Questionnaire Factory and Company Assessment

Questionnaire – Factory and Company Assessment Global Gap Capacity Building Project

The purpose of the questionnaire is to assess your agri-business. It will also measure your readiness to step into Global Gap implementation and certification.

Note: All information provided will be used for selection exercise and kept strictly confidential.

Company/entity Name

Section A: Entity information

Year 2015 2016 2017 (forecast) Sales Turnover (Rs.) Net Profit/Loss (Rs.) Export Turnover (Rs.) No. of Employees Local Expat Local Expat Local Expat

No. of Workforce by Production Administration Marketing section Details sales in local market

Export Do you presently export? Yes □ No □

If Yes, Do you export:

Weekly □ Monthly □ Rarely(Seasonal) □

If No, Do you supply fresh produce exporters.

Yes □ No □

If Yes. Indicate no. of exporters being supplied: ………………

of 6 1.0 Please give reasons why you want to implement Global Gap standards?

…………………………………………………………………………………………………

2.0 Do you have own location for Washing, Packaging/Carton? Yes □ No □

Indicate location address: ……………………………………………………….

3.0 Please mention actions taken so far in order to exports?

…………………………………………………………………………………………………

Section B: Plantation and Harvest Analysis In the table below, please provide information related to fresh produce production. Information provide below will be cross checked with FAREI and nearest FSC.

4.0 Is your company presently involved in cultivation? Yes □ No □ If Yes, please provide the additional information:

Products under cultivation

Land (s) (In Hectares) under cultivation

Location of cultivations

Location (s) of Orchards and no. of trees available

Harvest Forecast for each fresh produce Type of Fresh Produce Harvest Period Volume to be harvest 2017-2018 (kg/Tons)

of 6 If answer is No, please provide this information:

No. of Planters having agreement for supply Land (In Hectares) with planters

Location of cultivations

Name of Planters

Location (s) of Orchards and no. of trees available

Production Forecast for each fresh produce from Planters Type of Fresh Produce Harvest Period Volume to be harvest 2017-2018 (kg/Tons)

Section C: Global GAP knowledge and practice

5.0 Do you have a basic knowledge about Global GAP Standards? Yes □ No □

6.0 Do you have an employee (also with your fruits buyers/suppliers) who is dedicated as field supervisor/manager? Yes □ No □

If Yes, please mention his/her main duties below or (attach a separate word file). …………………………………………………………………………………………………

…………………………………………………………………………………………………

6.1 Is the employee on site qualified with minimum BSc. Agriculture or related? Yes □ No □

of 6 If Yes, state qualification: ………………………………………………………

If No employee on site, please give reasons why? …………………………………………………………………………………………………

…………………………………………………………………………………………………

7.0 What basic precautions and safety measures you take when applying fertilizers, herbicides and pesticides? ………………………………………………………………………………………………

………………………………………………………………………………………………

7.1 Do you keep any records when applying chemicals? Yes □ No □

7.2 Production methods: i.e is it covered □ or uncovered □

7.3 Cultivation: Irrigation or rain fed? ………………………………………..

7.3.1 When carrying out irrigation. Have you done any tests for full microbial, physical and chemical water analysis? Yes □ No □

7.4 Apart from washing stations, are there other farm infrastructure on plantation site? i.e Fertilizer store, Agrochemical store, workers living quarters and facilities like bathroom, toilets etc.

Please state which facility you have on plantation site:

…………………………………………………………………………………………..

Kindly indicate which of these facilities you have but not on plantation site.

………………………………………………………………………………………..

7.5 During post-harvest operations like washing and trimming and packing, have you obtained any full microbial, physical and chemical water analysis. Yes □ No □

Section D: Commitments to the capacity building programme

This programme requires upgrading your capability and that of employees in the future to implement Global Gap and also get certified.

of 6 8. Indicate in table below, employees/director/shareholder who will be also involved in this capacity building programme:

Name Position Qualifications & No. of years Main tasks Training working in acquired your company

(Note: Attached a separate sheet if required)

9. Do you agree to implement and get Global Gap certified? Yes □ No □

If yes, the coaching, training and capacity building will end by April 2018. Please indicate in table below when do you expect to implement and opt for certification?

Date Expected for Date expected for Amount of finance Ways of financing Implementation Certification

10. Have you engaged any consultant to implement Global GAP? Yes □ No □

If yes, indicate:

Name of Consultant and certifying body

Indicate project status

Give reasons why not implemented

11. Have conducted any farm training? Yes □ No □

of 6 If Yes, please answer table below:

Type of Training Please tick Training conducted by:

Hygiene

Safe- use of agrochemicals

Occupational Health and Safety

First Aid

Thanking you for your time in answering the questions.