SUPPLY CH

Full Name

Company Name

Designation

* ISI KOLOM BIRU

No. Parameter What to Access

Have implemented the ZDHCMRSL system in purcHaveing

1 MRSL Conformance
chemicals used.

2 RSL Conformance Systems followed for PRSL Conformance Management

a. Chemical Purchasing Policy

3 CMS b. Quality Policy
c. Competent CMS Team and Procedures
 Licenses and Permits
4 Legal Compliance Any violations for wastewater, sludge and air emissions to
legal norms

5 Social Compliance All applicable social compliance norms

6 Traceability CIL with chemical product batch numbers and recipe sheets

Proper PPE availability, exposure controls and good

7 Health & Safety
housekeeping practices

8 Wastewater ZDHC Wastewater Guidelines

Training &
Records of Training on CMS, Internal Audits and CAP
9 Continuous
reports
Improvement
SUPPLY CHAIN ASSESSMENT
Date

SCORE

1 2 3

None of the chemicals The chemicals used were

All chemicals purcHaveed
used are included in ZDHC not included in ZDHC, but
have met the minimum
Level 1; the subcontractor they had plans to apply
standards of ZDHC Level 1.
did not apply ZDHC MRSL. ZDHC MRSL

No system for PRSL

No system for PRSL Already implement the
Conformance
Conformance system and pass ZDHC
Management, but they had
Management. Supplier to Zero Level 1
plan to apply it.

No procedure Have
No procedure Have Already implement 1 of 3
applied, but they had plan
applied procedures.
to apply it.
 No lisence & permit for for Only have Licenses and
No lisence & permit for for
wastewater, sludge and air Permits for 1 of
wastewater, sludge and air
emissions. But they had wastewater/ sludge/ air
emissions.
plan to apply it. emissions,

Not having all applicable

Not having all applicable social compliance norms. Have 1 applicable social
social compliance norms But they had plan to apply compliance norms.
it.

Have CIL but not complete

Not having any CIL. But
Not having any CIL without batch number &
they had plan to apply it.
recipe sheet.

Not having all : Proper PPE

Not having all: Proper PPE availability, Exposure Have 1 of : Proper PPE
availability, Exposure controls and Good availability/Exposure
controls and Good housekeeping practices controls/Good
housekeeping practices But they had plan to apply housekeeping practices
it.

Not understand the Not implement ZDHC

Not implement ZDHC
requirement of implement Wastewater Guidelines.
Wastewater Guidelines,
ZDHC Wastewater But they had plan to apply
even need it.
Guidelines. it.

Conducting the training &

No training & continuous Conducting the training
Continuous Improvement.
improvement. but no record available.
But no record available.
T

SCORE

4 5 * TOTAL

All chemicals purcHaveed All chemicals purcHaveed

have met the minimum have met the minimum 2
standards of ZDHC Level 2. standards of ZDHC Level 3

Pass ZDHC Supplier to Zero Pass ZDHC Supplier to Zero

Level 2 Level 3

Already implement 2 of 3 All of the 3 procedures

procedures. have applied
 Only have Licenses and Already have Licenses and
Permits for 2 of Permits for for
wastewater/ sludge/ air wastewater, sludge and air
emissions, emissions,

Have all applicable social Have all applicable social

compliance norms but compliance norms and no
have some concern. concern.

Have CIL but not complete Have CIL complete with

without 1 of batch number batch number & recipe
or recipe sheet. sheet.

Have 2 of :Proper PPE Have all : Proper PPE

availability/Exposure availability, Exposure
controls/Good controls and Good
housekeeping practices housekeeping practice

Not implement ZDHC

Implement ZDHC
Wastewater Guidelines
Wastewater Guidelines.
and don't need it.

Records of training & Records of training &

continuos improvement on continuos improvement on
1 of CMS/ Internal Audits/ CMS, Internal Audits and
CAP reports CAP reports
 REMARK

ZDHC MRSL, is a provision for chemicals used and Have

been verified with the ZDHC (Zero Discharge Hazardous
Chemical) System.
https://knowledge-base.roadmaptozero.com/hc/en-
gb/articles/4403291345681-What-is-the-ZDHC-
Chemical-Management-System-

PRSL (Product Restricted Substance List) can be

implemented by the ZDHC Supplier to Zero program.

CMS - Chemical Management System

 CIL - Chemical Inventory List.

ZDHC Wastewater Guidelines is a System to control

output waste water from production.