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Title Page

Site

Date and Time of Inspection 

Prepared by (Full Name)

Location 

Are the following documents complete, verified and compliant to keep an effective
Social Management System?

CERTIFICATES AND CONTRACTS

Job descriptions in which the implementation of BSCI is included

Yes No N/A

Evidence of the qualifications of the person in charge of implementing BSCI

Yes No N/A
Employment contracts including those related to security personnel, cleaning and other
services

Yes No N/A

Contract with any service provider including food services, transportation, agents

Yes No N/A

Worker contracts or agreements, including with recruitment agencies

Yes No N/A

Employment contracts and/or posters where workers’ rights and obligations are
displayed

Yes No N/A

Valid inspection and insurance for machinery and vehicles

Yes No N/A

Purchase invoices of the PPEs bought by the auditee

Yes No N/A

Valid business license and all necessary official approvals to run operations

Yes No N/A

Official building certificate about safety and appropriateness for the industry

Yes No N/A
 Valid certificates and environmental licenses

Yes No N/A

TRAINING

Evidence of a training calendar for workers and management

Yes No N/A

Documentary evidence of training given to workers, management and human resources

(e.g. list of attendees with signatures)

Yes No N/A

Documentary evidence of trainer competence

Yes No N/A

Documentary evidence of workers training on occupational health and safety

Yes No N/A

Documentary evidence of workers’ qualifications for those who deal with dangerous
machines, electrical installation and any other activity that requires specific training due
to the high level of risk

Yes No N/A

Documentation of all trainings given to young workers

Yes No N/A

Communications and trainings to promote and reward integrity

Yes No N/A
RECORDS AND REPORTS

Documentary evidence on production capacity planning

Yes No N/A

Evidence that the BSCI Code of Conduct and Terms of Implementation have been
distributed to significant business partners

Yes No N/A

Signed BSCI Code of Conduct and relevant Terms of Implementation if farms are part of
the scope of the audit

Yes No N/A

Evidence of business partners’ social performance (quarterly reports, audit reports, valid
certificates)

Yes No N/A

Documentary evidence of the social policy and procedures to implement BSCI

Yes No N/A

Documentary evidence of the workers representative election

Yes No N/A

Documentary evidence of regularly scheduled workers meetings

Yes No N/A

Records of agreements with workers representatives

Yes No N/A
Documented working rules

Yes No N/A

Documentary evidence of grievances lodged/investigated (e.g. BSCI Template 8 filled in)

Yes No N/A

Collective Bargaining Agreement (if applicable)

Yes No N/A

Minutes or documents of meetings that led to the collective bargaining agreement (if
applicable)

Yes No N/A

Recruitment and dismissal procedures and records

Yes No N/A

Documentary evidence on disciplinary procedures

Yes No N/A

Documentary evidence on disciplinary cases and the measures taken

Yes No N/A

Documentary evidence of workers’ performance assessments and procedures

Yes No N/A

Documentary evidence of legal deductions for goods and services

Yes No N/A
Documentation on legal minimum wages relevant for the sector

Yes No N/A

Pay slips for workers and documentary evidence of payments

Yes No N/A

Fair remuneration quick-scan completed (BSCI Template 5)

Yes No N/A

Personnel data files for all workers (including seasonal workers)

Yes No N/A

Documentary evidence of additional benefits (commercial insurance if applicable)

Yes No N/A

Documentary evidence of updated contributions to social insurance funds

Yes No N/A

Lists of wage ranges and calculations including for piece rate workers

Yes No N/A

Documentary evidence of the legal permanent exception covering the auditee’s industry

Yes No N/A

Working time records

Yes No N/A
Documented overtime procedure including agreements with workers

Yes No N/A

Documented records of accidents

Yes No N/A

Risk assessment for safe, healthy and hygienic working conditions

Yes No N/A

Action plan for safe, healthy and hygienic working conditions

Yes No N/A

Occupational health and safety regulations applicable for the industry

Yes No N/A

Documentary evidence of the election process of the health and safety committee

Yes No N/A

Minutes of the health and safety committee meetings

Yes No N/A

Age-verification procedure

Yes No N/A

Procedure to avoid child exploitation

Yes No N/A
Child labour remediation procedure

Yes No N/A

Risk assessment and related action plan with specific measures to protect young
workers and young female workers

Yes No N/A

Young workers overview records

Yes No N/A

Young workers’ work cycle overview

Yes No N/A

Overview of subcontractors

Yes No N/A

Overview of apprenticeships granted in the company

Yes No N/A

Overview of seasonal workers

Yes No N/A

Environmental risk assessment

Yes No N/A

Map identification of water springs, rivers, lakes in the area of auditee activities

Yes No N/A
 Documentary evidence of consumption, withdrawal, and disposal of chemicals
(including Material Safety Data Sheets – MSDS)

Yes No N/A

Official inspections conducted to ensure building and equipment safety, including date
of validity and corrective actions if any

Yes No N/A

INSPECTION REPORTS, MAINTENANCE RECORDS, OPERATING AND SAFETY INSTRUCTIONS

FOR:

Dangerous machines, including but not limited to lifts, electrical equipment, high-
pressure equipment

Yes No N/A

Firefighting equipment (e.g. inspection tags on fire extinguishers)

Yes No N/A

Potable water at production facilities and dormitories

Yes No N/A

Health and safety for the facilities and dormitories including but not limited to
temperature, noise level and lighting

Yes No N/A

Calculation of the necessary financial and personnel resources to comply with the
minimum social and environmental requirements

Yes No N/A
 Anti-corruption policy

Yes No N/A

Corruption risk assessment

Yes No N/A

Procedure for investigation and discouragement of unethical behaviour

Yes No N/A

Completion

Recommendations

Auditor Full Name and Signature 

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