Social Responsibility Procurement Self-Assessment

Organization Information

Organization Name Contact Person Email Phone

Policy & Commitment

Criterion	Yes / No	Details / Comments
Does your organization have a written social responsibility policy?	Yes No
Is social responsibility integrated into procurement processes?	Yes No
Are suppliers required to comply with social responsibility criteria?	Yes No

Supplier Assessment & Monitoring

Criterion	Yes / No	Details / Comments
Do you assess suppliers for social responsibility risks?	Yes No
Are regular supplier audits conducted?	Yes No
Is there a process for handling non-compliance?	Yes No

Key Issues

Issue	Yes / No	Notes
Child Labor	Yes No
Forced Labor	Yes No
Discrimination	Yes No
Health & Safety	Yes No
Environmental Standards	Yes No

Improvement Actions

If gaps or issues are identified, what actions will be taken?

Additional Comments