Supplier rea

Supplier Name :

SPOC (Single point of Contact) Person Name :-

Designation :-

Mobile Number :-

Email ID :-

Check Item
1. Management
1.1 Has isolation room been made in the plant with Hazmat Suit etc.?
(Y/N)

1.2 Has your organization defined protocol to be followed in case of

Covid -19 Case? (Y/N)

1.3 Have you defined Guidleines to handle other employees in close

proximity/hotspot? (Y/N)
1.4 % of employees contacted by Guardians to confirm location and
proximity to hot spot (requiring quarantine before joining the
organization)? (%)

1.5 % of employees (including contractuals and company transport driver

/ assistant and also including Family members) being monitored by
Guardian w.r.t. health condition and temperature record and Covid-19
symptoms of fever / cough etc (Kushal Mangal App can be used) ? (%)

1.6 % of employees (including contractuals and company transport driver

/ assistant) have a thermometer at home ? (%)

1.7 % of employees having installed Aarogya Setu App related to Covid

monitoring? (%)
1.8 Is it communicated that visitors are prohibited ? (Y/N)

1.9 'If required in exceptional circumstances, permission should be

available from Plant Head / Sr. management along with 14 day OK
health record (Y/N)
1.10 Is education material on safety protocols (to be followed at home,
transportation, Entry/Exit to factory and at work) in local languages
available for education of employees? (Y/N)
2. People

2.1 Is the shift wise allocation assigned to maintain social distancing

requirement? (Gap between 2 working shifts to be min. 1 hour)? (Y/N)

2.2 % of employees who have been assigned duty roster and transport
mode? (%)
2.3 Non contact thermometer (for entry gate and for each bus) ?(Nos
Required)
2.4 Has bus driver & attendant been informed to record each other's
body temperature, before start of journey and report to designated
Company official ? (Y/N)

2.5 Has body temperature recording been started for driver & attendant
as per guidelines of 14 days requirement ? (Y/N)

2.6 Is the driver and attendant wearing full PPEs (mask, gloves, goggles)
? (Y/N)

2.7 Has shift wise attendance list been provided for boarding to the
driver & attendant? (Y/N)

2.8 In Car Pool Maximum 2 pax (5 seater vehicle) or 3 pax (7 seater

vehicle) in alternate seat positions for social distancing followed ? (Y/N)

2.9 Is area demarcated for Personal vehicle entering plant to stop for
temperature measurement and hand sanitization ? (Y/N)
2.10 Have you made alternate arrangement for all essential employees
coming by public transport ?(Y/N)
2.11 Number of essential employees who will continue to come by public
transport ? (Nos)
2.12 Is SOP of management approval available for entry of employee
coming by public transport ? (Y/N)
2.13 Has unique entry gate been designated for employees travelling by
public transport to ensure limited contact ? (Y/N)
2.14 Has SOP been made for addressing employees using public
transport found without mask/face covering reporting at entry gate ?
(Y/N)
2.15 Is SOP available wrt any employee found at entry with fever or
without health record of 14 days ? (Y/N)
2.16 Is Mask Availability and Self-Declaration Health Form being
checked at Entry Gate ? (Y/N)
2.17 Are social distancing norms (min. 6 ft ) being followed between two
employees at entry / exit gates ? (Y/N)

2.18 Are entry and exit gates kept different considering requirement of
social distancing ? (Y/N)
2.19 Number of stations created for sanitizer spray on hands and body
temperature check ? (Nos)
Are the thermal guns being regularly calibrated and records maintained?
(Y/N)

2.20 Availability of prescribed PPE's for security and reception staff ?

(Masks, Gloves, Goggles, Cap, HAZMAT SUIT-optional) (%)

2.21 Has it been communicated to your employees that true information

about the health condition has to be given without any fear? (Y/N)

2.22 Does your organization have travel history & current location of
every employee? (Y/N)

2.23 If Y, How many people have gone to hometown ?(Nos)

2.24 How many people are currently located in hot spots/Containment
areas ?(Nos)
2.25 In case employees are using public transport , are guidelines made
that quarantine of 14 days is mandatory? (Y/N)
2.26 How many employees are currently located close to factory? (Nos)

2.27 Have the internal SOPs and checks been made that everybody
would wear Mask while entering the Company premises? ( Y/N)

2.28 How many masks are required per week, based on these SOPs?
(Nos)
3. Shop Floor,Incoming & Stores
3.1 Have you made arrangement to ensure minimum 6 feet distance in
all production areas? (Y/N)
3.2 Location of Hand sanitisers have been identified as per guidelines
and planned installation as per guidelines?(Y/N)

3.3 Have Hand sanitisers been installed as per plan?( Y/N)

3.4 Have you revised shift timing to ensure minimum 1 hour gap
between 2 shifts? (Time gap- in minutes)
3.5 Have you defined SOPs/ procedures that there would not be any
change of operator in a shift? (Y/N)

3.6 If any change is needed then work station would be sanitised? (Y/N)

3.7 Have you made SOPs that operator should not leave the work-
station and not move in shop-floor. Only Supervisor movement allowed?
(Y/N)
3.8 Has SOP been made to ensure that work-stations, fixtures are
sanitised before every shift? ( Y/N)
3.9 Have SOPs been prepared for working in Inspection area to limit no
of persons on Inspection table at a time ? (Y/N)
3.10 Have you prepared SOPs/ Display in inspection area to do hand
sanitisation before using any inspection instrument ? (Y/N)
3.11 Whether SOPs prepared and Displayed that Forklifts/ Lifts/ Carriers
to be sanitised before every shift ? (Y/N)
3.12 Whether limited persons identified to operate Forklifts
/ Lifts and Roaster made for all shifts? (Y/N)
3.13 Have you revised shift timing to ensure minimum 1 hour gap
between two shifts? (Y/N)
3.14 Within a shift have you prepared line wise time plan for deployment
of manpower at work station/release of manpower after shift end to
maintain necessary Social distance?(Y/N)
3.15 Have you provided duly covered bins for disposal of used PPEs?
(Y/N)
3.16 Have you prepared SOP along with necessary precautions to be
taken for Sanitisation of all human touch points like: Work stations,
switches, touch screens, Instruments in the shop floor before start of
each shift? (Y/N)
3.17 Has your supplier sanitised all the trucks before at entry in their
plant ?(Y/N)
3.18 Are you ensuring that past 14 days temperature records being
carried by driver (Use Format) ? (Y/N)
3.19 Are you ensuring that past 14 days temperature records being
carried by Co- driver (Use format) ? (Y/N)
3.20 Are you sanitising each truck at entry of your plant
?(Y/N)
3.21 Are you recording that all trucks are being sanitized before entry ?
(Y/N)

3.22 Have you made SOP for sanitization of all incoming Material ? (Y/N)

3.23 Have you Sanitized all trolleys, Bins, Cartons, Cans Bottles
containing RM/RM Consumable/ BOPs after lock down ? (Y/N)

3.24 How Many Bins and Trolleys do you have ? (Nos)

3.25 Are you recording sanitisation of bins and trolleys is as per
schedule ? (Y/N)

3.26 Have you made SOP for sanitization of WIP/SFG/FG ? (Y/N)

3.27 Have you Sanitized all WIP/SFG/FG trolleys, Bins after lock down ?
(Y/N)
3.28 Do you have a system for periodic sanitisation of bins and trolleys ?
(Y/N)

3.29 Do you have a separate area for unsanitised trolleys ? (Y/N)

3.30 Have you made SOP for Out going trucks, material, driver and
codriver in you company ? (Y/N)
3.31 How Many trucks do you use in a day for Sunbeam Desptaches ?
(Nos)
3.32 Has the truck been sanitised before every despatch ? (Y/N) Bring
signed format
3.33 Do you have placed posters on the shop floor ? (Nos)

Reviewed and Approved By

Name

Signature

Date
Supplier readiness review sheet

Response Target Date Responsibility

Managing Director / CEO / Plant Head
Remarks / Attachments
Quality Head