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* 1a. Name

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* 1b. Designation

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* 1c. Organisation

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* 1d. Email

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* 1e. Phone Number

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* 2. Sector that the business is associated with

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* 3. Region of operation in India (region include manufacturing and offices)

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* 4. Number of employees in your Organisation, India specific

                                                                                   Awareness

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* 5. Is your organization aware about United Nation’s Guiding Principles (UNGPs) and has your organization taken cognizance of Pillar 2 in some way?

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* 6. Is your organization aware about Japan’s National Action Plan on Business and Human rights? Did your organization participate in its development?

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* 7. Are you aware about the process of development of India’s National Action Plan on Business and Human Rights?

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* 8. What national & international declaration or directives your Organisation follows/ are a member/ endorses:

                                                          Organization Practices on Human Rights

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* 9. What are the salient human right issues in your sector? Please list top 3-4 issues

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* 10. In your organization’s operating context, India, which human right risks your businesses pose to the stakeholders? Have your prioritized them, please mention the top 3 or 5 issues?

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* 11. Does the Organisation have a policy on Human Rights and is it publicly available?

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* 12. What does the Human Rights policy cover?

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* 13. What employee categories does the Human Rights policy cover?

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* 14. Does the Human Rights policy extend to your supply/value chain partners?

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* 15. Does your Organisation have a focal point (Individual/ Committee) responsible for addressing human rights impacts or issues?

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* 16. Who in the organization is the ultimate authority on human rights, for key decisions, strategy, and planning?

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* 17. What are the measures taken for the well-being of employees in your company? Which measures are applicable to permanent and contractual employees & workers? (Please tick where applicable)

  Permanent Employee Contractual Employee Permanent Worker Contractual Worker
Health insurance
Life insurance
Disability insurance
Maternity benefits
Paternity benefits
Child day care facilities
Provident fund
Bonus
Right to leaves
Appropriate Working Hours and Overtime
Wellness Programs (Health Screenings)

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* 18. What is the percentage of employees covered by independent trade union organizations / collective bargaining agreement?

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* 19. Is there an internal mechanism in place to redress grievances related to human rights issues in your company?

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* 20. Is the Organisation’s premise/office accessible to differently abled visitors?

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* 21. Do you assess the human rights issues/cases in your supply/value chain?

                                                 Human Rights Due Diligence

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* 22. Do you conduct human rights due diligence in your Organisation?

Internal & External Communications Process

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* 23. Do human rights requirements form part of your business agreements and contracts and how do you implement this?

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* 24. Are training and awareness programmes conducted on human rights among the employees of the organisation and supply chain? If yes, please tick.

  Permanent Employee Contractual Employee Permanent Worker Contractual Worker
In your Organisation
In your Supply Chain

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