<p> Questionnaire – Factory and Company Assessment Global Gap Capacity Building Project </p><p>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. </p><p>Note: All information provided will be used for selection exercise and kept strictly confidential. </p><p>Company/entity Name</p><p>Section A: Entity information </p><p>Year 2015 2016 2017 (forecast) Sales Turnover (Rs.) Net Profit/Loss (Rs.) Export Turnover (Rs.) No. of Employees Local Expat Local Expat Local Expat</p><p>No. of Workforce by Production Administration Marketing section Details sales in local market </p><p>Export Do you presently export? Yes □ No □ </p><p>If Yes, Do you export: </p><p>Weekly □ Monthly □ Rarely(Seasonal) □</p><p>If No, Do you supply fresh produce exporters. </p><p>Yes □ No □ </p><p>If Yes. Indicate no. of exporters being supplied: ………………</p><p>Page 1 of 6 1.0 Please give reasons why you want to implement Global Gap standards? </p><p>…………………………………………………………………………………………………</p><p>…………………………………………………………………………………………………</p><p>…………………………………………………………………………………………………</p><p>2.0 Do you have own location for Washing, Packaging/Carton? Yes □ No □</p><p>Indicate location address: ……………………………………………………….</p><p>3.0 Please mention actions taken so far in order to exports?</p><p>…………………………………………………………………………………………………</p><p>…………………………………………………………………………………………………</p><p>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. </p><p>4.0 Is your company presently involved in cultivation? Yes □ No □ If Yes, please provide the additional information:</p><p>Products under cultivation </p><p>Land (s) (In Hectares) under cultivation </p><p>Location of cultivations </p><p>Location (s) of Orchards and no. of trees available</p><p>Harvest Forecast for each fresh produce Type of Fresh Produce Harvest Period Volume to be harvest 2017-2018 (kg/Tons) </p><p>Page 2 of 6 If answer is No, please provide this information: </p><p>No. of Planters having agreement for supply Land (In Hectares) with planters </p><p>Location of cultivations </p><p>Name of Planters </p><p>Location (s) of Orchards and no. of trees available</p><p>Production Forecast for each fresh produce from Planters Type of Fresh Produce Harvest Period Volume to be harvest 2017-2018 (kg/Tons) </p><p>Section C: Global GAP knowledge and practice </p><p>5.0 Do you have a basic knowledge about Global GAP Standards? Yes □ No □</p><p>6.0 Do you have an employee (also with your fruits buyers/suppliers) who is dedicated as field supervisor/manager? Yes □ No □</p><p>If Yes, please mention his/her main duties below or (attach a separate word file). …………………………………………………………………………………………………</p><p>…………………………………………………………………………………………………</p><p>6.1 Is the employee on site qualified with minimum BSc. Agriculture or related? Yes □ No □</p><p>Page 3 of 6 If Yes, state qualification: ………………………………………………………</p><p>If No employee on site, please give reasons why? …………………………………………………………………………………………………</p><p>…………………………………………………………………………………………………</p><p>7.0 What basic precautions and safety measures you take when applying fertilizers, herbicides and pesticides? ………………………………………………………………………………………………</p><p>………………………………………………………………………………………………</p><p>7.1 Do you keep any records when applying chemicals? Yes □ No □</p><p>7.2 Production methods: i.e is it covered □ or uncovered □</p><p>7.3 Cultivation: Irrigation or rain fed? ………………………………………..</p><p>7.3.1 When carrying out irrigation. Have you done any tests for full microbial, physical and chemical water analysis? Yes □ No □</p><p>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. </p><p>Please state which facility you have on plantation site: </p><p>…………………………………………………………………………………………..</p><p>Kindly indicate which of these facilities you have but not on plantation site. </p><p>………………………………………………………………………………………..</p><p>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 □</p><p>Section D: Commitments to the capacity building programme </p><p>This programme requires upgrading your capability and that of employees in the future to implement Global Gap and also get certified. </p><p>Page 4 of 6 8. Indicate in table below, employees/director/shareholder who will be also involved in this capacity building programme:</p><p>Name Position Qualifications & No. of years Main tasks Training working in acquired your company</p><p>(Note: Attached a separate sheet if required)</p><p>9. Do you agree to implement and get Global Gap certified? Yes □ No □</p><p>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? </p><p>Date Expected for Date expected for Amount of finance Ways of financing Implementation Certification</p><p>10. Have you engaged any consultant to implement Global GAP? Yes □ No □</p><p>If yes, indicate:</p><p>Name of Consultant and certifying body </p><p>Indicate project status</p><p>Give reasons why not implemented </p><p>11. Have conducted any farm training? Yes □ No □</p><p>Page 5 of 6 If Yes, please answer table below:</p><p>Type of Training Please tick Training conducted by:</p><p>Hygiene</p><p>Safe- use of agrochemicals</p><p>Occupational Health and Safety</p><p>First Aid</p><p>Thanking you for your time in answering the questions. </p><p>Page 6 of 6</p>