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EICC and GeSI members have expressed a commitment to taking steps to enhance social and
environmental performance related to the supply chain for minerals used in the products of members
companies. This research project will investigate the supply chain for tin, tantalum, and cobalt used in
electronics. The purpose is to 1) create a picture of the electronics supply chain for these metals; 2)
ascertain whether companies in the supply chain have codes of conduct addressing social,environmental, health, and labor issues; and 3) identify the challenges of collecting this data and
consider ways to enhance and maintain transparency of the supply chain.
The goal is to create a transparent and understandable representation without identifying
customer/supplier relationships or business termscommercial relationships and terms will be held in
confidence.
Please fill out the information (15+ questions) in this survey and submit at your earliest convenience. If
you have questions about this survey, please contact Jennifer Peyser at RESOLVE ([email protected],
+1 202-965-6215). Thank you in advance for your time.
For some questions, you will be asked to email documentation (e.g., codes of conduct) to RESOLVE.
Please send all documents to Jason Gershowitz at RESOLVE ([email protected]).
For the purposes of this research project we are focused on products made with or containing cobalt
that EICC/GeSI members purchase from or supply to you.
1.Instructions
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1. Please provide the follow ing information:
2. What type of operation(s) is your company? If you select more than one
operation , please explain. Please note w hich operation type you w ould l ikeyour company to be classified as in RESOLVEs supply chain mapping.
Current supply chain maps can be found on the EICC-GeSI P roject Wiki
http:/ / eicc-gesi.resolv.w ikispaces.net/ Supply+Chain+Visuals
2.Survey
*Company Name:
Company Address:
Name of person filling
out form:
Email address of
person filling out form:
Phone number of
person filling out form:
Do you provide
recycled cobalt?
(Yes/No):
*
Component Manufacturer
gfedc
Shaper
gfedc
Refiner
gfedc
Smelter
gfedc
Trader
gfedc
Distributer
gfedc
Other
gfedc
Comptoir
gfedc
Negociant
gfedc
Artisinal Mine
gfedc
Mine
gfedc
Please note which operation type you would like your company to be classified as in RESOLVEs supply chain
mapping.
55
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3. Customer A: P lease fill out all boxes below for one of your cus tomers of
cobalt or materials containing cobalt. The goal of this research is to create a
transparent and understandable representation w ithout identifying
customer/ supplier relationships or business terms - commercial
relationships and terms w ill be held in confidence.
Insertn/ a for customer tiers that do not apply, or w here the supply chain
ends.
Insert the broker company name as the customer, if applicable.
Insert a question mark (?) for the information that you do not have or
cannot obtain.
Insert an exclamation point (" !") next to the information that is confidential.
4. What type of operation is Customer A?
3.Survey: Customer Information
*
Customer CompanyName:
Customer Company
Headquarters Mailing
Address:
Customer Point of
Contact (Name, phone
number, email
address):
Name of Facility/Mine:
Mailing Address of
Facility/Mine:
*Component Manufacturer
gfedc
Shaper
gfedc
Refiner
gfedc
Smelter
gfedc
Trader
gfedc
Distributer
gfedc
Comptoir
gfedc
Negociant
gfedc
Artisinal Mine
gfedc
Mine
gfedc
Other (please specify)
gfedc
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5. Do you have add itional customers of materials that contain cobalt?*
Ye s
nmlkj
No
nmlkj
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6. Customer B: P lease fill out all boxes below for one of your customers of
cobalt or materials containing cobalt. The goal of this research is to create a
transparent and understandable representation w ithout identifying
customer/ supplier relationships or business terms - commercial
relationships and terms w ill be held in confidence.
Insertn/ a for customer tiers that do not apply, or w here the supply chain
ends.
Insert the broker company name as the customer, if applicable.
Insert a question mark (?) for the information that you do not have or
cannot obtain.
Insert an exclamation point (" !") next to the information that is confidential.
7. What type of operation is Customer B?
4.Survey: Customer Information, Continued
*
Customer CompanyName:
Customer Company
Headquarters Mailing
Address:
Customer Point of
Contact (Name, phone
number, email
address):
Name of Facility/Mine:
Mailing Address of
Facility/Mine:
*Component Manufacturer
gfedc
Shaper
gfedc
Refiner
gfedc
Smelter
gfedc
Trader
gfedc
Distributer
gfedc
Comptoir
gfedc
Negociant
gfedc
Artisinal Mine
gfedc
Mine
gfedc
Other (please specify)
gfedc
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8. Do you have add itional customers of materials that contain cobalt?*
Ye s
nmlkj
No
nmlkj
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9. Customer C: Please fill out all boxes below for one of your customers o f
cobalt or materials containing cobalt. The goal of this research is to create a
transparent and understandable representation w ithout identifying
customer/ supplier relationships or business terms - commercial
relationships and terms w ill be held in confidence.
Insertn/ a for customer tiers that do not apply, or w here the supply chain
ends.
Insert the broker company name as the customer, if applicable.
Insert a question mark (?) for the information that you do not have or
cannot obtain.
Insert an exclamation point (" !") next to the information that is confidential.
10. What type of operation is Customer C?
5.Survey: Customer Information, Continued
*
Customer CompanyName:
Customer Company
Headquarters Mailing
Address:
Customer Point of
Contact (Name, phone
number, email
address):
Name of Facility/Mine:
Mailing Address of
Facility/Mine:
*Component Manufacturer
gfedc
Shaper
gfedc
Refiner
gfedc
Smelter
gfedc
Trader
gfedc
Distributer
gfedc
Comptoir
gfedc
Negociant
gfedc
Artisinal Mine
gfedc
Mine
gfedc
Other (please specify)
gfedc
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11. Do you have additional customers o f materials that contain cobalt? *
Ye s
nmlkj
No
nmlkj
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12. Customer D: Please fill out all boxes below for one of your customers of
cobalt or materials containing cobalt. The goal of this research is to create a
transparent and understandable representation w ithout identifying
customer/ supplier relationships or business terms - commercial
relationships and terms w ill be held in confidence.
Insertn/ a for customer tiers that do not apply, or w here the supply chain
ends.
Insert the broker company name as the customer, if applicable.
Insert a question mark (?) for the information that you do not have or
cannot obtain.
Insert an exclamation point (" !") next to the information that is confidential.
13. What type of operation is Customer D?
6.Survey: Customer Information, Continued
*
Customer CompanyName:
Customer Company
Headquarters Mailing
Address:
Customer Point of
Contact (Name, phone
number, email
address):
Name of Facility/Mine:
Mailing Address of
Facility/Mine:
*Component Manufacturer
gfedc
Shaper
gfedc
Refiner
gfedc
Smelter
gfedc
Trader
gfedc
Distributer
gfedc
Comptoir
gfedc
Negociant
gfedc
Artisinal Mine
gfedc
Mine
gfedc
Other (please specify)
gfedc
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14. Do you have additional customers o f materials that contain cobalt? *
Ye s
nmlkj
No
nmlkj
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15. Customer E: P lease fill out all boxes below for one of your customers of
cobalt or materials containing cobalt. The goal of this research is to create a
transparent and understandable representation w ithout identifying
customer/ supplier relationships or business terms - commercial
relationships and terms w ill be held in confidence.
Insertn/ a for customer tiers that do not apply, or w here the supply chain
ends.
Insert the broker company name as the customer, if applicable.
Insert a question mark (?) for the information that you do not have or
cannot obtain.
Insert an exclamation point (" !") next to the information that is confidential.
16. What type of operation is Customer E?
7.Survey: Customer Information, Continued
*
Customer CompanyName:
Customer Company
Headquarters Mailing
Address:
Customer Point of
Contact (Name, phone
number, email
address):
Name of Facility/Mine:
Mailing Address of
Facility/Mine:
*Component Manufacturer
gfedc
Shaper
gfedc
Refiner
gfedc
Smelter
gfedc
Trader
gfedc
Distributer
gfedc
Comptoir
gfedc
Negociant
gfedc
Artisinal Mine
gfedc
Mine
gfedc
Other (please specify)
gfedc
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17. Do you have additional customers o f materials that contain cobalt? *
Ye s
nmlkj
No
nmlkj
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18. Customer F: Please fill out all boxes below for one of your cus tomers of
cobalt or materials containing cobalt. The goal of this research is to create a
transparent and understandable representation w ithout identifying
customer/ supplier relationships or business terms - commercial
relationships and terms w ill be held in confidence.
Insertn/ a for customer tiers that do not apply, or w here the supply chain
ends.
Insert the broker company name as the customer, if applicable.
Insert a question mark (?) for the information that you do not have or
cannot obtain.
Insert an exclamation point (" !") next to the information that is confidential.
19. What type of operation is Customer F?
8.Survey: Customer Information, Continued
*
Customer CompanyName:
Customer Company
Headquarters Mailing
Address:
Customer Point of
Contact (Name, phone
number, email
address):
Name of Facility/Mine:
Mailing Address of
Facility/Mine:
*
Component Manufacturer
gfedc
Shaper
gfedc
Refiner
gfedc
Smelter
gfedc
Trader
gfedc
Distributer
gfedc
Comptoir
gfedc
Negociant
gfedc
Artisinal Mine
gfedc
Mine
gfedc
Other (please specify)
gfedc
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20. Are you w il l ing to ask that your customer(s) cooperate w ith RESOLVE
and EICC/ GeSI as we take the next step in this research and request
similar information from them?
21. Please explain or note any questions about contacting your customers:
9.Survey, continued
*
55
66
Ye s
nmlkj
No
nmlkj
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22. Does your company have a code of conduct, standards or requirements
in place that address human righ ts, conflict, and environmental, social,
economic and/ or labor issues?
If you have a code of conduct in please, please email a copy to Jason
Gershowitz at RESOLVE: jgershow [email protected].
23. If, as a member of a trade association you subscribe to any codes of
conduct, standards, or requirements on the issues listed above, please notethis below and email any relevant documents or resources to Jason
Gershowitz at RESOLVE (jgershow [email protected]).
24. Are there any issues of concern on w hich your company is particularly
focused ( e.g., child labor, fair trade, funding con flict, etc.) and w ould like to
address through an assurance mechanism?
10.Survey, continued
*
55
66
*
Ye s
nmlkj
No
nmlkj
If you do not have codes of conduct in place, a re you willing to consider putting such a mechanism in place in the
future? Please explain.
55
66
Ye s
nmlkj
No
nmlkj
If yes, please describe the issue(s) of concern and the by which your company tracks and verifies the issue(s).
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25. Do you require that your customers have such a code of conduct,
standards , or requirements in place?
26. P lease describe any mechanism(s) (e.g., supplier auditing, corporate
social responsibility report, investor report, government reporting) that you
institute to provide evidence of customer comp liance w ith these codes of
conduct, standards, or requirements, either directly or through a trade
association or voluntary initiatives.
27. Are the mechanisms or reports described above publicly available?
11.Survey, continued
*
55
66
*
Ye s
nmlkj
No
nmlkj
If you answered "Yes" to the above question, please email a copy of the code of conduct you require for your
customers, or any related documentation to Jason Gershowitz at RESOLVE([email protected]), and describe the
document(s) below:
55
66
Ye s
nmlkj
No
nmlkj
If yes, please describe below how and where the information is accessible to the public. If you answered no, are you
willing to consider putting such a mechanism in place in the future? Please explain.
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28. Have you undertaken any supply chain aud it activities in the past?
12.Survey, continued
*
Ye s
nmlkj
No
nmlkj
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29. For past audit activities, please share the fo llow ing:
30. W hat did your company learn about from past audits?
13.Survey, continued
Name of audit:
Company/Organization
that managed theaudit:
Date(s) of audit:
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Please be sure to send any documentation related to this project to Jason Gershowitz at RESOLVE
Documents could include:
- Your company's code(s) of conduct- Code(s) of conduct you require of your customers
- Publicly available reports or audits
- Other documents related to human rights, conflict, environmental, social, economic, and labor that describe your
company's approach to these issues.
Thank you very much for your participation in this survey.
14.Survey - Thank you
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