Johnson & Johnson

Family of Companies
Responsibility Standards for Suppliers
Self-Assessment Questionnaire
This questionnaire is designed to gather information regarding the mechanisms your facility management
has in place to manage its business conduct; human rights, labor and employment practices; worker health,
safety and well-being practices; sustainability and environmental responsiblity; and efforts associated with
transparency and disclosure. This information will be used to assure conformance to Johnson & Johnson's
Responsibility Standards for Suppliers and to determine if additional follow up may be necessary.
When answering the questions, "mechanisms" may include programs, policies, procedures, practices,
training, communications, meetings, internal inspections, internal audits, or management reviews. The
mechanism need not be documented or formalized to be considered effective. To be considered effective,
the mechanism should deliver the desired results on a continuous basis.
Please complete the questionnaire as thoroughly as possible. We encourage you to provide details in the
column marked "Please briefly explain all responses" since this will make the review process most efficient
for your organization and ours. Please return the file by email to your J&J contact. Your J&J contact will be
in touch with you to discuss your responses and any necessary follow-up. Thank you in advance for your
time and effort to complete this questionnaire. Your partnership is greatly appreciated.

SAQ - Ver 1

Introduction

2011

All contents Copyright Johnson & Johnson 2005-2007. All Rights Reserved.

SAQ - Ver 1

Introduction

2011

Responsibility Standards for Suppliers

Self-Assessment Questionnaire
SITE DETAILS
Company Name:

Street Address:
City:

State:

Country:

Zip Code:

CONTACT INFORMATION FOR PERSON(S) COMPLETING THE QUESTIONNAIRE

Name:

Title:

Phone Number:

Email Address:

Completion and Management Review

SAQ - Ver 2

Site Details

2011

ETHICS and BUSINESS CONDUCT SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to behave ethically and with
integrity in all business transactions.
Management
1. Systems
(communications)

1.1 Does the facility management have a

mechanism(s) to communicate its commitment and
requirements for ethical & legal business practices to
its employees?

Management
1. Systems
(report concerns)

1.2 Does the facility management have a

mechanism(s) for employees to report concerns
related to ethical or legal misconduct without threat
of reprisal, intimidation or harassment?

Management
Systems
1.
(investigate
concerns)

1.3 Does the facility management have a

mechanism(s) to investigate reports of ethical or
legal misconduct and for taking disciplinary action?

Management
1. Systems
(review operations)

1.4 Does the facility management have a

mechanism(s) to review its business for ethical and
legal misconduct and to implement corrective actions
if necessary?

2. Legal Compliance

2.1 Does the facility management have a

mechanism(s) to understand all legal requirements
for business conduct that are applicable to its
business?

2. Legal Compliance

2.2 Does the facility management have a

mechanism(s) to comply with the legal requirements
for business conduct that are applicable to its
business?

3. Fair Business

3.1 Does the facility management have a

mechanism(s) to uphold standards for fair business
practices including accurate and truthful advertising,
fair competition and anti-trust?

SAQ - Ver 2

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable Please briefly explain all responses.

Ethics - SA

2011

ETHICS and BUSINESS CONDUCT SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to behave ethically and with
integrity in all business transactions.

4. Anti-Corruption

4.1 Does the facility management have a

mechanism(s) to prohibit the exchange of privileges,
waiver of penalties or fines, or special benefits
through payment of bribes, illegal political
contributions, or other illicit payments or methods?

Confidential
Information

5.1 Does the facility management have a

mechanism(s) to safeguard against improper use
and disclosure of confidential or sensitive information
including intellectual property, pricing, employee and
patient information?

5.

5.

Confidential
Information

5.2 Does the facility management have a

mechanism(s) to prevent, detect and report diversion, theft and counterfeiting of J&J products
and processes at its facility(ies)?

6. Communications

6.1 Does the facility management have a

mechanism(s) to maintain an environment of
transparency, collaboration and innovation with its
customers?

Treatment of
7.
Animals

7.1 If the facility undertakes animal testing, does the

facility management have a mechanism(s) to treat
animals used in its activities in an ethical and
humane manner?

SAQ - Ver 2

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable Please briefly explain all responses.

Ethics - SA

2011

ETHICS and BUSINESS CONDUCT SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to behave ethically and with
integrity in all business transactions.

Treatment of
7.
Animals

SAQ - Ver 2

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

7.2 If the facility undertakes animal testing, does the

facility management have a mechanism(s) to follow
the principles of replacement, refinement, and
reduction of laboratory research animal testing?

Needs
Improvement

No

Not Applicable Please briefly explain all responses.

Ethics - SA

2011

HUMAN RIGHTS, LABOR & EMPLOYMENT SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's supplierss are expected to treat people with dignity
and respect.

1.

1.

1.1 Does the facility management have a

Management
mechanism(s) to communicate its commitment and
Systems
requirements for appropriate workplace conduct to its
(communications)
employees?

Management
Systems
(report concerns)

Management
1. Systems
(investigate
concerns)

Management
1. Systems
(correct concerns)

Legal
2.
Compliance

SAQ - Ver 2

1.2 Does the facility management have a

mechanism(s) for employees to report concerns
related to workplace misconduct without threat of
reprisal, intimidation or harassment?

1.3 Does the facility management have a

mechanism(s) to investigate reports of workplace
misconduct and for taking disciplinary actions?

1.4 Does the facility management have a

mechanism(s) to review the workplace for misconduct
and to implement corrective actions if necessary?

2.1 Does the facility management have a

mechanism(s) to understand all legal requirements
for human rights, labor and employment practices
that are applicable to its business?

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain

all responses.

Labor - SA

2011

HUMAN RIGHTS, LABOR & EMPLOYMENT SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's supplierss are expected to treat people with dignity
and respect.

Legal
2.
Compliance

2.2 Does the facility management have a

mechanism(s) to comply with all legal requirements
for human rights, labor and employment practices
that are applicable to its business?

3. Voluntary Labor

3.1 Does the facility management have a

mechanism(s) to maintain a workplace that is free of
forced, bonded, indentured or involuntary prison
labor?

NonDiscrimination

4.1 Does the facility management have a

mechanism(s) to maintain a workplace that is free of
harassment and/or discrimination based on race,
color, religion, gender, pregnancy, HIV status, sexual
orientation, national origin, age, disability, veteran's
status, marital status or political affiliation?

4.

5. Treatment of
Persons

5.1 Does the facility management have a

mechanism(s) to maintain a workplace that is free of
harsh and inhumane treatment, including any sexual
harassment or abuse, corporal punishment, mental or
physical coercion or verbal abuse of workers and free
of any threat of such treatment?

6. Working Hours,
Wages, and
Benefits

6.1 Does the facility management have a

mechanism(s) to comply with applicable legal
requirements for working hours and to provide
agreed-upon time off from work?

SAQ - Ver 2

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain

all responses.

Labor - SA

2011

HUMAN RIGHTS, LABOR & EMPLOYMENT SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's supplierss are expected to treat people with dignity
and respect.

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

6. Working Hours,
Wages, and
Benefits

6.2 Does the facility management have a

mechanism(s) to provide sufficient rest periods during
the workday to avoid unsafe working conditions?

6. Working Hours,
Wages, and
Benefits

6.3 Does the facility management have a

mechanism(s) to pay employees in accordance with
local legal requirements?

6. Working Hours,
Wages, and
Benefits

6.4 Does the facility management have a

mechanism(s) to communicate to employees the
wages to be paid to them in advance of commencing
work?

6. Working Hours,
Wages, and
Benefits

6.5 Does the facility management have a

mechanism(s) to communicate to employees if
overtime is required and the wages to be paid for
such overtime?

7. Employment of
Young Persons

7.1 Does the facility management have a

mechanism(s) to comply with the Johnson & Johnson
Employment of Young Persons Policy which prohibits
employing anyone under the age of 16?

SAQ - Ver 2

Needs
Improvement

No

Not Applicable

Please briefly explain

all responses.

Labor - SA

2011

HUMAN RIGHTS, LABOR & EMPLOYMENT SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's supplierss are expected to treat people with dignity
and respect.

7. Employment of
Young Persons

7.2 Does the facility management have a

mechanism(s) to comply with the Johnson & Johnson
Employment of Young Persons Policy which prohibits
employing anyone under the age of 18 to perform
hazardous work?

8. Freedom of
Association

8.1 Does the facility management have a

mechanism(s) to maintain a workplace where the
rights of its employees to make informed decisions
free of coercion, threat of reprisal or unlawful
interference regarding their desire to join or not join
organizations are respected?

9. Collective
Bargaining

9.1 Does the facility management have a

mechanism(s) to maintain a workplace where the
rights of its employees to bargain collectively without
unlawful interference are respected?

SAQ - Ver 2

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain

all responses.

Labor - SA

2011

HUMAN RIGHTS, LABOR & EMPLOYMENT SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's supplierss are expected to treat people with dignity
and respect.

10. Human
Trafficking

SAQ - Ver 2

10.1 Does the facility management have a

mechanism, including policies and/or procedures to
evaluate and address risk of human trafficking (as
defined by the United Nations and generally thorught
of as the recruitment, transporation, transfer,
harbouring or receipt of persons by threat or use of
force, coercion, abduction, fraud, decepetion, abuse
of power or volunerability, or giving payments or
benefits to a person in control of the victim)?

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain

all responses.

Labor - SA

2011

HEALTH, SAFETY and WELL-BEING SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to maintain the workplace
and any living quarters used to house employees in a clean, orderly, and
safe manner.

1.

Management
Systems
(communications)

1.

Management
Systems
(assess risks)

1.

Management
Systems
(control exposure)

(health & safety

training)

SAQ Ver 2

Yes

1.1 Does the facility management have a

mechanism(s) to communicate its commitment and
requirements for workplace health and safety to its
employees?

1.2 Does the facility management have a

mechanism(s) to assess the potential risks associated
with the presence of chemical, biological, physical
hazards in the workplace?

1.3 Does the facility management have a

mechanism(s) to control exposure to chemical,
biological, and physical hazards in the workplace and
to maintain these controls on a routine basis?

1.4 Does the facility management have a

Management
mechanism(s) to manage changes in the workplace
1. Systems (change
and update documents, procedures, practices and
mgmt)
controls related to health and safety as necessary?

Management
1. Systems

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

1.5 Does the facility management have a

mechanism(s) to train employees on their job-specific
hazards (e.g., chemical, physical), safe operating
procedures and the proper use of controls?

Needs
Improvement

No

Not Applicable

Please briefly explain all

responses.

Health & Safety - SA

2011

HEALTH, SAFETY and WELL-BEING SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to maintain the workplace
and any living quarters used to house employees in a clean, orderly, and
safe manner.

1.

Management
Systems
(track incidents)

1.

Management
Systems
(report incidents)

1.6 Does the facility management have a

mechanism(s) to report and track health and safety
concerns and incidents in the workplace?

1.7 Does the facility management have a

mechanism(s) to report health and safety incidents to
applicable regulatory authorities and to J&J as
appropriate?

1.8 Does the facility management have a

mechanism(s) to review its health and safety
(H&S performance performance, identify opportunities for improvement
improvements)
and implement corrective action as necessary?

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain all

responses.

Management
1. Systems

Management
1. Systems
(contract workers)

SAQ Ver 2

1.9 Does the facility management have a

mechanism(s) to ensure contract workers performing
activities at the facility comply with all requirements
related to health and safety?

Health & Safety - SA

2011

HEALTH, SAFETY and WELL-BEING SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to maintain the workplace
and any living quarters used to house employees in a clean, orderly, and
safe manner.

2.

Legal
Compliance

2.1 Does the facility management have a

mechanism(s) to understand all worker health and
safety legal requirements applicable to its operations?

2.

Legal
Compliance

2.2 Does the facility management have a

mechanism(s) to comply with all worker health and
safety legal requirements applicable to its operations?

2.

Legal
Compliance

2.3 Has their been a compliance audit to verify that the

facility complies with all worker health and safety legal
requirements applicable to its operations?

3. Chemical
Hazards

3.1 Does the facility management have a

mechanism(s) to prevent employee exposure to
chemical hazards in the workplace?

3. Chemical
Hazards

3.2 If applicable, does the facility management have a

mechanism(s) to prevent employee exposure to
hazards associated with active pharmaceutical
ingredients (API) in the workplace?

SAQ Ver 2

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain all

responses.

Health & Safety - SA

2011

HEALTH, SAFETY and WELL-BEING SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to maintain the workplace
and any living quarters used to house employees in a clean, orderly, and
safe manner.

3. Chemical
Hazards

3.3 If a J&J API is handled at the facility and J&J has

determined a Performance -based Occupational
Exposure Limit (PBOEL) or Occupational Exposure
Limit, does the facility management have a
mechanism(s) to control exposures in the workplace to
this limit?

4.

Biological
Hazards

4.1 Does the facility management have a

mechanism(s) to prevent employee exposure to
biological hazards in the workplace?

Biological
Hazards

4.2 Does the facility management have a

mechanism(s) to provide safe and potable drinking
water to its employees?

Physical
5. Hazards
(confined space)

Physical
5. Hazards
(radiation)

SAQ Ver 2

5.1 Does the facility management have a

mechanism(s) to prevent unauthorized confined space
entry?

5.2 Does the facility management have a

mechanism(s) to prevent employee exposure to
radiation hazards in the workplace?

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain all

responses.

Health & Safety - SA

2011

HEALTH, SAFETY and WELL-BEING SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to maintain the workplace
and any living quarters used to house employees in a clean, orderly, and
safe manner.
Physical
5. Hazards

(cutting/moving
equip)

Physical
5. Hazards
(live electricity)

Physical
5. Hazards
(stored energy)

Physical
5. Hazards

(physically
demanding tasks)

5.3 Does the facility management have a

mechanism(s) to prevent employee exposure to the
physical hazards associated with cutting or moving
equipment in the workplace?

5.4 Does the facility management have a

mechanism(s) to prevent employee exposure to the
physical hazards associated with work involving live
electricity?

5.5 Does the facility management have a

mechanism(s) to prevent employee exposure to the
physical hazards associated with stored energy (e.g.,
electrical, pneumatic, chemical) during servicing of
machinery?

5.6 Does the facility management have a

mechanism(s) to prevent employee exposure to the
physical hazards associated with physically
demanding tasks in the workplace such as tasks
involving: repetitive motion, awkward posture, physical
stress, prolonged static posture, vibration, or
temperature extremes?

5.7 Does the facility management have a

mechanism(s) to prevent employee exposure to the
physical hazards associated with Powered Industrial
(powered vehicles)
Vehicles (PIVs) such as forklifts in the workplace?

Physical
5. Hazards

SAQ Ver 2

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain all

responses.

Health & Safety - SA

2011

HEALTH, SAFETY and WELL-BEING SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to maintain the workplace
and any living quarters used to house employees in a clean, orderly, and
safe manner.

Physical
5. Hazards
(noise)

Physical
5. Hazards
(elevated heights)

Physical
5. Hazards

(materials at
heights)

Physical
5. Hazards

(safe walking +
egress)

SAQ Ver 2

Yes

5.8 Does the facility have a mechanism to prevent

employee exposures to the physical hazards
associated with being routinely subjected to noise at
more than 85 decibels in the workplace?

5.11 Does the facility management have a

mechanism(s) to ensure housekeeping practices and
facility design allow for safe working, safe walking and
safe egress?

No

Not Applicable

Please briefly explain all

responses.

5.9 Does the facility management have a

mechanism(s) to prevent employee exposures to the
physical hazards associated with performing work at
elevated heights or near excavations in the workplace?

5.10 Does the facility management have a

mechanism(s) to prevent employee exposures to the
physical hazards associated with materials falling from
heights such as materials in storage or being
transported by hoists or cranes in the workplace?

Needs
Improvement

Health & Safety - SA

2011

HEALTH, SAFETY and WELL-BEING SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to maintain the workplace
and any living quarters used to house employees in a clean, orderly, and
safe manner.

6. Process Safety

6.1 Does the facility management have a

mechanism(s) to manage processes safely and to
prevent catastrophic events associated with new and
existing manufacturing processes (including pilot
manufacturing) involving highly toxic, flammable,
reactive and/or corrosive chemicals?

7.1 Does the facility management have a

Emergency
mechanism(s) to identify and plan for potential
7. Preparedness & emergencies (fires, explosions, medical incidents) in
Response
the workplace and/or company provided living
quarters?

Emergency
7.2 Does the facility management have a
7. Preparedness & mechanism(s) to prevent and mitigate the impacts of
Response
emergency situations?

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

No

Not Applicable

Please briefly explain all

responses.

7.3 Does the facility management have a

Emergency
mechanism(s) to warn workers of emergency
7. Preparedness &
situations and to evacuate workers from buildings
Response
including living quarters?

Emergency
7.4 Does the facility management have a
7. Preparedness & mechanism(s) to execute emergency response
Response
procedures?

SAQ Ver 2

Needs
Improvement

Health & Safety - SA

2011

HEALTH, SAFETY and WELL-BEING SELF-ASSESSMENT

Area of
Assurance
Johnson & Johnson's suppliers are expected to maintain the workplace
and any living quarters used to house employees in a clean, orderly, and
safe manner.
8.1 Does the facility management have a
mechanism(s) to promote health programs (for
8 Health Programs example: fitness programs, smoking cessation, blood
pressure monitoring, etc.) that positively impact the
health of the employees?

SAQ Ver 2

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Yes

Needs
Improvement

No

Not Applicable

Please briefly explain all

responses.

Health & Safety - SA

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner.

Yes
1.1 Does the facility management have a
mechanism(s) to communicate its commitment
Management Systems
1.
and requirements for operating in an
(communications)
environmentally responsible manner to its
employees?

Needs
Improvement

No

Not Applicable

Please briefly
explain all
responses.

1.2 Does the facility management have a

mechanism(s) to assess the environmental
impacts of its operations and to determine which
Management Systems impacts are most significant? Environmental
1.
(env impacts)
aspects of its operations to consider include:
natural resource consumption, materials sourcing,
waste generation, wastewater discharges, and air
emissions.

1.

Management Systems
(reduce impacts)

SAQ - Ver 2

1.3 Does the facility management have a

mechanism(s) to work toward reducing its
significant environmental impacts?

Environment - SA

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner.

Yes
1.4 Does the facility management have a
mechanism(s) to manage changes in the
Management Systems
1.
workplace and update documents, procedures,
(change mgmt)
practices and controls related to environmental
protection as necessary?

No

Not Applicable

Please briefly
explain all
responses.

1.5 Does the facility management have a

Management Systems mechanism(s) to train workers on the
1.
(env training)
environmental impacts and legal requirements of
their jobs?

1.6 Does the facility management have a

Management Systems mechanism(s) to report and track environmental
1.
(track incidents)
incidents, including noncompliance events, in the
workplace?

SAQ - Ver 2

Needs
Improvement

Environment - SA

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner.

Yes

Needs
Improvement

No

Not Applicable

Please briefly
explain all
responses.

1.7 Does the facility management have a

Management Systems mechanism(s) to report environmental incidents to
1.
(report incidents)
applicable regulatory authorities and to J&J as
appropriate?

1.8 Does the facility management have a

Management Systems mechanism(s) to review its environmental
1. (env performance
performance, identify opportunities for
improvements)
improvement and implement corrective action as
necessary?

SAQ - Ver 2

Environment - SA

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner.

Yes

1.9 Does the facility management have a

Management Systems mechanism(s) to ensure contract workers
1.
(contract workers)
performing activities at the facility comply with all
requirements related to environmental protection?

2. Legal Compliance

2.1 Does facility management have a

mechanism(s) to understand all environmental
legal requirements applicable to its operations and
products?

2. Legal Compliance

2.2 Does facility management have a

mechanism(s) to obtain legally required
environmental permits and licenses and to submit
legally required environmental registrations
applicable to its operations and products?

SAQ - Ver 2

Needs
Improvement

No

Not Applicable

Please briefly
explain all
responses.

Environment - SA

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner.

Yes

2. Legal Compliance

2.3 Has their been a compliance audit to verify

that the facility complies with all environmental
legal requirements applicable to its operations?

3. Waste Management

3.1 Does the facility management have a

mechanism(s) to manage its solid wastes in
compliance with applicable legal requirements and
to prevent adverse environmental impacts on the
local community?

4. Wastewater

4.1 Does the facility management have a

mechanism(s) to manage its wastewater
discharges in compliance with applicable legal
requirements and to prevent adverse
environmental impacts on the local community?

SAQ - Ver 2

Environment - SA

Needs
Improvement

No

Not Applicable

Please briefly
explain all
responses.

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner.

Yes

5. Stormwater

5.1 Does the facility management have a

mechanism(s) to manage the impacts of its
operations on stormwater in compliance with
applicable legal requirements and to prevent
adverse environmental impacts on the local
community?

6. Air Emissions

6.1 Does the facility management have a

mechanism(s) to manage its air emissions in
compliance with applicable legal requirements and
to prevent adverse environmental impacts on the
local community?

SAQ - Ver 2

Environment - SA

Needs
Improvement

No

Not Applicable

Please briefly
explain all
responses.

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Area of
Assurance

Yes = Implemented and effective.

Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Johnson & Johnson's suppliers are expected to operate in an

environmentally responsible manner.
Yes

7. Accidental Releases

SAQ - Ver 2

Needs
Improvement

No

Not Applicable

Please briefly
explain all
responses.

7.1 Does the facility management have a

mechanism(s) to identify and plan for potential
accidental releases of hazardous materials into
the environment at the facility?

Environment - SA

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner.

Yes

7. Accidental Releases

7.2 Does the facility management have a

mechanism(s) to prevent, detect and mitigate the
impacts of accidental releases of hazardous
materials on the environment and local
community?

7. Accidental Releases

7.3 If the facility is involved in an environmental

remediation, does the facility management have a
mechanism(s) to manage the remediation
activities in compliance with applicable legal
requirements and to prevent adverse impacts on
the local community?

SAQ - Ver 2

Environment - SA

Needs
Improvement

No

Not Applicable

Please briefly
explain all
responses.

2011

SUSTAINABILITY and ENVIRONMENTAL RESPONSIBILITY SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner.

Yes

8. Product Materials

8.1 Does the facility management have a

mechanism(s) to ensure the products it
manufactures for J&J are compliant with
applicable environmental legal requirements and
do not contain any legally banned or restricted
materials or materials prohibited by J&J (if
requested by J&J)?

9 Local Community

9.1 Does the facility management have a

mechanism(s) and programs that recognize,
respect and invest in the local community ?

SAQ - Ver 2

Environment - SA

Needs
Improvement

No

Not Applicable

Please briefly
explain all
responses.

2011

TRANSPARENCY AND DISCLOSURE SELF-ASSESSMENT

Yes = Implemented and effective.
Needs Improvement = Implemented but not completely effective.
No = Not implemented or not effective.

Area of
Assurance
Johnson & Johnson's suppliers are expected to operate in an
environmentally responsible manner+.

Yes

Transparency and
1.
Disclosure

No

Not Applicable

Please briefly
explain all
responses.

1.1 Does the facility management have a

mechanism(s) to assess what is material to its
operations and to determine which are most
significant?

1.

Transparency and
Disclosure

1.2 Does the facility management have a

mechanism(s) to identify and engage key
stakeholders?

1.

Transparency and
Disclosure

1.3 Does the facility management have a

mechanism(s) to publicly disclose efforts and
performance corresponding to what is material?

SAQ - Ver 2

Needs
Improvement

Transparency - SA

2011