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FormNo.:GSV-IssueDate:25April2009IssueNo.:02Page1of4GSVSelf-AssessmentFormGSV自我评估表PleasecompletethisSelf-AssessmentFormandreturntoIntertekGSVcoordinatorbeforetheauditdate.请填写以下自我评估表，并在审核日期前发送至GSV协调员。FactoryName:GSVRegistrationNumber:工厂名称：华登（河源）玩具制品有限公司GSV注册号：GSV-CHN-07-A-00076-R2FactoryInformation工厂信息1Whattypeofcommodityisproducedbythefactories?贵工厂生产的产品类型是什么？2Whatyearwasthecompanyestablished?公司在哪一年成立？20053WhatistheapproximatepercentageofexportintotheU.S.?出口美国的比例是多少？80%4HowmanycontainersareshippedtoUSpermonthoryearfromthisfacility?该工厂每月或每年运往美国的集装箱是多少？10005Numbers/typesofbuilding?建筑物数量/类型？栋6Approximatepropertysize?工厂大约的面积？20000㎡7Whoarethecompany'smajorcustomers?贵公司的主要客户？WALMARTTARGET8Whatarethehoursofoperations?工作时间？8：00-17：309Howmanyentranceforexternalinyourfacility?贵工厂有多少个通往外部的出口？1个10Howmanyemployeesworkinthefactory?(Full/PartTime/Seasonal)工厂有多少员工？(全职/兼职/季节性)99511Whatarethenamesofthecompany'sbrokers/freightforwarders?公司的货运代理的名称？运输公司12Whatarenamesofthecompany'stransportationprovidersandtheircurrentaddress?公司的运输商及其现驻址？运输公司/广东XXXGeneral综合信息Yes/No/N/A是/否/无13Doyouhaveapolicythatrequiresallsecurityprocedurestobedocumented?是否要求所有安全程序有书面制度？是14Doyouhaveadesignatedsecuritydepartment/chief?是否有专职的保安部/主管？是PersonnelTraining人员培训Yes/No/N/A是/否/无15Isthereaprocessinplacetoscreenprospectiveemployeesandtoperiodicallycheckcurrentemployees?是否对应聘人员进行筛查，并对现在员工进行定期检查？是FormNo.:GSV-IssueDate:25April2009IssueNo.:02Page2of416Whenallowedbylaw,arebackgroundchecksconductedonallemployees?在法律允许的范围内，是否对所有员工进行背景审查？是17Istheissuanceofemployeeidentificationcentralizedandcontrolledbyaspecificdepartment?员工证的发放是否专门的部门负责？是18Doesnewemployeeorientationincludesecurityandthreatawarenesstraining?新员工的入职培训是否包括安全和危险意识培训？是19Haveyouidentifiedrestrictedareasanddeterminedwhoisauthorizedtobepresent?工厂内是否设有禁区，是否有进入权限的规定？是20Isalltrainingfornewemployeesdocumented(includinginformationsuchassubject,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)？是21Doyouhaveawrittencodeofconductforemployees?是否有书面的员工行为守则？是22Isthereanestablishedproceduretoconductunannouncedsecuritychecksperiodicallyforallareasofconcern?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？是PhysicalSecurity实体安全Yes/No/N/A是/否/无23Doesthefacilityhaveanintrusiondetectionoralarmsystem?工厂是否有非法进入监测和报警系统？是24Isanemployeeidentificationsystemusedforpositiveidentificationandaccesscontrol?是否实施了员工身份认证系统和出入控制？是25Doadequatelockingdevicesprotectallaccesspoints(doors,windows,gates)?所有出入口(门、窗、大门等)都装有完备的锁闭装置吗？是26DoyouhaveadocumentedprocedureregardingfacilityKeyControl(assign,dateout-in,tracking)?工厂是否有书面的钥匙管理制度(发放、收发日期、追踪)？是27Isyourbuildingperimetersecuredbyanadequatewallorfence?建筑物周围是否有完善的围墙或护栏？是28Isthereanyoutsidefloodlightingofentrances,exits,cargohandlingandstorageareas?入口、出口、货物装卸和储存区是否有外部泛光照明？是29Areinboundshipmentscontainerized?输入的物品是否用集装箱装载？是30Ifyes,aretheshipmentssealsverifiedanddocumented?如果是，是否对货物的封条进行查验并记录？是31Doyoustoreemptyorloadedcontainersonsite?是否将空的或已装货的集装箱存放在工厂内？否32Ifyes,arethecontainerdoorssealedorlocked?如果是，集装箱的门是否贴封条或上锁？是33Doyouhaveadesignatedsecurityguardforce?工厂是否有专门的保安力量？是34Areclosedcircuittelevisioncameras(CCTV)usedtomonitortheactivityinside/outsidethefacility?是否采用闭路电视摄像机（CCTV）监控工厂内/外部的情况？是35Areclosedcircuittelevisioncameras(CCTV)usedtomonitortheshippingdockandcontainerloadingareas?是否采用闭路电视摄像机（CCTV）监控运输区和集装箱装货区？是FormNo.:GSV-IssueDate:25April2009IssueNo.:02Page3of436Doyouhavetherecordingdatastored?是否储存记录资料？是37Isthereavisitorslogmaintained?是否有访客记录？是38Arevisitors,deliverydrivers,andtransportationdriversrequiredtoshowapictureIDbeforepermittedaccesstothefacility?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？是39Isacontainersecuritysealverifiedforaccuracyagainstshippingdocumentspriortodepartingthefactory?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？是40Isvistitorparkingawayfromentrancesanddocks?访客停车区是否与入口和货运区分开？是41Arevehiclesprohibited/preventedfromparkingnearcargoconveyances?是否禁止/防止车辆停在货物运输工具附近？是42Arethereproceduresinplacefordetectingandreportingshortagesoroveragesinincomingshipments?是否有相应程序，检查或汇报入厂货物的短缺或超量？是InformationAccessControls信息资料控制Yes/No/N/A是/否/无43Doyouhaveproceduresconcerningaccesstoautomatedsystemsanddocuments?是否有进入自动系统和查看文件的权限控制？是44Doyouhaveestablishedpasswordcontrolsforyourautomatedsystems?自动系统是否有密码控制？是45ShipmentInformationControls运输信息控制Yes/No/N/A是/否/无46Isthereadesignatedcompanyrepresentativeresponsibleforprovidingaccurateinformationtothebroker?公司是否有专人负责向代理商提供准确的信息？是47Storage&Transportation/Distribution储存和运输/分销Yes/No/N/A是/否/无48Arestoredcontainerdoorssecuredwithahighsecuritylockingdeviceorseal?工厂中存放的集装箱是否装有高安全性锁闭装置或封条？是49Whoprovidesandaffixesthesealstoconveyances?由谁负责提供和加贴封条？李仁山50Isdangerouscargo(includinghazardousmaterials)storedseparatelyandproperlyidentified?危险货品(包括有害材料)是否单独存放或标注识别信息？是51Isloadingofcontainerssupervisedbyasecurityguardordesignatedsupervisor?集装箱的装运是否由保安或专门的主管监管？是52Arethereproceduresfortrackingshipments?(Fromwheretowhere?)是否有追踪货物的程序？(从哪里到哪里？)是53Arecontainersutilizedforshipments?运输是否采用集装箱？是54DoyouonlyuseISO17712highsecuritycompliantsealsforoceanshipments?海运货物是否只采用符合ISO17712高安全性要求的封条？是55Doyouhaveadocumentedpolicyonhowtoaffix,replace,record,an