| Item no | Requirement | Yes/No/NA | Comments |
| 3.1 | Does the factory have a copy of valid laws and regulation on health and safety or understand its requirements? | | 法律文本？ |
| 3.2 | Is written health and safety policy posted and signed by top management? | | 有无健康安全政策贴在现场？ |
| 3.3 | Is safety committee established with members representing the various shifts, functions and levels? | | 有无安全委员会？该委员会应有不同班次，不同岗位，不同层次的人员参加。 |
| 3.4 | Is a senior management representative for health & safety appointed? If yes please specify the title. | | 有无健康安全代表？ |
| 3.5 | Does the factory arrange health and safety training for new workers? | | 有无健康安全培训？ |
| 3.6 | Are training and awareness programs on health and safety arranged regularly for all workers? | | |
| 3.7 | Are accidents reported and recorded? | | 有无事故记录？ |
| 3.8 | Does the factory keep injury / illness records such as daily injury and illness log, injury statistics, illnesses report or any other safety statistics? | | |
| 3.9 | Are corrective actions taken to prevent recurrence of work related accidents? | | |
| 3.10 | Does the factory have valid f(BSCI验厂专家)ire inspection certificates issued by local fire service authority? | | 消防验收报告？ |
| 3.11 | Does the factory have adequate number of fire extinguishers at each factory floor? | | |
| 3.12 | Are all fire extinguishers inspected and tested regularly and ready to use at all times? | | 消防器材是否定期检查？ |
| 3.13 | Is an effective fire extinguishing system i.e. fire hydrant/fire hose or sprinkler installed at each factory floor and maintained properly? | | |
| 3.14 | Are all fire extinguishing systems inspected and maintained properly? | | |
| 3.15 | Is fire and hazard early warning system such as smoke detector installed and regularly tested? | | |
| 3.16 | Are fire drills conducted regularly at least once a year? When and how? | | 消防演习？ |
| 3.17 | Are fire exits and escape routes adequate at each factory floor? | | |
| 3.18 | Is any fire exit and escape route blocked or locked? Is any slide door used at the factory? | | |
| 3.19 | Are exits and fire exits identified with sign or indicator lamps? | | |
| 3.20 | Are adequate emergency lights installed at each factory floor? | | |
| 3.21 | Is the factory no more than 5 minutes away by fire engine from nearest fire station? | | 最近的消防站离厂区在5分钟内能到吗？ |
| 3.22 | Did any fire accident take place in the past 12 months at the factory? | | 12个月内发生过火灾吗？ |
| 3.23 | Does the factory have valid inspection certificates for boilers, elevators, pressure vessels and other equipment per local regulation? | | 锅炉、电梯、压力容器证书？ |
| 3.24 | Are the operators of above-mentioned equipment trained and qualified per local regulation? | | 锅炉、电梯、压力容器操作员证书？ |
| 3.25 | Are adequate guarding or devices installed for moving/rotating parts of machine, pulleys and belts or any other dangerous parts of machines? | | 设备安全保护装置合适吗？ |
| 3.26 | Is any instruction emphasized to prohibit loose clothing, jewellery or long hair near moving machinery? | | 有无设备操作规程？员工保护指引：如不带首饰，长发应盘起来等等。 |
| 3.27 | Are all electricians, welding operators and forklift drivers etc. trained and qualified per local regulations? (ICTI验厂专家) | | 电工，叉车工、电焊工证书？ |
| 3.28 | Is electrical safety procedures implemented effectively to ensure safety precautions such as grounding, discharging, and testing to be taken? | | 用电指引？ |
| 3.29 | Are all the electrical wires installed in fully acceptable condition and adequately protected? | | |
| 3.30 | Are electrical installations are checked periodically and repairs carried out by competent electrician? | | |
| 3.31 | Is hot work permit procedure implemented for welding, cutting and open flame operation at the factory? | | 热操作规程？ |
| 3.32 | Are all site buildings maintained in good condition in both physical surface and structure? | | |
| 3.33 | Are dangerous/hazardous substances used or stored at the factory? | | 化学品存放安全？ |
| 3.34 | Are these substances safely and securely stored? | | |
| 3.35 | Are administration and engineering controls (reduced shift hours, ventilation fans and exhaust fans) introduced to reduce personal exposure? | | |
| 3.36 | Are personal protective equipment (PPE) such as goggles, glasses, gloves, earplug / muff, boots, or protective clothing provided at factory cost and in fully acceptable condition? | | PPE |
| 3.37 | Is air quality test done if hazardous fumes existed? | | 空气测试？ |
| 3.38 | Does the factory have a suitable working environment in respect of ventilation, temperature, lighting, cleanliness, and tidiness (overcrowding)? | | |
| 3.39 | Does the factory arrange regular health examination for workers exposed to hazardous environment? | | 危害工位员工是否定期体检？ |
| 3.40 | Are there adequate evidences confirming that the workers’ health is not affected by hazardous factors? | | |
| 3.41 | Does the factory have any occupational health inspection certificate issued by local government authority? | | |
| 3.42 | Are adequate first aid kits located at each factory floor and marked with signs? | | 急救设备？ |
| 3.43 | Are adequate workers trained on first aid? How many trained first aiders at the factory? | | 急救人员？ |
| 3.44 | Is an in-house clinic/first aid station established with competent doctor/first aider employed at the factory? | | 急救站？ |
| 3.45 | Is a nearby medical centre/hospital/clinic available to factory? | | |
| 3.46 | Is potable water accessible and adequate at each factory floor? | | |
| 3.47 | Are lavatory facilities accessible, clean and reasonable in number at each factory floor? Does it meet local requirements? | | |
| 3.48 | Toilets are private and segregated for men and women? | | |
| 3.49 | Are washbasins and water taps available? Adequate? | | |
| 3.50 | Are the factory kitchen and canteen clean and hygienic with adequate facilities? | | |
| 3.51 | Are kitchen and canteen subject to local government licensing? If yes, does the factory have such a permit or license? | | |
| 3.52 | Are adequate evidences identified that workers working in kitchen are suitable to food service? Such as health examination. | | |
| 3.53 | Is there any food safety program established to ensure all the food and stuffs purchased from reliable sources? | | |
| 3.54 | Is any pest control program established and implemented effectively? | | |
| 3.55 | What is the average dormitory space per worker? How many workers per room? Does it meet with local norms and standards? | | |
| 3.56 | Is there adequate living space for each worker and meet the requirements of relevant local regulations? | | |
| 3.57 | Are recreation areas available at the factory? | | |
| 3.58 | Are kitchen, laundry facilities available in dormitory? | | |
| 3.59 | Is there an adequate supply of sanitary drinking water available to workers at adequate distance at dormitory? | | |
| 3.60 | Are there adequate toilets with hand basins available to workers at adequate distance at dormitory? | | |
| 3.61 | Are there adequate bathrooms available to workers at dormitory? | | |
| 3.62 | Are sanitary areas clean and hygienic with available washing facilities? | | |
| 3.63 | Are the dormitory clean, safe and well lit? | | |
| 3.64 | Are workers free to exit & re-enter dormitory freely? Are any curfew hours set? | | |
| 3.65 | Are adequate security measures provided to protect workers at dormitory? | | |
| 3.66 | Do the dormitory buildings appear structurally sound and in acceptable repair? | | |
| 3.67 | Are dormitory exits unblocked and unlocked for emergency evacuation? | | |
| 3.68 | Are written dormitory rules posted? (if yes please attach copy) | | |
| 3.69 | Are fire emergency evacuation plans posted at dormitory and understood by all workers? | | |
| 3.70 | Is any worker’s dormitory located in the building of production and/or warehouse? | | |
