Desso Holding B.V.
P.O. Box 169
5140 AD W aalwijk
The Netherlands
Tel. +31 (0)416 684100
Fax +31 (0)416 335955
[Company]
[Attn.]
[Address]
[Zip code, City]
www.desso.com
[Country]
12 February 2016
Subject: Suppliers Declaration Desso Holding B.V.
Dear [Mr./Mrs.] [Name]
Please send this letter, including the enclosures, to the responsible person in your
company and send an e-mail to your Desso contact person with the contact information of
that person.
First of all our DESSO focus:
Standards exist to be improved upon, and the high standards we set in our work today
present us with our challenges for tomorrow. We are determined to offer our customers the
very best possible products, processes, applications and services. This dedication to
excellence makes the company successful, and embraces our four core brand values of
creativity, ambition, flexibility and responsibility.
Creativity
We are committed to extending the boundaries of what is achievable. We are constantly
striving to create new and improved products and services which provide even better
answers to our customers' needs.
Ambition
Desso is a company of enormous drive and ambition. Our strategy is not only to build and
strengthen our current markets but to develop and widen our product portfolio. We aim to
target activities that will increase our profitability and earnings stability.
Flexibility
Desso possesses the ability to change, to respond quickly and effectively to the everchanging business environment. We remain alert to what our markets and customers
require, and can use our knowledge and resources to take any required action swiftly and
efficiently.
Suppliers Declaration; (v1.1) latest version is available on www.desso.com
Printed copies are not controlled
page 1 of 8
Responsibility: Cradle to Cradle ®
Desso is a Cradle to Cradle company since we embraced the C2C concept. For C2C
products all materials must be positively defined concerning their eco-toxicological and
toxicological properties. Furthermore Desso’s products will be fully recyclable,
compostable and produced with energy from current solar income. Desso prefers this for
the whole supply chain. In order to be awarded a C2C certificate, all materials used by
Desso will be evaluated. The information we need for C2C will be derived from the forms
that you need to complete.
Sustainability with substance
Desso will ensure that her products have a beneficial impact throughout their whole life.
We will source sustainable raw materials, use durable energy and energy efficient
processes, develop long-life and low maintenance products, and we recycle, reclaim and
re-use products at the end of their initial life.
Social responsibilities
Desso wants her business to have a positive effect on those we deal with - not least our
customers, our workforce and our suppliers. We aim to build a reputation as an honest and
ethical trading partner, great employer and responsible neighbour, guided by the Global
Sullivan principles and according to the SA 8000 standard. (Annex 1).
Desso General Requirements:
Desso has specified a number of requirements applicable to suppliers in respect of the
service performed or the product delivered. (Annex 2)
C2C policy:
To support Desso’s C2C policy, we require the next 2 declarations to be completely filled
in and signed:
1. Supplier declaration form, including the questionnaire SA-QA-EHS.
Please return the original declaration form within ten calendar days after receipt to
your Desso contact person.
2. Product declaration form.
Please return the declaration digitally to your contact person, for all the
materials/ingredients you supply to Desso.
In advance we thank you for your co-operation!
Yours sincerely,
Desso Holding B.V.
R. Daelmans,
Director Sustainability
Table of contents:
o Supplier declaration form
o Annex 1 Global Sullivan principles
o Annex 2 List of Specified Requirements
Reference internet sites:
Desso: http://www.desso.com/
Sullivan: http://www.thesullivanfoundation.org
Suppliers Declaration; (v1.1) latest version is available on www.desso.com
Printed copies are not controlled
page 2 of 8
SUPPLIER DECLARATION FORM
Herewith we, as supplier, declare to Desso Holding BV that,
-
-
we fully support Desso’s C2C policy (see Desso Focus page 1)
we comply with Global Sullivan principles (see Annex 1)
we comply with the general requirements (see Annex 2)
we comply with the Reach Regulation No (EC) 1907/2006 regarding Registration, Evaluation
and Authorisation of Chemicals.
we will support Desso with relevant environmental supply chain information.
we will supply the most recent Material Safety Data Sheet (MSDS) and all requested
information in the Product Declaration needed to make the Assessment for the C2C
certification.
we will inform Desso immediately in case of changes in the composition of the materials/
substances.
we will follow the requirements as mentioned above for all materials / substances delivered in
the future.
this declaration will be signed truthfully and all the requested information will be supplied
truthfully
______________________
Date
____________________________
Signature
Company
:
Contact person :
Function
:
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page 3 of 8
Annex 1 Global Sullivan Principles
The Principles
As a company which endorses the Global Sullivan Principles we will respect the law, and as a
responsible member of society we will apply these Principles with integrity consistent with the
legitimate role of business. We will develop and implement company policies, procedures,
training and internal reporting structures to ensure commitment to these Principles throughout
our organization. We believe the application of these Principles will achieve greater tolerance
and better understanding among peoples, and advance the culture of peace.
Accordingly, we will:

Express our support for universal human rights and, particularly, those of our
employees, the communities within which we operate and parties with whom we do
business.

Promote equal opportunity for our employees at all levels of the company with respect
to issues such as color, race, gender, age, ethnicity or religious beliefs, and operate
without unacceptable worker treatment such as the exploitation of children, physical
punishment, female abuse, involuntary servitude or other forms of abuse.

Respect our employees' voluntary freedom of association.

Compensate our employees to enable them to meet at least their basic needs and
provide the opportunity to improve their skill and capability in order to raise their social
and economic opportunities.

Provide a safe and healthy workplace; protect human health and the environment; and
promote sustainable development.

Promote fair competition including respect for intellectual and other property rights, and
not offer, pay or accept bribes.

Work with governments and communities in which we do business to improve the
quality of life in those communities — their educational, cultural, economic and social
well-being — and seek to provide training and opportunities for workers from
disadvantaged backgrounds.

Promote the application of these Principles by those with whom we do business.
We will be transparent in our implementation of these Principles and provide information which
demonstrates publicly our commitment to them (see questionnaire SA-QA-EHS). We will allow
Desso to organize audits on these subjects.
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page 4 of 8
Annex 2:
Desso General Requirements:
Introduction:
The activities and performance of the supply chain have a key impact on Desso’s overall performance
and capacity to manage related risks. Therefore Desso and its suppliers shall ensure full compliance of
their activities and products through their life cycle with applicable laws and regulations and compliance
with additional requirements.
Requirement 1: General Compliance
The supplier shall comply with all applicable laws and regulations. In such respect, the supplier shall
perform services and/or deliver products to Desso which do not contain any substances banned under
applicable laws and regulations, as such laws and regulations may be modified from time to time.
The supplier shall fully cooperate with Desso to fulfil its obligations under any applicable law and
regulation. eg.: REACh, GUT, AgBB and DIBt. 1.
Requirement 2: Flow down
The supplier shall encourage its own suppliers to comply with the latest requirements of Desso.
Requirement 3: Management systems
The supplier shall respect the principles of the C2C policy and implement a certified or auditable
management systems on a similar level to manage all issues related to its activities.
Requirement 4: Responsibility
The supplier takes full responsibility to supply the right information at the right time and takes full
responsibility for costs in case of wrong information supplied to Desso.
It is the responsibility of the supplier to delegate this responsibility to its own suppliers.
¹ Further information can be found on:
REACh:
http://echa.europa.eu/home_en.asp : http://echa.europa.eu/web/guest/regulations/reach/legislation
GUT
http://pro-dis.info/chemicals.html
AgBB and DIBt
http://www.dibt.de/de/data/aktuelles_ref_ii_4_6.pdf
Suppliers Declaration; (v1.1) latest version is available on www.desso.com
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page 5 of 8
Desso’s Questionnaire: SA- QA- EHS
(SA Social Accountability, QA Quality Assurance and EHS Environment Health and safety)
Social / ethical policy
yes /
no
Code of conduct present? - if yes attach policy
yes /
no
Presence of a social/ ethical certification/ audit report? - if
yes attach certificate or audit report
yes /
no
If yes: against which standard?
ETI base code /
Social Accountability Policy published?
– if yes, where to find?
SA 8000 /
BSCI
When a social/ ethical certification or audit report is present. Go straight to point 2: Working
conditions (OHSAS 18001)
When a social/ ethical certification or audit report is NOT present continue with question 1.4 (see
below)
Child labour
Any child labour policy in place ?
- if yes attach policy
yes /
no
yes /
no
yes /
no
- if no comment on control actions
Are all workers over the minimum legal working age?
- what’s minimum age
- provide age distribution
Forced labour
Any forced labour policy in place ?
- if yes attach policy
- if no comment on control actions
Do you hold workers ID cards / passports?
yes (original) /
Do you make loans or advances on pay to workers?
yes /
yes (copy) /
no
no
SA8000 forbids bonded labor in which a person is forced by the employer or
creditor to work to repay a financial debt to the crediting entity. Bonded labor
may be suspected in any case where employees are subject to financial
sanctions which effectively force them to remain employed at the facility.
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page 6 of 8
Health & Safety
Is there a senior manager responsible for health & safety?
yes /
no
Do you carry out health & safety risk assessment?
yes /
no
The key risk issues found in the risk assessment are:
-
work related diseases
yes /
no
-
exposure to chemicals/ asbestos/ dust
yes /
no
-
handling of electricity
yes /
no
-
safety of machines and steam boilers
yes /
no
-
fire safety and emergency cases
yes /
no
-
workplace hygiene and sanitation
yes /
no
-
exposure to heat/ cold/ noise
yes /
no
-
Others:
What corrective/preventive actions do you take to avoid health risks?
Do you keep records of accidents and take
corrective/preventive actions?
yes /
no
Are there always trained, well equipped first aiders present ?
– If yes, attach certificate
yes /
no
Do you have a fire alarm system and evacuation procedure?
yes /
no
yes /
no
Are workers representatives democratically elected by the
workforce and are they allowed to carry out their duties
within working hours without losing pay?
yes /
no
Do you have collective bargaining agreements?
yes /
no
yes /
no
Freedom of association and the right to collective bargaining
Are workers free to join trade unions or workers
organisations of their choice?
What unions or workers organisations are represented in
your company?
Discrimination
Do you have an equal opportunities policy?
- if yes attach policy
Do you forbid discrimination against
-
pregnant women
yes /
no
-
migrant workers
yes /
no
-
age related
yes /
no
-
trade unions
yes /
no
-
workers with disabilities
yes /
no
Do you have a formal and communicated disciplinary
procedure?
yes /
no
Do you have a formal and communicated grievance
procedure?
yes /
no
Disciplinary practices
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Printed copies are not controlled
page 7 of 8
Working hours
What is the legal maximum working week?
Is overtime voluntary?
yes /
no
Do you use homeworkers?
yes /
no
yes /
no
yes /
no
yes /
no
yes /
no
yes /
no
yes /
no
yes /
no
yes /
no
yes /
no
Remuneration
Is there a legal minimum wage set that is applicable to your
site, set by law or collective agreement?
Is the minimum wage sufficient for the basic needs of the
employees, according the basic need calculation?
Business Integrity
Do you have a written policy and communicated on
prohibiting bribery and corruption and fraud within your
business?
Your suppliers
Do you require social / ethical policy or codes of conduct
from your suppliers?
How do you investigate whether they comply with social /
ethical standards?
Quality assurance system
Presence of a QA system (ISO etc.)
Certification?
- if yes attach certificate(s)
Working conditions (OHSAS 18001)
Presence of working conditions system (OHSAS 18001 etc.)?
- if yes attach certificate(s)
Environmental assurance system
Presence of an ISO 14001 or EMAS certification?
attach certificate(s)
- if yes
Presence of a yearly environmental report
To be filled out by supplier
Company:
Signature \ Date
Stamp company
Suppliers Declaration; (v1.1) latest version is available on www.desso.com
Printed copies are not controlled
page 8 of 8