GENERAL INFORMATION

       *Date of Visit

·         Complete this field using the date of your visit to the factory.  Use the format MM/DD/YY.  (example: 05/12/04 represents May 12th, 2004)

 

Date Form is Received by ISCS

·         The International Supply Chain Security (ISCS) Team in Minneapolis will fill in this field. NO ACTION REQUIRED BY THE FIELD

 

*Field Assessment Factory ID

·         Complete this field with the factory F#, if known. (example: F00001234). 

The factory ID number is found in BPM (Business Partner Management)

If you do not know the factory ID, please leave this field blank. 

 

*Inspector Name/Title:

·         Complete this field with the evaluator’s name and title. 

 

       *Inspector Office/Country:

·         Complete this field with the evaluator’s office city and country location.

                   

*Reason for Visit:

·         Please check the appropriate reason for your visit for the following options:

o        Factory Evaluation

o        Global Compliance Audit

o        OTHER (If this option is checked, write the reason for your visit in the space provided)

 

FACTORY INFORMATION

 

*Factory Name and Address: