Center Nike Corporate Responsibility Compliance Production SHAPE Assessment Form Safety, Health, Attitude, People & Environment Center
0 | Contractor Name: | |||||
H | 0 | Contractor Code: | ||||
A | 0 | Contractor City: | ||||
P | 0 | Contractor Country: | ||||
E | 0 | First Name: | Last Name/Surname: | |||
Total | 0 | NIKE Representative Name: | ||||
% | 0% | NIKE Representative Title: | ||||
First Name: | Last Name/Surname: | |||||
Employee Representative Name: | ||||||
Contractor Representative Name: | ||||||
Contractor Representative Title: | ||||||
Date: | ||||||
How to evaluate Training Guidance: | How to evaluate documentation Guidance: | |||||
Training | Policy & Manuals: | |||||
1. documented signature sheet, including name of employee and signature, date of training and signature of designated trainer. | 1. Must be written in the language of the employees, managers, supervISOrs and in English. | |||||
2. documented curriculum of each training subject and a picture or two of the training session. | 2. Must be "posted" in a public area (Contractor bulletin board), given to the employee (employee handbook) or available to employee upon request. | |||||
3. Observation of employees skills and behaviors. | 3. Must be reviewed and updated once each year, signed by President Director. | |||||
How to score the SHAPE Inspection | Score | Comments | ||||
YES | 1 | 100% compliant at time of inspection | ||||
NO | 0 | Not 100% compliant | ||||
Not Applicable | N/A | Please note "why" marked N/A in Locations / Comments section (be sure to mark N/A in score column) | ||||
* = documentation check | ||||||
SAFETY | ||||||
Item | Direction | Score | Max | Locations / Comments | ||
Safety Practices | ||||||
1* | Contractor has a written Safety & Health Policy that is current (within the last 12 months), signed by the President Director and is posted (Policy should reflect commitment of top management, state overall S&H objectives, commitment to improving S&H performance, committment to continuous improvement, commitment to comply with local country laws and other requirements to which the contractor subscribes, available to the public, reviewed periodically and communicated to employees) | See documentation Guidance | 1 | |||
2* | Contractor has documented new employee orientation training (training should include review of policies, rules & regulations, emergency procedures and any special condition specific to his / her working environment) | See documentation Guidance | 1 | |||
3* | Contractor has documented training that employees are trained on the standard operating procedures for their individual work areas, to include all specific and general hazards that relate to that work area and their surrounding work environment | See documentation Guidance | 1 | |||
4 | Employees and supervisors wear the required Personal Protective Equipment (PPE) as posted | Examples: safety glasses, hearing protection, respirators | 1 | |||
5* | Contractor has documented PPE training | See Training Guidance | 1 | |||
6 | Machines engineered for two-hand activation are working properly | 2 hands used | 1 | |||
Emergency Action | 0 | |||||
7* | Contractor has a written emergency action plan that is accessible (i.e. posted and / or centrally located) to employees, supervisors and management to include, at a minimum, escape procedures, escape route assignments and roll-call | See documentation Guidance | 1 | |||
8* | Contractor has a written medical and first-aid program to include, at a minimum, location and availability of medical facilities and emergency services, availability of medical personnel, first aid kit locations & contents and types of accidents that could reasonably occur | See documentation Guidance | 1 | |||
9 | Contractor has posted emergency contact numbers by telephones or employee bulletin boards and other conspicuous locations | 1 | ||||
10* | Contractor has annual evacuation drills (drills can be conducted in the larger contractors so that all employees have done at least one drill every year) | check documentation that drills have been done | 1 | |||
11 | Exits are unlocked from the inside during working hours | 1 | ||||
12 | Alarm systems are provided to warn employees of necessary action to be taken | alarm must be seen or heard | 1 | |||
13 | Manually activated alarm systems (i.e. pull box stations) are unobstructed, marked and accessible | 1 | ||||
14 | First aid kits are accessible to each work area, kitchen / canteen and dorm area with necessary supplies available | approved by consulting physician/nurse or person competent in first-aid who's knowledgeable of factory workplace hazards | 1 | |||
Fire Prevention | 0 | |||||
15* | Contractor has documented fire extinguisher training | See Training Guidance | 1 | |||
16 | Fire extinguishers are accessible and free of obstructions | 1 | ||||
17 | Fire extinguishers are mounted | minimum of 4 inches off the ground | 1 | |||
18 | Fire extinguishers are marked (demarcated to be seen at eye level) | 1 | ||||
19 | Fire extinguishers are inspected monthly (tracking system evident) | 1 | ||||
20 | Contractor has emergency lighting (all exits and stairways) | not powered by main power supply | 1 | |||
21 | Fire exits marked with an illuminated exit sign by a reliable light source | 1 | ||||
22 | Contractor has fire systems in place (sprinklers, fire hoses, fire brigade) | one will count | 1 | |||
Electrical | 0 | |||||
23 | Flexible cords and cables free of splices, frayed wiring or deteriroated insulation | no bare wires | 1 | |||
24 | Individual equipment such as sewing machines, buffing machines and cutting machines are wired so as not to interfere with work or employees | 1 | ||||
25 | Disconnecting switches and circuit breakers (electrical panel) are labeled to indicate their use or equipment served | Example: breaker #6-lights/ Switch 1C-Rubbermill #2 |
1 | |||
26 | Electrical enclosures (i.e. switches, receptacles, junction boxes, etc.) are provided with tight fitting covers or plates | 1 | ||||
27 | Electrical equipment (i.e. electrical panels, fuse/breaker boxes) are accessible and free of obstructions | marked with floor lines at least 1 meter/3 feet clearance on all sides | 1 | |||
Material Handling, Lighting, Housekeeping | 0 | |||||
28 | Storage areas (materials and finished goods) are uncluttered and accessible | local | 1 | |||
29 | Floors & aisles are clean, marked & kept clear of obstructions | floor lines | 1 | |||
30 | Stairs have railings (with 4 or more risers, 1 side mimimum, never an "open" side) | waist height is best | 1 | |||
31 | Stairs are illuminated (top to bottom) | 1 | ||||
32 | Stairs are clear of obstructions and are in good condition | 1 | ||||
33 | Lifts have a door or gate on the opening to the lift shaft | 1 | ||||
34 | Lifts cannot be "activated" if the door or gate is in the open position | critical: interlocked with safety device | 1 | |||
Safety Total Score | 0 | 0 | 34 | |||
HEALTH | ||||||
Item | Direction | Score | Max | Location/Comments | ||
Sanitation – All Spaces | ||||||
35 | Employees are provided with individual drinkable water | cups or fountain | 1 | |||
36 | Drinking water is easily accessible to employees in each work area | 1 | ||||
37 | Toilets facilities have soap | liquid is preferred | 1 | |||
38 | Toilets have paper towels or hand dryers | local | 1 | |||
39 | Toilets have washing basins | local | 1 | |||
40 | Toilets have running water | local | 1 | |||
41 | Toilets have water flushing system | some countries using scoop water flush system | 1 | |||
42 | All toilet spaces are adequately ventilated | local | 1 | |||
43 | All toilet spaces have adequate enclosed drainage | local | 1 | |||
44 | Deodorant tablets used in urinals & toilet areas | local | 1 | |||
45 | Toilets and floors are cleaned daily with disinfectant | local | 1 | |||
46 | Covered rubbish bins are in each toilet area | local | 1 | |||
47 | Rubbish bins are cleared daily, as necessary | local | 1 | |||
Kitchen, Canteen or Catered Food Service | 0 | |||||
48* | Food service employees receive medical checks every six months and individual health certificates are posted by factory clinic | locally relevant check | 1 | |||
49 | Functioning cold room, freezer or refrigeration system used | local | 1 | |||
50 | Functioning cold room, freezer or refrigeration system is sanitary | local | 1 | |||
51 | Dishes cleaned with hot water and liquid detergent | local | 1 | |||
52 | Floors and drains are clean | local | 1 | |||
53 | Tabletops are clean | local | 1 | |||
54 | Food is stored off of ground | local | 1 | |||
55 | Kitchen area has a clean water basin, running water and soap that is accessible to foodhandlers | 1 | ||||
56 | Kitchen / canteen area is sanitary / free of flies, rodents, and cats | 1 | ||||
57 | Food is covered | 1 | ||||
58 | Food handlers wear hairnets / hats and aprons when preparing meals | local | 1 | |||
59 | Food servers wear hairnets / hats, aprons and gloves when serving | local | 1 | |||
Clinics or Emergency Health Treatment | 0 | |||||
60 | If more than 1,000 employees, Contractor has on-site clinic | local | 1 | |||
61 | Clinic has at least one clean, screened bed per 1,000 employees | local | 1 | |||
62 | Contractor has one full-time doctor, two nurses on-site for every 5,000 employees during all Contractor working hours, including all overtime. | local | 1 | |||
63 | Clinic is air conditioned / heated to maintain a "comfortable" level | 21 - 28 C range | 1 | |||
64* | Clinic has computerized health records for every employee | local | 1 | |||
65 | Clinic has database to track illnesses and injuries | local | 1 | |||
66 | If less than 1,000 employees, Contractor has posted names of dedicated emergency responders in each work area | local | 1 | |||
Worker Dormitories | 0 | |||||
67 | All spaces are sanitary (toilets, showers, halls, kitchen / canteen, etc.) | local | 1 | |||
68 | All spaces have adequate heating and ventilation | local | 1 | |||
69 | All spaces have adequate lighting | local | 1 | |||
70 | Washing areas & toilets are adequate for number of employees | 1 | ||||
71 | Living quarters for men & women are appropriately separated | local | 1 | |||
72 | Contractor provides dormitory security at all times (24 hours) | local | 1 | |||
73 | Dormitories have emergency lighting | local | 1 | |||
74 | Dormitories have illuminated emergency exits marked by visible signs and exits are free of obstructions | local | 1 | |||
75 | Living space doors are unlocked for fire evacuation safety | local | 1 | |||
Health Total Score | 0 | 0 | 41 | |||
Attitude of Management | ||||||
Item | Direction | Score | Max | Locations/Comments | ||
Employee Hours | ||||||
76* | Contractor has a mechanical / electrical timekeeping system (timecards or computerized system) | 1 | ||||
77 | Contractor has overtime policy posted in language of worker, management and English | 1 | ||||
78 | based on 10 randomly selected time cards, where the law allows more than 60 hrs/week, employees are compliant with local OT limits | complying with NIKE OT Policy | 1 | |||
79* | based on 10 randomly selected time cards, where the law allows more than 60 hrs/week, employees are signing statements to voluntarily work overtime per the NIKE OT Policy | complying with NIKE OT Policy | 1 | |||
80* | based on 10 randomly selected time cards, employees are receiving one day off in seven on a regularly scheduled basis | 25% of a given period | 1 | |||
81* | Contractor maintains weekly OT summary by department | all departments | 1 | |||
Culture of Respect | 0 | |||||
82* | Contractor has documented training for expatriate management about the culture of their employees | See Training Guidance | 1 | |||
83* | All managers and workers have documented training in local labor law, NIKE Code and Harassment & Abuse Policy | See Training Guidance | 1 | |||
84 | No work disruptions in past six months (i.e.strikes, walkouts, etc..) | 1 | ||||
85 | Current NIKE Code of Conduct is posted in all major work areas in the language of the employees, management and English | all areas | 1 | |||
86* | All Employees and management have received Code of Conduct cards in language of the employees and management respectively | all employees and supervisors | 1 | |||
87 | Labor rights (wages, hours of work, benefits, holidays) are posted | all work spaces | 1 | |||
88 | Contractor has employee-management communication systems (i.e. union, employee reps, employee committees) which consists of regular communication between management and employee reps at least once a month and related information is posted | one will count | 1 | |||
89 | Contractor has confidential grievance/feedback system | example: suggestion boxes, ombudsmen offices | 1 | |||
90 | Contractor posts management responses to employee feedback and concerns at least on a quarterly basis | all areas | 1 | |||
Attitude Total Score | 0 | 0 | 15 | |||
People | ||||||
Item | Direction | Score | Max | Locations/Comments | ||
91 | Contractor offers educational opportunities (vocation, language training, scholarships) for employees | any 1 will count | 1 | |||
92 | Contractor posts culturally appropriate information on drug abuse, AIDS awareness, family planning, related life skills topics, etc. | any 1 will count | 1 | |||
93 | Contractor provides employees with cultural/recreational activities and/or childcare services | any 1 will count | 1 | |||
94 | Contractor has system in place to recognize top performing employees (visible evidence) | local | 1 | |||
95 | Contractor provides free/subsidized transportation | local | 1 | |||
96 | Contractor provides free/subsidized meals | local | 1 | |||
97 | Contractor involved with community outreach programs | local | 1 | |||
People Total Score | 0 | 0 | 7 | |||
Environment | ||||||
Item | Direction | Score | Max | Locations/Comments | ||
Environmental Practices | ||||||
98* | Contractor has a written Environmental Policy that is current (within the last 12 months), signed by President Director and is posted (Policy should reflect commitment of top management, state overall Environmental objectives, commitment to improving Environmental performance, committment to continuous improvement, commitment to comply with local country law and other requirements to which the contractor subscribes, available to the public, reviewed periodically and communicated to employees) | See documentation Guidance | 1 | |||
Chemical Storage, Use and Handling | 0 | |||||
99 | Material Safety Data Sheets (MSDS) are available in the language of the employees, management and english | where chemicals are used | 1 | |||
100* | Contractor has documented MSDS training | See Training Guidance | 1 | |||
101 | Chemical containers are in good condition | not crushed, dented, rusted or leaking | 1 | |||
102 | Chemical containers are labeled (including secondary containers) | should include name of product, hazards, PPE, etc. | 1 | |||
103 | Chemical containers are kept closed except when removing / adding product (including secondary containers) | 1 | ||||
104 | Chemical storage areas are neat / orderly | local | 1 | |||
105 | Chemical storage areas are separated from production areas | walled off area | 1 | |||
106 | Chemical storage areas are ventilated | not enclosed/good air flow | 1 | |||
107 | Chemical storage areas have fire safety protection | nearby | 1 | |||
108 | Chemical storage areas have secondary containment barriers in place to keep spills from entering environment | example: self-contained room, concrete berm | 1 | |||
109 | Chemical storage areas are covered with a roof | 1 | ||||
Hazardous Waste Storage | 0 | |||||
110 | Hazardous waste storage areas are neat / orderly | local | 1 | |||
111 | Hazardous waste storage areas are separated from production areas | walled off area | 1 | |||
112 | Hazardous waste storage areas are ventilated | not enclosed/good air flow | 1 | |||
113 | Hazardous waste storage areas have fire safety protection | nearby | 1 | |||
114 | Hazardous waste storage areas are covered with a roof | 1 | ||||
115 | Hazardous waste storage areas have secondary containment barriers in place to keep spills from entering environment | self-contained room, concrete berm | 1 | |||
116 | Contractor has posted signs that prohibit eating near chemical storage and hazardous waste storage areas | local | 1 | |||
117 | Contractor has posted signs that prohibit drinking near chemical storage and hazardous waste storage areas | local | 1 | |||
118 | Contractor has posted signs that prohibit smoking near chemical storage and hazardous waste storage areas | local | 1 | |||
Non-Hazardous Waste Storage | 0 | |||||
119 | Non-hazardous waste storage areas are neat/orderly | material scraps, organic waste, office paper | 1 | |||
120 | Non-hazardous waste storage areas are covered with a roof | 1 | ||||
121 | Non-hazardous waste storage areas are separated from production areas | walled off area | 1 | |||
122 | Non-hazardous waste storage areas have fire safety protection | nearby | 1 | |||
Aboveground Storage Tanks | 0 | |||||
123 | Aboveground storage tanks are labeled with contents and associated hazards | Example: diesel fuel, propane | 1 | |||
124 | Aboveground storage tanks have secondary containment | concrete berm | 1 | |||
125 | Contractor has posted aboveground storage tank filling procedures | local | 1 | |||
126 | Aboveground storage tanks have barriers in place to protect against accidental damage due to contact with vehicles or machinery | concrete wall, guardrails, concrete posts | 1 | |||
Environment Total Score | 0 | 0 | 29 | |||
Safety | 0 | 34 | ||||
Health | 0 | 41 | ||||
Attitude | 0 | 15 | ||||
People | 0 | 7 | ||||
Environment | 0 | 29 | ||||
Score Totals | 0 | 126 | ||||
Percentage | 0% | |||||
GENERAL REMARKS | ||||||
Signatures | ||||||
NIKE Representative | Date | |||||
Employee Representative | Date | |||||
Contractor Representative | Date |
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