(Health, Safety & Environment) 1000 Marks

(Health, Safety & Environment) 1000 Marks
ACMA Awards Year of Inception: 1966 Excellence in HSE (Health, Safety & Environment) 1000 Marks Company Name: Plant Location: Award Category: Tick mark in appropriate box as per your ‘Company Group Turnover for ’. Small > INR 50 (NA) Medium > INR 50 to 150 Cr (NA) Large > INR 150 to 500 Cr Very Large > INR 500 Cr (NA) Tick mark in appropriate box: ACMA Member All Past & Present ACT Cluster/ ACMA UNIDO Cluster Companies are eligible without becoming ACMA member

ACMA Awards 2018-19 : Excellence in HSE
Company / Plant Information Use this slide to brief about your company / Plant. It includes Product names / photos , Plant facility photographs.

For Administrative Queries: Ms. Sakshi Karkamkar – Mobile – Ms. Smita Kulkarni – Mobile – Mr. Sanket Jadhav - Mobile Ms. Surekha Deshmukh - Mobile For Technical Queries: Mr. Arun Bage – Mobile – Mr. Atul Gupta – Mobile – Mr. Vishal Saxena – Mobile – Ms. Tanu Ahuja – Mobile – ACMA – Skilling and Mentoring Godrej Eternia-C, ‘B’ Wing, '10th Floor, Office No.- C, Old Mumbai Pune Highway Wakdewadi, Shivaji Nagar , Pune – , India, Desk phone – ,

Company History with ACMA Awards (last 3 years)
Letter for Submission of Award application Company letterhead details ( Logo , Address ) To , The Secretariat (ACMA Awards) , ACMA – Skilling and Mentoring Godrej Eternia, ”B” Wing ,, 10th Floor, Office No. C, ,Old Mumbai –Pune Highway, Wakdewadi , Shivaji Nagar Pune – , India We are pleased to submit the application for ACMA Award for Excellence in HSE Large Category. All data submitted is duly verified and true to the best of our knowledge. With regards ( Name & Designation of the Plant CEO ) Company History with ACMA Awards (last 3 years) Sr. No. Financial Year (April to March) ACMA Awards Category- Applied Award / Certificate Won 1 2 3 Note – 1) If you have applied & won multiple awards in one year, please mention accordingly. 2) If a plant has won Gold trophy in the year or in any of the above categories, then that particular plant will not be eligible to apply in the same category. But they can apply for any other categories.

CONFIDENTIALITY STATEMENT
Automotive Component Manufacturers Association of India 6th Floor, The Capital Court Olof Palme Marg, Munirka New Delhi , India To, Applicant Company CONFIDENTIALITY STATEMENT As a part of the ACMA Awards Process, applicant companies provide business, market, technical, financial information/documents and top customers details in the application. Such information could also be related to intellectual property i. e. patents, product development etc. ACMA take reasonable care to keep the above information confidential and shall not divulge it to third party and/or not use it for their own purpose, any part of this information in the course of assessment and thereafter. I agree. On behalf of ACMA Sd/- Director General

Company’s Details Name of the corporate group (if company is part of a corporate group): - ( Underline the plant for which application is sent ) 2. Plant Address : 3. Invoicing Details (Applicable only for shortlisted companies for site diagnosis): a) GST Number- b) Invoicing Address (write complete address with pin code)- 4. Chief Executive Officer details : Name : Designation : Mobile : Website: 5. Plant Head details : Name : Designation : 6. HR Head details :

Company’s Details 7. Company Group Annual Sales Turnover (in INR Cr.) for Year : 8. Plant ( for which application is submitted) turnover ( in INR Cr.) for Year : 9. Year of Establishment : Group Company _______ , Plant ___________ 10. Total Employees : Group Company ___________ , Plant _____________ 11. Do you have a Joint Venture for the plant applied: ( If Yes , Mention the partner name ) 12. Plant’s Key products : 13. Plant’s major manufacturing processes : 14. Plant’s Key competitors : 15. Plant’s Major Certifications : Sr No Core Processes % Contribution in your business 1 Foundry 80 2 Machining 10 3 Others

Route Map to reach your plant
Company’s Details 16. Contact Person 1 Information : ( Need to contact thru out the process of ACMA Award ) Name : Designation : Mobile : 17. Contact Person 2 Information : ( Need to Contact if above person is not reachable) Route Map to reach your plant Provide here route map to your company for site diagnosis (Site diagnosis is carried out if your application is shortlisted)

Customer Details Mandatory requirement (not applicable for Excellence in Supplier Development category) Kindly provide details of your top 3 business customers in below table. ACMA Award online application software automatically sends a link to all above addresses to get feedback about your plant. Kindly inform above persons from your side to respond ASAP & ensure that we receive this before you submit the application online.( Your application will not processed without these feedback). S. No Customer Name Location % Business share (for the plant ) Details of contact person Mobile Number & E mail 1 Name 1– Designation – Name 2– Designation 2 3 Note: These feedbacks will be considered by Jury for evaluation & the same will be provided to you as a part of feedback report.

Status of actions taken by your company based on previous ACMA Awards feedback report. (Mention top 5 only) (Not applicable- for 1st time applicants) S.N. Area of Improvement Action taken Result / Outcome 1 2 3 4 5

Summary of Achievements for the year 1. Did you receive any awards other than Customers? 2. What are your biggest achievements in the last year? 3. What are challenges for you in the future and how are you preparing for it? Example Industry 4.0 , IOT (Internet of things) etc

Company performance at a glance
OFFICE USE ONLY Company performance at a glance ( Following radar chart shows the scores for each main area as per questionnaire , scores are converted to % ) RADAR Chart S.N Area Total Marks Actual Marks ( for Office Use only ) % 1 Hygiene Factor 200 2 HSE systems & Approach 150 3 HSE Deployment & Compliance 350 4 HSE Related Results 100 5 Business Results Total 1000

OFFICE USE ONLY Section 1 Hygiene Factors Total marks =200 Sr No. Topic Total Marks Marks Obtained % 1A 5S & Plant Upkeep 30 1B Leadership Focus 20 1C Quality Management 1D Stakeholder Happiness 1E Safety 1F Employee Engagement 15 1G Environment Protection 5 1H Poka-yoke / KAIZEN 10 1I Legal/Statutory Compliances Code of Conduct 1J Wastages Reductions / Non Value Adding reduction 1K Automation and Digitization in various activities 1L Contribution towards Society & Nation Total 200 marks redistributed

1. Hygiene Factors (1.A) 5S & Plant Upkeep Total = 30 Mention in following chart status of Must be Facilities. (10 ) Questions are applicable for plant for which you have applied for ACMA Awards. In Status kindly mention % . E.g You have jogging track for 50 % areas , then write 50 % Must be facilities S. No. Description Status 1 Jogging track inside shop floor, along walls 2 Trees in plant campus (86 Trees/ Acre) 3 No earth should be visible in entire company area. There should be concrete, tar roads or green lawns 4 No truck / fork-lift inside shop floor 5 Clean toilet blocks inside shop floor, dry & smell free 6 No nails to be used anywhere in the factory premises 7 All employees to wear uniform, shoes and necessary safety gadgets 8 Noise free DG sets & compressor 9 Clean wash room / change room and rest room facilities 10 Hygienic kitchen, drinking water & dinning hall 11 Good recreational facilities 12 Appropriate fire fighting equipment's should be placed at accessible locations 13 Drive Forward Digitization - Team in place 14 Shop floor- Well Ventilated 15 Shop floor- Illumination (natural lighting) 16 Nothing directly on floor across company 17 Accessibility for differently abled persons (If Applicable) 18 Mock Drill - conducted as per frequency 19 ETP & STP in Well maintained condition 20 Training & Learning Facility 21 Logistics Centre 22 Research Centre 23 Resource Optimization - - Drive Team in Place 24 Is your plant outside surroundings are clean 25 Use of Non-conventional energy mark distribution changed and new questions added

1. Hygiene Factors (1.A) 5S & Plant Upkeep Total = 30 (ii) How you drive 5S Process (10) Explain whether sub areas formed, Sub-Area Owners identified, 5S Audit schedule & mechanism, NC clearance, Award for Best, Cross Audits or any other activities done. ( You may use Photos / Images to support this ) mark distribution changed and new questions added (iii) How you drive Workplace Ownership concept (4) Explain responsibilities of operating people to keep workplace surrounding Clean & Safe

1. Hygiene Factors (1.A) 5S & Plant Upkeep Total = 30 (iv) Shining examples of 5S Improvements (3) Show 4 Photographs, Assessor may interview few operators for checking effectiveness mark distribution changed and new questions added (v) Share few sample audit findings & actions taken (3)

1. Hygiene Factors (1.B) Leadership Focus Total = 20 (i) When was your VMV ( Vision , Mission & Values ) Statement was formed ? Have you revisited it afterwards ? When? (2) mark distribution changed and new questions added (ii) How you Communicate VMV to your Stakeholders like Suppliers, Employees etc. (3)

1. Hygiene Factors (1.B) Leadership Focus Total = 20 (iii) What Process is followed for forming Annual Business Plan i.e. Organizational Targets ? (6) Specify Process time schedule, inputs considered, competitors performance and Benchmarks, who all participate in the Process, whether the Targets are based on last year performance or market oriented, giving some examples of market oriented targets. Also specify, how the Stretched factor is considered during this process. Show KPI (Key Performance Indicators) of any one employee and explain how it is linked to Organizational target mark distribution changed and new questions added

1. Hygiene Factors (1.B) Leadership Focus Total = 20 (iv) How frequently the Organizational Targets are reviewed ? and show action plans for any two Targets, which were below the expected level - few months prior to year end (5) mark distribution changed and new questions added

1. Hygiene Factors (1.B ) Leadership Focus Total = 20 Please give information about all types of communication meetings taking place in your organization indicating frequency, major participants and major issues during these meetings (4) ( Assessor may verify with few employees about such meetings) mark distribution changed and new questions added

1. Hygiene Factors (1.C) Quality Management Total = 30 Explain What actions have been taken in your organization to sensitize employees about Quality Culture (Defects should not go outside company – to - Defects should not get produced) (5) Specify Quality tool training, control gates, empowerment, problem solving training , next station is your customer etc. You may also show photographs of posters for awareness creation mark distribution changed and new questions added

1. Hygiene Factors (1.C) Quality Management Total = 30 (ii) How you identify CTQs and show some examples of Process capability improvement for two identified CTQs (10) mark distribution changed and new questions added

1. Hygiene Factors (1.C) Quality Management Total = 30 (iii) Show examples of use of Quality Tools like Six Sigma Project, Poka-yoke, DoE, Why-Why Analysis, 8D etc. (15) mark distribution changed and new questions added

1. Hygiene Factors (1.D) Stakeholders Happiness Total = 30 (i) Show top 3 concern areas each from your Stakeholders like Customer / Suppliers / Employees and actions taken / planned for these concerns (10 ) Specify major dissatisfaction points received as feedback from these stakeholders mark distribution changed and new questions added

1. Hygiene Factors (1.D) Stakeholders Happiness Total = 30 (ii) Show score of Supplier Satisfaction for 3 years (10) mark distribution changed and new questions added (iii) What are the actions initiated during last year? (10 ) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text.)

1. Hygiene Factors (1.E) Safety Total = 20 (i) Give details of One Accident Investigation analysis and corrective actions (4) ( if there are no accidents , mention as ZERO Accidents ) mark distribution changed and new questions added (ii) Give details of One Near Miss Accident and corrective actions (4)

1. Hygiene Factors (1.E) Safety Total = 20 (iii) At what frequency your Plant Head / CEO take round for Safety purpose only ? Give details of Unsafe Behaviour and Unsafe Condition observed during such round and how you take corrective actions (4) mark distribution changed and new questions added (iv) Indicate 3 identified Accident Prone areas in your factory and actions planned / taken (4)

1. Hygiene Factors (1.E) Safety Total = 20 (v) Do you conduct Mock Drills, Share one Report (2) mark distribution changed and new questions added (vi) Are you aware about any Fatal Accident happened in any factory (either in your group companies / competitor / customer / supplier etc.) and what preventive actions have you planned / implemented in your organization (2)

1. Hygiene Factors (1.F) Employee Engagement Total = 15 (I) Whether any of your Teams, participate in External Contests held by various agencies ? Give details indicating where they have participated / Topic of Presentation and level of Team members (Operatives / Supervisory / Managerial etc). Mention about the Awards won by your Team ( 10). mark distribution changed and new questions added (ii) Whether you have Cross Functional Teams working in your organization ? Give details. Whether these Teams, gets an opportunity to make presentation to CEO / Plant Head ? CEO / Plant Head Give one example, where such a cross functional Team has contributed handsomely (5)

1. Hygiene Factors (1.G) Environment Protection Total = 5 (i) List some of the recent achievements of your organization, regarding Resource Conservation like Energy / Water / Air / Oil (5). (1. H ) Poka-yoke / KAIZEN mark distribution changed and new questions added Total = 10 What % of CTQs (Critical to Quality) are being addressed through poka- yoke ? (3) Show some recent customer complaints, which are addressed through poka-yoke (2)

1. Hygiene Factors (iii) Show some shining examples of Poka-yoke / KAIZEN (3 ) mark distribution changed and new questions added (iv) Show your mechanism for sustenance of poka-yoke / KAIZEN (2).

1. Hygiene Factors Total = 5 (1. I) Legal / Statutory Compliance (i) How do you ensure compliance of Statutory issues (5), Give few shining examples mark distribution changed and new questions added

1. Hygiene Factors (1 J ) Wastage Reduction / Non Value adding activity reduction Total = 5 (i) Show some shining examples of Wastage Reduction / Non Value Adding Activity Reduction (3) mark distribution changed and new questions added (ii) Give shining examples where you have made improvements based on Benchmarking Best Practices Sharing from Industry or Knowledge sharing within Group organizations (2)

1. Hygiene Factors (1 K) Automation / Digitization of various activities Total = 10 (i) Give shining examples of Automation / Digitization in different areas (6) mark distribution changed and new questions added (ii) What is your strategy for Industry 4.0 (4) Specify actions taken / Planned

1. Hygiene Factors (1 L) Contribution towards Society & Nation Building Total = 20 i How you develop ownership of the cleanliness of the neighborhood , improving the aesthetics around the company premises ( outside ) 2 ii Percentage of women employees & how this has increased over the years . Do you have a committee for implementation of policy of POSH (Prevention of Sexual Harassment at Work) Act, 2013? iii Any specific CSR activity you have done in year If Yes, describe iv Mention steps taken by the Company to reduce the usage of plastic in manufacturing and non manufacturing areas. v National Solar & Water Mission - Have you installed Roof Top Solar energy collectors and have earned through net metering. Adoption of Rainwater harvesting? mark distribution changed and new questions added

1. Hygiene Factors 1 L Contribution towards Society & Nation Building Total = 20 vi Please describe how your company encourages family participation ? 2 vii Mention here how company is prepared for disaster support management for affected elements in society ? E.g. support in flood relief , earthquake etc. viii Any Social Awards ix Have you supported any differently abled persons - % age employment provided and accessibility arrangements for differently abled persons x How do you support Make in India drive & skill development. (Import substitution , Entrepreneurship development , Tie ups with skill centers) mark distribution changed and new questions added

Health, Safety & Environmental Systems & Approach
OFFICE USE ONLY Section 2 Health, Safety & Environmental Systems & Approach Total Marks = 150 S.N. Sub topic Total Marks Actual Marks ( for office use ) % 2A Senior Leadership Commitment 55 2B Identification & Mitigation of risks in operations. 40 2C Statutory and Legal Requirements 25 2D Safety Culture and Communications 30 Total 150

2. Health, safety & Environmental System & Approach 2A. Senior Leadership Commitment Total = 55 How does the Senior leadership create a focus on Health, Safety & Environment across the organization? What are the guiding principles, policies, objectives & targets put in place for ensuring Safety in the organization? {Give details of, Safety policy, Environment policy , Review of policies, Specific targets for the organization at various levels etc} (10) (ii) Has a specific management representative been appointed with clear role, responsibilities and authorities for ensuring rigorous implementation of safety policy and activities decided in line with the safety requirements? (Give details of, Role, Responsibility, Authority , of the representative along with the reporting structure and forums in which he can flag issues if any and arrange for resources) ( 10 )

2. Health, safety & Environmental System & Approach 2A. Senior Leadership Commitment Total = 55 (iii) How does the strategic planning process address the impacts due to unsafe incidents/conditions/acts which could result in loss of life , damage to assets, environment and corporate image? How does the planning process address the needs of internal as well as external customers of HSE function. {Explain the objectives and guidelines to be followed during setting up of new facilities, shops units etc Explain how the needs of the HSE customers (Employees, Society, Safety and Environment authorities of the govt etc are addressed during the planning stage.} (15) (iv) How does the Senior Leadership review the Health safety & Environment performance across key stakeholders? (Give details of, Periodic review , Safety & Environment KPI’s identified for key functions, Countermeasures for non achievements etc) (10)

2. Health, safety & Environmental System & Approach 2A. Senior Leadership Commitment Total = 55 (v) Which external certifications are sought by & secured by the organization in the subject of Safety, Health & Environment? {Give details of all external audits including e.g OHSAS 18000, ISO 14000, British Safety, Dupont, any other third party audits conducted by Competent or Statutory authorities} (10)

2. Health, safety & Environmental System & Approach 2B. Identification & Mitigation of Risks in Operations Total = 40 (i) How are the key Hazards/Risks in the companies operations Identified & Evaluated ? What is the system, used by your company in managing safety? List out the Hazards risks so identified. {Explain how safety & environment thinking is injected in to at planning stage. Explain the methodology used, e.g Subjective evaluation by experts, Techniques like FMEA,, Process ,HAZOP Reviews,(Hazard operational study) RULA for ergonomics (Rapid Upper Limb Assessment) etc. .} (20) (ii) How do you ensure that reasonable risk mitigation actions and plans are in place for the issues identified above ? {Give details of list of actions taken/equipment installed or process modified to mitigate the risks identified How is the remainder of the risk addressed? } (20)

2. Health, safety & Environmental System & Approach 2C. Statutory and legal Requirements Total = 25 (i) How does the organization identify the various statutory and legal requirements applicable to its operations on the safety, health and environments subjects? { Requirements of factories act, hazardous material processing requirements, Electrical safety requirements, Any other specific requirements applicable?} (15) (ii) How are these requirements under various laws met ? What are the arrangements made for the same? (10)

2. Health, safety & Environmental System & Approach 2D. Safety Culture & communications Total = 30 (i) How is the safety Policy and senior leadership’s objectives for safety, communicated to employees at all levels? What actions are taken to periodically and continuously reinforce the communication? { Give details of Training programs, displays, Banners , discussions held, Monthly /periodic Safety meetings with leadership etc/} (15) (ii) What resources are available at present for training purposes? Are these sufficient for the industry? How many manhours are utilized in training per employee per year? How are training records maintained? How is the effectiveness of training measured? (15)

HSE : Deployment and Compliance
OFFICE USE ONLY Section 3 HSE : Deployment and Compliance Total Marks = 350 S.N. Sub topic Total Marks Actual Marks ( for office use ) % 3A Training and Awareness. 50 3B Activities , Equipment & Facilities for Safety 100 3C Safety of Stakeholders (Transporters, Suppliers, Customers) 20 3D Health & Ergonomics 25 3E Protection & Safety of Environment . 3F Fire prevention measures & Emergency Preparedness 40 3G Compliance Regime ( Monitoring of Accidents & Non compliance) 65 TOTAL 350

3. HSE Deployment & Compliance 3A. Training & Awareness. Of HSE requirements Total = 50 (i) Describe in detail , what trainings were given in the past year? Who were the trainers? List what trainings are essential in your industry and how it is linked with the work processes and does it include the lessons learnt from past accidents/incidents? What is the safety documents, guidelines, handbook, or similar available to employees (20) (ii) How do you encourage and motivate the employees to participate actively in matters of Safety, Environment & Health? {Give details of Rewards & Recognitions, Safety/ Environment week celebrations, various drives for safety, tree plantation, other environment activities , water saving drives, kaizens done for safety or fatigue, other improvements, poka-yoke encouraged } (30)

3. HSE Deployment & Compliance 3B. Activities, Equipment & Facilities for Safety. Total = 100 (i) What are the means , measures and equipment put in place to improve the safety in the processes, Machinery and the Facilities.? { Give details of activities carried out to ensure that the equipment is safe for use, Machine Guarding, electrical safety, LOTO, safety poka-yoke, other devices to improve safety of man/machine interface or any learnings from past incidents/accidents Attach photographs .} (25) (ii) What arrangements are made for safety of personnel working at heights, enclosed spaces, or at other unusual spots ?. {Give details of facilities provided like safety belts, ladders, railings cherry pickers etc.} (15)

3. HSE Deployment & Compliance 3B. Activities, Equipment & Facilities for Safety. Total = 100 (iii) How does the organization ensure safety of personnel during non-routine works and holiday work that may be undertaken in the premises? How do you ensure safety of contractors and their employees who carry out such non-routine work? { Give details of work permit systems, additional facilities or care taken, barricading provided etc during installations, expansions work or any other civil work that may be carried out. What are the roles and responsibilities of persons organizing out such work ? Give details of methods used like barricading, Loto, work permit system etc .} (20) (iv) How do you ensure safety in material handling? What facilities/ equipment is made available for safety during material handling activities ?. { what is the arrangement available for max weight to lift, safer posture to protect backbone etc? Facilities like forklift, hoists, cranes pallet trucks etc and their conditions} (10)

3. HSE Deployment & Compliance 3B. Activities, Equipment & Facilities for Safety. Total = 100 (v) How do you ensure driving and road safety within and outside your premises? { Explain the Traffic managements/organization within premises , Rules Regulations, barricading , traffic signs dividers etc. May add photographs} (7) (vi) Explain with examples how do you ensure safety of personnel during development, testing, or use of new product etc (Design safety, physical, chemical, electrical safety of new product activities) { Explain any special actins defined , facilities provided during new product or process introductions} (8)

3. HSE Deployment & Compliance 3B. Activities, Equipment & Facilities for Safety. Total = 100 (vii) List out Hazardous processes special processes, hazardous material storages etc if any , in the premises and actions /equipment lined up to handle the same in a safe manner. { Explain how safety of processes like Heat treatment, surface treatment, Painting, any other chemical processes, or storage of gases like lpg, liquid nitrogen etc is handled? } (15)

3. HSE Deployment & Compliance 3C. Safety of Stakeholders (Transporters, Suppliers, Customers) Total = 20 (i) How do you ensure the safety of outsiders, like employees of suppliers, transporters, etc entering your premises ? {Explain the facilities/ppe’s etc that is provided to contractors /transporters employees. Explain other mechanisms like permits, restrictions of entry to safety critical areas etc}} (10) (ii) How do you ensure safety of persons handing your product at customer end and the safety of end customer using your product ? { Explain any special actins taken for product safety, deburring, removal of sharp edges, other operational safety features of the product. Care taken in packaging to prevent injuries to handlers etc.} (10)

3. HSE Deployment & Compliance 3D. Health and Ergonomics Total = 25 (i)Explain the activities taken up for awareness, improvement of employees health, Special health checkups, etc, within and outside the premises. {Explain the , health awareness programs, hygiene promotions, and enforcement, Medical facilities/ periodic health checks conducted etc} (15) (ii) How do you ensure that work areas are ergonomically suitable for performing the work? How do you ensure that food and drinking water made available to employees on the premises is healthy? { Explain any activities like working posture design, guidance provided to employees for posture, studies conducted, solutions identified to improve ergonomics, eliminate contaminations, reduce heat, odour, etc from the processes.} (10)

3. HSE Deployment & Compliance 3E. Protection & Safety of Environment Total = 50 (i)What are the environmentally hazardous materials used or created in the premises? How do you control the usage of these materials? {List out the environmentally hazardous material like, oils, coolants, resins, paint sludge, other chemicals etc, . And explain the actions taken to ensure their usage is restricted to bare minimum in a tabulated form} (10) (ii) What arrangements are made for safe disposal of the environmentally hazardous waste? What countermeasures are available for handling any mishap like spillage, etc of these materials? { Explain any environmentally safe disposal arrangements that may have been made for disposal of such waste.} ( 10)

3. HSE Deployment & Compliance 3E. Protection & Safety of Environment Total = 50 (iii) Do you preserve the MSDS sheets for all environmentally hazardous material identified above? How do you inform the persons handling these items regarding the good handling practices? {Give details of number of items availability of MSDS sheets, critical points from these sheets, and details of training/guidelines given to the persons for handling the same preferably in tabulated form.} (10) (iv) Give details of various wastes generated in your premises. How do you reduce the impact of these wastes? { Give details of Reduce- Reuse-Recycle activities you may be undertaking to reduce waste } such waste preferably in tabulated form.} (10)

3. HSE Deployment & Compliance 3E. Protection & Safety of Environment Total = 50 (v) Does the company take up carbon footprint mapping? Give details of any other activities done for sustainability? Does your product have an impact on vehicle emissions? If yes, how do you ensure that it is reduced/controlled.? {Mention special checks on items like exhaust lines silencers, catcons, fuel filters etc. Give details of carbon footprint calculations if done.} (10)

3. HSE Deployment & Compliance 3F. Fire Prevention measures & Emergency Preparedness. Total = 40 (i) Explain in detail, preventive and post actions and countermeasures implemented to eliminate/ reduce the risk of fire in your premises. What are the mandatory proactive measures implemented? ( 15 ) (ii) List out and explain in brief what types of possible emergencies are identified in your premises? What are the preparedness actions identified and completed for each of them? How do you ensure that the preparedness state is always maintained? { Give details periodic checks, when was the last check completed. First aid training to employees, availability of trained first aiders etc} (15)

3. HSE Deployment & Compliance 3F. Fire Prevention measures & Emergency Preparedness. Total = 40 (iii) How is the emergency preparedness plan is communicated to your employees? (Mock drills plan, last mock drill conducted, actions taken, emergency assembly point , emergency contact number etc) ( 10 )

3. HSE Deployment & Compliance 3G. Compliance Regime ( Monitoring of Accidents/Non compliances) Total = 65 (i) How do you ensure compliance to the safety/environment related instruction/rules/processes by all and at all times? Who has the primary responsibility of compliance of safety regulations in each area? {who supervises & ensure that safety actions are taken or not? In case of unsafe actions /situations who identifies it? How is the corrective preventive action taken?} (10) (ii) How do you monitor the level of compliance. How is the non compliance handled? { Give examples of non compliance and corrective /preventive action taken for the same in recent past} ( 10 )

3. HSE Deployment & Compliance 3G. Compliance Regime ( Monitoring of Accidents/Non compliances) Total = 75 (iii) How does the leadership involve in compliance monitoring of safety /environment aspects.? {Does the leadership team take a safety round on premises? With what frequency? What were the findings in such observation rounds? What was the remedial actions?} (10) (iv) How are ‘Near Misses’ and unsafe conditions within the premises captured? How do you encourage the reporting of such incidences? (10)

3. HSE Deployment & Compliance 3G. Compliance Regime ( Monitoring of Accidents/Non compliances) Total = 75 (v) What are the observations /audit points identified in the recent internal audit conducted if any? Explain what corrective preventive actions are taken on the same, along with the current state of issues. {Does the leadership team take a safety round on premises? With what frequency? What were the findings in such observation rounds? What was the remedial actions?} ( 15 ) (vi) When was the last external audit conducted in the premises for safety or environment? Share the observations /non compliances identified. What corrective ?preventive actions were taken on these observations? (10)

Health Safety & Environment Results Achieved
OFFICE USE ONLY Section 4 Health Safety & Environment Results Achieved Total Marks = 100 S.N. Sub topic Total Marks Actual Marks ( for office use ) % 4A Lagging Indicators 20 4B Leading Indicators 40 4C Industrial waste & zero discharge. 15 4D Audits and Suggestions 4E Health and Environment Drives 10 TOTAL 100

4. Health Safety & Environment related Results Achieved 4A. Lagging Indicators Total 20 (i) Show trends for last 3 years along with targets for Accident frequency rate and Accident Severity rate. ( 20 )

4. Health Safety & Environment related Results Achieved 4 B. Leading Indicators Total 40 (i) Show month wise trends for last year for Number of Near misses captured ( 10 ) (ii) Number of Non Compliance observed Vs Number of Non compliance repeated ? What actions you have taken for avoiding repeated issues ? ( 10 )

4. Health Safety & Environment related Results Achieved 4 B. Leading Indicators Total 40 (iii) Number of Unsafe conditions identified & addressed ( 10 ) (iv) Share few examples of incidents/accidents investigations and & learnings acted upon. (10 )

4. Health Safety & Environment related Results Achieved 4 C. Industrial waste & Zero Discharge Total 15 (i) Show trends of industrial waste generated in your premises during the last 3 years ( Mention for per tonne / Per piece of production ) ( 5) (ii) Are you a zero discharge organizations? If not what are the plans for becoming one? (10 )

4. Health Safety & Environment related Results Achieved 4 D. Audits & Suggestions Total 15 (i) Give details of Points in internal & external safety audit for last 3 years for safety ( 5) (ii) Number of suggestion received for safety & Environments in last 3 years and best ones awarded ? (10 )

4. Health Safety & Environment related Results Achieved 4 E. Health & Environment drives Total 10 Give details of other results achieved in the fields of Health, & Environment . The results should be shown actual vs targets wherever possible (10) Following items to be covered. Number of health awareness/ check drives conducted.. Amount spent on preventive health checks or other health awareness drive during last 2-3 years. Number of drives conducted for Environment? Number of trees planted per employee? Water Savings or Energy savings achieved in last 2-3 years. Any other results you may want to share.

Business Results (General)
OFFICE USE ONLY Section 5 Business Results (General) Total Marks = 200 S.N . Sub topic Total Marks Actual Marks (for office use ) % 5.A Product Results 40 5.B Customer Focused Results 5.C Financial And Market Results 5.D Employee Focused Results 5.E Process Effectiveness Results TOTAL 200

5. BUSINESS RESULTS (5.A) Product Results Total = 40 What is the % of DOL (Direct Online) products? Show trend for last 3 years with target for each year (10) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text.) (iii) What is the status of customer complaints? Show trend for last 3 years with target for each year (10) (iv) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text)

5. BUSINESS RESULTS (5.A) Product Results Total = 40 (v) What is the status of Warranty? Show trend for last 3 years with target for each year in PPM (8) (vi) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text.

5. BUSINESS RESULTS (5.B) Customer Focused Results Total = 40 What is the Customer Audit score/ Rating? Show trend for last 3 years with target for each year (10) (ii) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text. (iii) What is the Customer satisfaction score? Show trend for last 3 years with target for each year (10) (iv) What are the actions initiated during last year? (4)

5. BUSINESS RESULTS (5.B) Customer Focused Results Total = 40 (v) What is the status of Customer Awards and Recognitions? Show trend for last 3 years. Consider your top 3 business customers for this data. (8) (vi) What are the actions initiated during last year? (4) (Mention here reasons for receiving / not receiving all customer awards. Share 2 shining examples with photos and text.

5. BUSINESS RESULTS (5.C) Financial And Market Results Total = 40 What is the sales turnover in INR Cr.? Show trend for last 3 years with target for each year (10) (ii) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text.) (iii) What is the % value addition to net sales? Show trend for last 3 years with target for each year (10) (iv) What are the actions initiated during last year? (4)

5. BUSINESS RESULTS (5.C) Financial And Market Results Total = 40 (v) What is the share of business for top 3 products. Show trend for last 3 years with target for each year (8) (vi) What are the actions initiated during last year? (4) (Mention here reasons for improving / reducing business share . Provide 2 shining examples with photos and text.)

5. BUSINESS RESULTS (5.D) Employee Focused Results Total = 40 What is the Employee satisfaction score? Show trend for last 3 years with target for each year (10) (ii) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text.) (iii) What are the training man days per employee per year? Show trend for last 3 years with target for each year (10) (iv) What are the actions initiated during last year? (4)

5. BUSINESS RESULTS (5.D) Employee Focused Results Total = 40 (v) What are the Suggestions per employee per year. Show trend for last 3 years with target for each year (8) (vi) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text.)

5. BUSINESS RESULTS (5.E) Process Effectiveness Results Total = 40 How much is In house Rejections? Show trend for last 3 years with target for each year (10) (ii) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text.) (iii) What is the Inventory turn Ratio ITR (Inventory Turn Ratio)? Show trend for last 3 years with target for each y (10) (iv) What are the actions initiated during last year? (4)

5. BUSINESS RESULTS (5.E) Process Effectiveness Results Total = 40 (v ) What is the value added per employee cost (VAPCO). Show trend for last 3 years with target for each year (8) Formula for VAPCO = (Sales – Variable cost)/ Employee Cost CTC (vi) What are the actions initiated during last year? (4) (Mention here reasons for exceeding/not achieving targets and share 2 shining examples with photos and text.)

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(Health, Safety & Environment) 1000 Marks

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