? 是否有集装箱封条加贴、更换、记录和追踪的书面规章制度？ Y
20、Form No.: GSV-F14 Issue Date: 25 April 2009Issue No. : 02 Page 4 of 456Do you have procedures in place to properly check the integrity of containers (7-point inspection)? 是否有检查集装箱完好性(7 点检验)的程序？ Y57Is there a written contract with the transporter that moves containers from the factory to the port? 与将
21、集装箱从工厂运输至港口的运输商之间是否签有书面合同？ N58Is there a procedure for in-country carriers to report in-transit security violations to the facility management?是否有相关程序，规定国内运输商如何向工厂管理层汇报运输过程中违反安全规定的情况？ YContractor Controls 承包商管理Yes/No/N/A是/否/无59Do you have written security standards and procedures for contractors?是否有
22、针对承包商的书面标准和程序？ Y60Where applicable, do you require C-TPAT enrollment of contractors?在适用的情况下，贵公司是否要求承包商加入 C-TPAT？ N61Export Logistics (Carrier/Third Party Logistics) 出口物流 (承运商/第三方物流)Yes/No/N/A是/否/无62Does the factory perform background checks on the consolidators, freight forwarders, 3PLs, or carriers used by the facility? 工厂是否会对拼装商、货代、3PLs 或承运商的背景进行审查？ NCompleted by:填写人： 蔡晓媛Department/ Title:部门/职务： 行政主管Date:日期： 2010/11/19
