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1、Date Issued:Name of Licensee/Vendor:Licensee/Vendor #:Region:Name of Factory:Factory #:Physical Address:Mailing Address:Telephone #:Fax #:Name of Contact:Facility Name:Physical Address:Mailing Address:Telephone #:Fax #:(Please review information above, make changes on form if necessary.)Joint Ventur
2、e _ Partnership _ Corporation _ Privately Owned _Foreign Investment _ Other _Name of Broker/Agent (if applicable):Mailing Address:Telephone #:Fax #:Joint Venture _ Partnership _ Corporation _ Privately Owned _Foreign Investment _ Other _Year Facility Established:Name of Plant Manager:Telephone #:Fax
3、 #:Articles Produced:Total Employees at this Facility: Contract:Local:If contract workers employed, length of contract:Street Address of Dormitories (if applicable):SUBCONTRACTING FACILITIES OR SISTER COMPANIESName(s)_Location(s)_Operations performed_NUMBER OF MACHINES Specify the following:Number o
4、fEstimatedEmployees onMonthlyMachine TypeNumberMachineProductionCutting Machines_Cutting Tables_Knitting Machines_Sewing Machines_Making Machines_Looping Machines_Processing Machines:Permapressing machines _Dying machines_Stone washing machines _Other_Weaving Machines_Yarn making Machines_COMPLETED
5、BY:Name:Title:Signature:Date:1.Are all employees voluntarily working in this facility?YesNoa. What procedures ensure/monitor that all employees are working voluntarily?2. Are there any workers in this facility that are prisoners, havebeen assigned by the military, or any other branch of government?Y
6、esNo3.Do employees have freedom of movement that is not unnecessarilyimpeded?YesNoa.If no, explain:4.Are employees free to leave when their work shift ends?YesNoa.If no, explain:5.Are guards posted only for normal security reasons?YesNoa. If so, what are their basic duties?6. Are doors and gates on
7、the factory premises locked only for normalbusiness security purposes?a.If no, explain:7.What is the age of the youngest worker in this facility?a.What is the minimum age allowed by law?_b.Do you have a minimum age policy different from local law?If yes, explain:YesYesNoNoc. Do workers execute a sta
8、tement that they are at or above theminimum age?If yes, is the statement filed in the employees personnelYesNofiles?8.Are there any work experience or apprentice programs for school agechildren?a.If yes, explain:9.Are there restrictions for workers under 18?a.If yes, explain:10.What proof of age doc
9、uments are obtained from prospective employees?YesYesNoNo11. What procedures does this facility have in place to verify the authenticity of age documentation?12. How are employees recruited (i.e., newspaper advertisement, agent, contract)?13. How does management handle misconduct or poor performance
10、 on the part of an employee?a.Does this management of misconduct or poor performance includefines?YesNoIf yes, explain factory policy. Include examples:14. Do you restrict employment by age, race, ethnic group, religion,gender, sexual orientation, political affiliation, and/or nationalorigin?YesNoa.
11、If yes, explain:15. What is the lowest wage paid by this facility for trained (i.e.,production) employees?For untrained (i.e., janitors, trainees) employees?16.How are employees paid?CashCheckAuto Pay17.How is the pay rate calculated?Per HourPiece RatePer Daya. If other, explain:18. If employees are paid on a piece rate basis, what system does the facility use in order to track the number of pieces worked on each day by individual employees?19. Is work time documented by a time card?a. If no, explain system:20.How often are employees paid?HourlyWeeklyMonthly21.Does the factor
