Appendix 3 - Pre-Assessment Questionnaire
GENERAL
Name of enterprise
Name and position of contact
person
Address
Telephone number
Fax number
E-mail address
Year of establishment
How many square meters is the
production site?
building: ________________________ m2
factory area: ____________________ m2
Certificates that you have from
government or privately
1.
2.
3.
4.
Do you have a sister / mother
company? If yes, please state
name and location.
Name:
Location:
Is your facility located on one
building? If no, please specify
number of buildings if more.
Is there any other site than
above-mentioned address that
you produce your customers’
products? If yes, please specify
with “name” and “address” of the
other facilities.
a.
b.
c.
Is there any subcontractor
working in your facility?
Is there any other facility working
in the same building as your
production site? If yes, do you
have the same entrance?
PRODUCTION CAPABILITIES
Production range
Production process
Knitting 
Sewing 
Quality Control 
Cutting 
Embroidery 
Packing 
Dyeing 
Printing 
Weaving 
Please specify other
Other ___________________________________

What is your monthly production?
_______________pieces of _________/ month
What is your peak production
season? Specify months.
EMPLOYEE STRUCTURE
Number of employees
Total:____________
Management:________ Male:______Female:______
Production :________ Male:______Female:______
Do you have any vocational
training programs running in
your facility?
Different nationalities than
local
Nationality
Male
Female
1.________________-___________-______________
2.________________-___________-______________
3.________________-___________-______________
4.________________-___________-______________
5. local employees: -___________-______________
Do you have any security
guards? How many? Do you
have shift application for
them?
Do you have any
“complaints” procedure for
the employees? Please
state.
Do you have any dormitories
for employees (including the
supervisors’)? Please specify
the “address” and the
“number of residents”.
Dorm
Name
Gender of
Workers
No. of
Workers/
Supervisors
No. of
Floors
Distance
from
Factory
WORKING HOURS
What is your application for the
regular work week?
Saturday

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Please specify days.
What are your regular working
hours?
From ___________hrs to ___________ hrs
Breaks (if available)
Morning
: from ______ hrs
to ________ hrs
Lunch break
: from ______ hrs
to ________ hrs
Afternoon
: from ______ hrs
to ________ hrs
How many hours per
day/week/month do you have
overtime work?
How many shifts do you have?
Please specify if different shifts
apply for different facilities.
___________hours/__________
shift 1: from _________to __________
shift 2: from _________to __________
shift 3: from _________to __________
Do you have any temporary
workers in your facility?
Do they belong to any
governmental programs?
PAYMENT
What is the minimum wage
applied in your facility?
………………………………………(gross)
………………………………………(net)
Payment day
Please state your wage
calculation mode
 daily rate  hourly rate
 monthly rate  piece rate  other_________
Please state your pay practices
cash 
direct deposit 
check 
other 