According to Our Company Policy We Want to Cooperate Only with Sustainably Operating Suppliers

Supplier Self Disclosure

Dear Sir or Madam,

According to our company policy we want to cooperate only with sustainably operating suppliers. We kindly ask you to fill out this self-disclosure, to give us a chance to evaluate the potential for cooperation.

The correct and complete handling and transmittal of these documents is very important for us. We kindly ask you to answer the following questions thoroughly and truthfully – as well as to ensure that missing information will not be interpreted to your disadvantage.

Further information can be found on our website www.supplierinfo.kaercher.com.

Please add the following documents to the self-disclosure to get a complete supplier profile:

 Company brochure, financial statements, customer reference list  Product certificates and certificates of management systems (Quality, Environmental, Occupational, Health & Safety etc.)  Machine inventory list, test plans, list of measurement equipment  Results of customer audits

Furthermore we need the following documents for the release of suppliers:  Acknowledgement to obey the Kärcher Code of Conduct (Principles of Social Responsibility)  Declaration of substances (suppliers declaration of substances according to Kärcher standard 050.032) Optional:  Quality Assurance Agreement  Quality Target Affirmation  Product-specific supplementary questions and agreements

Please send the documents to your respective contact person.

Kind regards

Alfred Kärcher GmbH & Co.KG Quality Vendor & Audits

CQM-V 14.06.13 Page 1 of 7 Supplier Self Disclosure

Kärcher internal (purchase dept.)

Production material Goods Disposal company Business Service Conveyance Advertising material segment Construction work with exemption certificate Others: Supplier Firm: Address Address: Country: Homepage: Language Name Phone E-mail GE EN General Manager: Contact Quality-Manager:

Sales/ Disposition:

Owner: Type of company/ Date of foundation: Yes No Other production sites: If yes, please note the place and number of the employees:

Company Important customers: Yes Companies: Do you supply to Kärcher competitors? No Planned turnover (current year): Export rate in %:

Do you have an own production? Yes No

Product range:

Main production technology: Other production technologies: (e. g. die casting, stamping, plastic injection etc.) Production Shift work: Yes Regular quantity: Production capacity: Possible quantity: No If available, please attach a copy of the machine inventory list! Department Number of employees Department Number of employees Production Administration Personal Quality Assurance Development Tool shop Total number of employees: Bank: Bank-Code: Account number: Swift-Code: Finance Sales tax no.: Tax no.: SEPA: IBAN:

Kärcher internal

CQM-V 14.06.13 Page 2 of 7 Supplier Self Disclosure l a e l c r i a t Quality Management u i c i s r t a i c r e n c o m Production plant: (please use separate sheets in case of several plants) n 1. QM- System

Yes ISO 9001 certified by valid until: Do you have a ISO/TS 16949 certified by valid until: Quality Management System? Please attach the current valid certificate! No Planned for year:

Do you have a QM- Yes, since: No Planned for year: manual?

Yes Target 1: Target 2: Did you define Target 3: quality targets? Time period to check the target achievement: No

Do you compile Yes Production failures Customer complaints Quality costs

statistics? No Others:

For which process Internal Audits Control of defective products do you have process Control of documents Corrective actions instructions? Control of records Preventive measures

FMEA 8D-Report Inspection chart Which kind of QM- Poka Yoke Ishikawa/ Fishbone ABC-Analysis Tools do you use? SPC Qualification matrix Others:

2. Testing equipment

Do you frequently Yes List of measurement equipment available check the Please attach the measure equipment! measurement equipment? No

3. Defect analysis and customer complaints

Do you document the occurring defects? Yes No If yes, how?

Do you record the corrective actions? Yes No If yes, how?

Do you conduct a root cause analysis? Yes No If yes, how? Do you monitor the effectiveness of the corrective Yes No If yes, how? actions? 4. Documents & quality records

Yes Documents: Years Did you determine a retention time requirement for Records: Years documents and quality records? No

5. Quality testing (If so, please indicate a copy of the testing plan or add a description in the remarks)

Do you conduct incoming Yes No

inspections? Remarks:

Do you conduct a documented Yes No production release for every production batch? Remarks:

Do you conduct quality inspection Yes No

during production? Remarks:

Yes No Do you conduct outgoing

inspections? Remarks:

6. Insurance (if so, please enclose confirmation of insurance)

Public liability insurance Yes No Limit of liability:

Product liability insurance Yes No Limit of liability:

Enhanced product liability insurance Yes No Limit of liability:

Environmental liability insurance Yes No Limit of liability: 7. Other QM Remarks

Kärcher internal l a e l c r i Environmental Management a t u i c i s r t a i c r e n c o m

Production plant: (please use separate sheets in case of several plants) n

1. Environmental management system

Yes ISO 14001 certified by valid until: Do you have an Environmental EMAS validated by valid until: Management Please attach the current valid certificate! System? No Planned for year: 2. Hazardous substances

Yes No Is a register of hazardous substances available? If so, please attach the current register of hazardous substances! Is there a release process in place for usage of Yes No hazardous substances?

Do you have material safety data sheets for all Yes No hazardous substances in use?

What kinds of measures are available for the Personal Protective Equipment Oil Water Separator handling of hazardous substances and Secondary Containment Floor Sealant environmentally dangerous substances? Others: Are hazardous substances disposed by qualified Yes No companies?

Do you check frequently check the legitimation Yes No (disposal certificates) of these companies?

3. Air pollution control Do you have equipment which generates air Yes No emissions? If so, which kinds of measures have been

installed to reduce the emissions? Do you conduct regular checks for the air Yes No emission? 4. Noise protection Dou you have equipment which generates noise Yes No emissions?

If so, which kinds of measures have been Inside:

installed to reduce the noise emissions? Outside:

Yes inside outside Do you frequently conduct noise testing’s? No 5. Other UM Remarks

Kärcher internal l a e l c r i a t Occupational Health and Safety u i c i s r t a i c r e n c o m

Production plant: (please use separate sheets in case of several plants) n 1. Safety management system

Yes OHSAS 18001certified by valid until: Do you have a Safety Other: certified by valid until:

Management system? Please attach the current valid certificate! No Planned for year: 2. Security technical support service

Safety inspector number: Are safety inspector and safety specialist Safety specialist number: appointed? Entrepreneur model 3. First aid

First-aid-kit Defibrillator Which measures for the performing of first aid are Qualified first aider number: available? Regular education for first-aider 4. Safety of employees

Did you conduct hazard analysis for work areas? Yes No Hearing protection Helmet What kind of personal protective equipment do you Safety shoes Gloves provide? Safety glasses Others:

Do you have a regularly conduction and Yes How often: documentation of health and safety briefing? No 5. Fire protection

Fire extinguisher Test interval: Alarm/ Sprinkler System Test interval: What kind of arrangements do you have for fire Evacuation route/ plan Test interval:

protection and how often do you check them? Evacuation exercise Inspection by fire department Others: 7. Other safety Remarks

Thank you for your efforts. Please contact us for further questions.

Do you generally accept a supplier audit by Kärcher or respectively through a contracted third party?

Yes No

Date Name Function Stamp Signature

CQM-V 14.06.13 Page 6 of 7

Confirmation Kärcher Code of Conduct

(CPR-E 02.03.10)

Principles of Social Responsibility

Preamble Kärcher, a family-owned company, considers sustained management to be an essential part of its corporate culture. Kärcher recognises its social responsibility and stands for the following principles:

Human Rights and Observance of Laws We respect human rights and the relevant laws, values, standards and social orders of all countries.

Discrimination We do not tolerate any form of discrimination on the grounds of gender, age, race, nationality, handicap, social origin or sexual orientation. We advocate equality of opportunity.

Child Labour We condemn child labour and observe the legal rules and regulations on the minimum age of employees.

Forced Labour and Punishment We condemn forced labour and corporal punishment, intimidation and molestation of employees.

Corruption We take a firm stance against all forms of corruption.

Freedom of Association We recognise the right of our employees to collective bargaining. We cooperate with employee representatives on a basis of mutual trust.

Fair Pay and working time Wages, social benefits and working time comply at least with local legal standards.

Occupational Health and Safety We protect our employees from dangers at the workplace and support health-promoting measures.

Environmental Protection Our products, services and processes are designed for compliance with environmentally friendly practices. In all locations where we operate we respect environmental requirements and deal with natural resources in a responsible manner.

We confirm that we received the Kärcher code-of-conduct and took notice of the contents and will pay attention to the listed items in our company. We will inform and check our suppliers.

Date Name Function Stamp Legally binding Signature

CQM-V 14.06.13 Page 7 of 7