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Form No GSV F14Issue Date 25 April 2009 Issue No 02Page 1 of 4 GSV Self Assessment Form GSV 自我评估表自我评估表 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 工厂名称 GSV 注册号 注册号 Factory Information 工厂信息工厂信息 1 What type of commodity is produced by the factories 贵工厂生产的产品类型是什么 2 What year was the company established 公司在哪一年成立 3 What is the approximate percentage of export into the U S 出口美国的比例是多少 4 How many containers are shipped to US per month or year from this facility 该工厂每月或每年运往美国的集装箱是多少 5 Numbers types of building 建筑物数量 类型 6 Approximate property size 工厂大约的面积 7 Who are the company s major customers 贵公司的主要客户 8 What are the hours of operations 工作时间 9 How many entrance for external in your facility 贵工厂有多少个通往外部的出口 10 How many employees work in the factory Full Part Time Seasonal 工厂有多少员工 全职 兼职 季节性 11 What are the names of the company s brokers freight forwarders 公司的货运代理的名称 12 What are names of the company s transportation providers and their current address 公司的运输商及其现驻址 General 综合信息综合信息 Yes No N A 是是 否否 无无 13 Do you have a policy that requires all security procedures to be documented 是否要求所有安全程序有书面制度 14 Do you have a designated security department chief 是否有专职的保安部 主管 Personnel Training 人员培训人员培训 Yes No N A 是是 否否 无无 15 Is 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 并对现在员工进行定期检查 Form No GSV F14Issue Date 25 April 2009 Issue No 02Page 2 of 4 16 When 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 17 Is 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 18 Does 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 19 Have 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 20 Is all training for new employees documented including information such as subject date 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 21 Do you have a written code of conduct for employees 是否有书面的员工行为守则 22 Is 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 Physical Security 实体安全实体安全 Yes No N A 是是 否否 无无 23 Does 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 24 Is 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 25 Do 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 26 Do 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 27 Is 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 28 Is there any outside flood lighting of entrances exits cargo handling and storage areas 入口 出口 货物装卸和储存区是否有外部泛光照明 29 Are inbound shipments containerized 输入的物品是否用集装箱装载 30 If 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 31 Do 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 32 If yes are the container doors sealed or locked 如果是 集装箱的门是否贴封条或上锁 33 Do you have a designated security guard force 工厂是否有专门的保安力量 34 Are 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 35 Are closed circuit television cameras CCTV used to monitor the shipping dock and container 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 Form No GSV F14Issue Date 25 April 2009 Issue No 02Page 3 of 4 36 Do you have the recording data stored 是否储存记录资料 37 Is there a visitors log maintained 是否有访客记录 38 Are visitors delivery drivers and transportation drivers required to show 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 39 Is 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 40 Is vistitor parking away from entrances and docks 访客停车区是否与入口和货运区分开 41 Are 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 42 Are 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 Information Access Controls 信息资料控制信息资料控制 Yes No N A 是是 否否 无无 43 Do you have procedures 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 44 Do you have established password controls for your automated systems 自动系统是否有密码控制 45 Shipment Information Controls 运输信息控制运输信息控制 Yes No N A 是是 否否 无无 46 Is there a designated company representative responsible for providing accurate information to the broker 公司是否有专人负责向代理商提供准确的信息 47 Storage Transportation Distribution 储存和运输储存和运输 分销分销 Yes No N A 是是 否否 无无 48 Are 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 49 Who provides and affixes the seals to conveyances 由谁负责提供和加贴封条 50 Is dangerous cargo 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 51 Is 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 52 Are 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 53 Are containers utilized for shipments 运输是否采用集装箱 54 Do 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 55 Do 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 Form No GSV F14Issue Date 25 April 2009 Issue No 02Page 4 of 4 56 Do 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 57 Is there a written contract with the transporter that moves containers from the factory to the port 与将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 58 Is there a procedure for in country carr
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