供應商環境負荷物質管理風險評估報告表

Risk Assessment Report on Suppliers Management of Environmental-hazardous Substan

供應商 材料類別
IMAGE LABELS PHL INCORPORATED LABELS
Supplier Material category

建準稽核人員 建準稽核日期
Janine,Rita,Airra,Frank 2023年Y 11月M 24
Auditor of SUNON Audit date

評估目的 供應商自評日期
Philippine local supplier audit 年Y 月M 日
Assess goal Assess date

供應商自評結果 得分 建准評估結果
Supplier Assessment Result Score Result

評估結果 V 無風險No risk(85~100分) 95.0 無風險No risk(85~100分)

Result
低風險Low risk(70~84分) 低風險Low risk(70~84分)

高風險High risk(0~69分) 高風險High risk(0~69分)

風險程度 因應措施
Risk level Countermeasure
可接受Acceptable.
無風險
(可以不必進行特殊的管理)
No risk
(No special management is required)

有條件接受。Conditionally acceptable.
低風險
(惟須對有風險的項目必須採取防患措施)
Low risk
(Preventive measures must be taken for items with risks)
各風險的因應措施說明
All risk assessment
results are the 不可接受Unacceptable.
高風險 (應立即採取防患措施，若一定要接受，則必須呈報當地總經理與有害物質管理代表核准)
countermeasure for High risk (Preventive measures must be taken immediately. If it has to be accepted, it must be submitted to local
each level are shown in managers and management representatives of hazardous substances for approval)
the table

ìRSCA被評為低風險者，若有Second source者，採購將減少訂單，若Single source將在每月品質評分中扣除品質分數10分，直到其達到無風險。

For suppliers who have been rated as Low Risk, purchase orders from them should be reduced, provided that t
secondary sources of purchase. If there are no other sources, the suppliers will be deducted 10 points in quality
monthly quality scoring, until they meet No Risk standards.

建準確認（Checked by SUNON）

建議因應對策
(屬低、高風險者)
Recommended action plan
(for Low/high risk)

上級裁示
Superior's comment

核准 審核 作成
Authorized by Checked by Prepaired by

Rita Yang
備註：佐證資料須簡附當類別之評估報告
Remark: Enclosed proof date has to be assessment report of its classification
QC-WI0717F1-6
 境負荷物質管理風險評估報告表
anagement of Environmental-hazardous Substances

LABELS

2023年Y 11月M 24日D

年Y 月M 日D

得分
Score

95.0

因應措施
Countermeasure

nagement is required)

nally acceptable.
採取防患措施)
sures must be taken for items with risks)

ble.
一定要接受，則必須呈報當地總經理與有害物質管理代表核准)
sures must be taken immediately. If it has to be accepted, it must be submitted to local general
management representatives of hazardous substances for approval)

採購將減少訂單，若Single source將在每月品質評分中扣除品質分數10分，直到其達到無風險。
Low Risk, purchase orders from them should be reduced, provided that there are
e are no other sources, the suppliers will be deducted 10 points in quality in the
t No Risk standards.

Checked by SUNON）

作成
Prepaired by

Rita Yang
ssification
 供應商風險評估報告表
Supplier's risk assessment
項目 評估內容 風險等級 配分 狀態說明
Item Assessment content Risk Level Allotment Situation

有取得IECQ QC-080000證書
Has IECQ QC-080000 certified

雖未取得證書，但相關管理方式有建置在ISO 9000系統。
Although has not obtained the certificate, the assoicate management
has set up in ISO 9000 system.

公司是否有取得IECQ QC 080000有害物質管理系統證書？ 證書雖未取得，但有書面計劃於一年內取得。

※1 I 4 The certificate has not obtained, but has the written plan to obtain in a
Is your company IECQ QC 080000 certified?
year.

無證書，ISO 9000系統也未建置。
Has no certificate, and has not set up ISO 9000 system.

無任何規劃，也未計劃導入管理。
No any plans, also no plan to induct the management.
有制定辦法或程序書實施管制工作，並保留相關記錄
Have set up a method or procedure to carry out the control job, and
keep the related data.
只有制定辦法，但是所保留的檢驗記錄不完整
公司是否有在進行環境負荷物質管制工作？ There's only method but inspection data isn't completed.
(包括無鹵管控)
2 Do you proceed with control of environment II 3 有制定辦法，但未落實。
Has set up the method, but has not implement.
hazardous substances?(Including the Standard
of the HF)
無相關文件來證明有進行環境負荷物質管制。
No related documentation to prove company had proceeded with control
of environment hazardous substances.

有組織表且人力能滿足管制需求，編制人員能清楚職權
There's organization chart and manpower can satisfy with control
needs, person in charge can understand commission fully.

有組織表且人力足以應付工作量，但人員不清楚職責。
Has organization chart and the manpower is sufficiently dealing with the
公司有環境負荷物質管制之組織嗎？ work load, but personnel does not clear the responsibility.
人力= (人數)
※3 Do you have management organization of II 3
environment hazardous substances? 沒有組織表，但派有專人在管理。
Manpower = (people) Has no organization chart, but has specialist to manage.

無設立管理組織也無在管理。
Has not set up the management organization and also no one
managing.

有要求供應商簽署保證書並取得簽署證明文件。
Has requests the supplier to sign the warranty and obtains the signature
公司有要求供應商簽署限用有害物質保證書嗎？ proof document.
Do you request the supplier to sign "the Warranty 有要求供應商簽署保證書但未能取得簽署證明文件。
4 III 2
for Restriction on Environment Burden Has requests the supplier to sign the warranty, but has not obtained the
Substances"? signature proof document.
沒有簽署保證書。
Has not sign the warranty.
願意配合建準的規定簽署保證書，並提供成份表、材質證明或MSDS.
Willing to comply with Sunon's regulation to sign the warranty and also
provide Composition Sheet, Material Certification or MSDS.

公司願意遵照建準規定，於產品送樣給建準承認時提交並簽署「限用環境負荷物質 願意簽署保證書，但不同意提供成份表或MSDS.
保證書」嗎？ Willing to cooperate to sign the warranty, but not willing to provide
Company is willing to comply with Sunon's Composition Sheet or MSDS.
5 regulation, and will provide and sign "Warranty II 3 不願意簽署保證書(僅同意提供成份表、材質證明或MSDS)
for Restriction on Environment Burden Not willing to sign the warranty (only agree on providing composition
Substances" when deliver the samples to Sunon sheet, material certification or MSDS)
for approval.

不願意簽署保證書及提供成份表、材質證明或MSDS
Not willing to sign written warranty and provide Composition Sheet,
Material Certification or MSDS.
管制表中所列的限制物質都不含有，且有證明文件可佐證.
No contain of restricted substances in control sheet and could provide
with verified document.

公司沒有使用SUNON環境負荷物質管制表(D/C No:TS-
QC0707)中所列的限制物質嗎？ 使用何種物質？ 僅有成份表、材質證明或MSDS來證明不含有
Do you use any restricted substances which Can provide only composition sheet, material certification or MSDS as
6 II 3 verification of no contamination.
listed in Sunon's Control List of Environmental
Burden Substances (D/C No.:TS-QC0707)?
Which substances you use?
雖有證明文件，但含有其中任一項以上之禁用物質
Contain one or above restricted substances, though provided verified
document.
未有任何證明文件
No any verified document.
 供應商風險評估報告表
Supplier's risk assessment
項目 評估內容 風險等級 配分 狀態說明
Item Assessment content Risk Level Allotment Situation

願意遵守SUNON規定。
Willing to comply with SUNON regulation.

送交Third party之檢測頻率，公司願意遵照建準規定嗎？ 僅同意遵照建準的規定，一年委外測定一次

Are you willing to comply with SUNON's As per Sunon's request, test by third party annually.
regulation of the third party test frequency?

【檢測頻率】 <Test Frequency> 不同意建準的檢測規定，僅以成份表、材質證明來證明

7 1.低風險物料：1次/(每年) Low Risk Material: once a year II 3 Do not agree with Sunon's regulation and will only provide composition
2.電鍍材料：2次/(每6個月) Plating Material: twice/ every sheet, material certification as evidence.
6 months
3.發生超標材料：3個連續不同製造批測試。 Exceed threshold
material: 3 different continuously manufacturing
batch test 不同意建準的檢測規定，也無法提供相關的證明文件
Do not agree with Sunon's regulation and won't provide related verified
document.

訂定的禁用計劃時程比歐盟早並有進行目標管理且有確認的記錄來證明。
Set up the Banned plan earlier than EU, and preceeding goal
management with the confirmed record to prove.

公司是否訂定環境負荷物質管制計劃或辦法？ 有訂定禁用計劃並有進行目標管理，但無確認的記錄來證明。
(包括無鹵管控標准) Set up the forbid plan and proceeding goal management, but does not
have the verified record to prove.
※8 Have you set up a control plan or method of II 3
hazardous substances?(Including the Standard
of the HF)
有訂定禁用計劃，但無列入年度目標管理。
Set up the forbid plan, but does not take into account on Annual Goal
Management.

無訂定任何計劃
No any plans

限用物質能依循SUNON環境負荷物質管制表(D/C No:TS-QC0707)標準外，也含蓋禁用砷、銻、硒、
鋇、鉍、鎳及放射線物質。
Restricted substances are able to comply with SUNON's Control List of
Environmental Burden Substances (D/C No:TS-QC0707) standard, also
including banned to use of Arsenic(As), Antimony(Sb), Selenium(Se),
Barium(Ba), Bismuth(Bi), Nickel(Ni) and Radioactive Substances.

能符合環境負荷物質管制表(D/C No:TS-QC0707)規定，但不包括銻、硒、鋇、鉍、鎳物質。
Can comply with Control List of Environmental Burden Substances (D/C
No:TS-QC0707) regulation, but does not including substances:
環境負荷物質管制對象及禁用時程皆能符合建準的需求嗎？ Antimony(Sb), Selenium(Se), Barium(Ba), Bismuth(Bi), Nickel(Ni).
Are your control object and timeline of hazardous
※9 I 4
substances in compliance with Sunon's
requirement?

管制或禁用的物質只有遵循歐盟RoHS六大物質規定
Controlled or banned substances follow only EU RoHS against 6
substances.

能遵循歐盟RoHS六大物質規定，但無任何佐證文件來證明符合性。
Comply with EU RoHS 6 substances' regulation, but with no any verified
document can prove.

在品質系統內，公司無訂定書面禁用物質
In Quality system, no set up written banned substances.

教育訓練有準時實施並做考核，抽問員工也能熟悉與瞭解公司管理規定。
Education and training sessions have the punctual implementation and
makes the inspection. Pulls out asked the staff, he/she is familiar with
and the understanding corporate management regulation.

每年有排定教育訓練計劃且有考核記錄，但有少部份人員不熟悉。
Scheduling the education and training plan every year also has inspects
the record, but has few people are not familiar with.
公司有實施並落實環境負荷物質管制的教育訓練及計劃？
※10 Do you implement training plan and schedule of I 4
environment burden substance?
每年有排定教育訓練計劃，有實施與紀錄，但未做考核。
Scheduling Education and training plan every year, has implement and
record, but not making the inspection.

每年有排定教育訓練計劃，執行未完整
Scheduling Education and training plan every year, but has not
implement.
無排定教育訓練計劃，只有人員口頭的宣導
No educational plan but only oral advertising.
 供應商風險評估報告表
Supplier's risk assessment
項目 評估內容 風險等級 配分 狀態說明
Item Assessment content Risk Level Allotment Situation

有ICP GC/MS、AA，且有導入原料、製程、出貨檢驗。Yes, we have ICP GC/MS, AA

and introducing incoming/manufacturing process/shipping inspection

有X-Ray設備，且有實施原料、製程、出貨檢驗
Yes, we have X-ray equipment and introducing incoming/manufacturing
公司有可以進行ICP、XRF檢驗之檢測設備嗎？ 若有是何種設備？(包括鹵素 process/shipping inspection
測試) 無添購設備，只有依賴公證單位每年檢測一次
11 Do you have a equipment to proceed with ICP, I 4 No equipment, can only rely on third party's annual test.
XRF inspection? If yes, what kind of equipment?
(Including halogen test )
無添購設備，僅要求供應商提供測試報告書。
No equipment, only request the supplier to provide test report.

無添購設備，也無檢測報告書。
No equipment, and does not have test report.
有使用檢驗設備在確認每批材料裏的禁止物質之含有量
Identify concentration of banned substances by inspection equipment
per lot.
使用檢驗設備依照抽樣計劃，定期抽取樣品檢測
According to sampling plan, spot check regularly.
収貨檢査有在確認零件材料裏的禁止物質之含有率？
依照抽樣計劃，每年一次抽取樣品委託公證單位檢測
Do you identify the concentration of hazardous According to sampling plan, taking samples to inspect by third party
12 I 4
substances in component/material during annually.
incoming inspection?
沒有使用設備檢驗，只檢視或核對供應商提供的報告書
No using equipment to inspect, only survey and check the test report
provided by the suppliers.
進料單位沒有在管制
No control in incoming division.
公司有持續向下游供應商傳達有關產品環境有害物質相關信息且有佐證記錄。
Yes and keep the records.

有持續向下游供應商傳達有關產品環境有害物質相關信息，但無佐證記錄！
Yes, but no records.
公司有持續向下游供應商傳達有關產品環境有害物質相關信息的記錄嗎？
Do you contiune informing suppliers about 已向下游供應商傳達有關產品環境有害物質相關信息，但僅以口頭通知
※13 II 3 Has deliver related message of product environment hazardous to sub-
update envioronmental-related hazardous
supplier, but only oral inform.
substances and keep the records?

對下游供應商無傳達任何有關產品環境有害物質相關信息。
No deliver any information concerning environmental-related hazardous
substances to suppliers.

原料遇有材質變更時，有事先進行有害物質檢測確認，經確認無誤後有向SUNON提交變更申請。
When change material, has to proceed hazardous substance test
examine. After confirmation, apply for change material and submit to
SUNON.

僅確認供應商提供的測試資料，再向SUNON提交變更的聯絡記錄
Only confirm test report provided by supplier, then provide the contact
records when apply for change material application and submit to
SUNON.
有有害物質變更管理。
※14 II 3
Management of hazardous substance change.

未事先確認即向SUNON提出書面變更的請求。
No confirm in advance, and submit written change request to SUNON.

無事先通知或僅以電話向SUNON提出變更的請求。
Does not inform in advance or only telephoned to submit change
material request to SUNON.

有制定管理辦法，設有固定儲位存放長期物料，且所有物料都清楚污染狀況，進出使用也設有庫存卡在管制，並有紀錄。
Has set up management plan, and has fixed long term stock storage
location, also clearly know pollution condition of all materials, and has
storage card to control in/out use record.

有制定管理辦法，但沒有長期庫存品。
Has set up management plan, but does not have long term stock.
長期庫存之原物料、零件有在管制嗎？
※15 Do you manage the components and materialsl I 4
有制定管理辦法及進行檢驗確認，但沒有進行區隔及標示管理。
that have stored for long-term period?
Has set up management plan and carry on the examination
confirmation, but has not carried on the area to separate and the
indication management.

有制定管理辦法，但對物料是否符合Sunon有害物質標準則不清楚！
Have the management plan. But still unclear for Sunon hazardous
substance criteria.

沒有任何管理機制！
No management mechanism.
 供應商風險評估報告表
Supplier's risk assessment
項目 評估內容 風險等級 配分 狀態說明
Item Assessment content Risk Level Allotment Situation

有訂定時程表，並如期驗証生產設備與工治具上有否汚染
Established a time table and inspected periodically if any contamination.

有否驗証過所使用的生產設備、工治具上没有汚染？ 沒有訂定時程表，惟過去曾經以標準設備驗証過
Have you verified if your manufacturing No schedule, but have verified by standard equipment in the past.
16 II 3
equipment, tools and gauge are not
contaminated? 只依照材質證名文件或成分表確認過
Have only verified by material certification or composition sheet.

生產設備與工治具不曾驗證過
Never inspected.
有使用檢驗設備在確認每批成品裏的禁止物質之含有量
Inspected and verified the concentration of hazardous substances by
lot.
使用檢驗設備依照抽樣計劃，定期抽取樣品檢測
有否在公司内預先驗証成品没有有害物質再出貨給客戶？ Spot check regularly per sampling plan.
17 Have you verified hazardous Substances in the II 3
依照抽樣計劃，定期抽取樣品委託公證單位檢測
product and then shipped to the customer ?
According to sampling plan, sampling regularly and delivering to third
party for inspection.
IPQC、FQC或OQC沒有在管制
No control in IPQC, FQC or OQC.
在程序書中有訂立應變計劃，有規劃合宜的配套措施且落實清倉動作。
Procedure has set up disposal plan and work out a suitable measure
and implement to purge the inventory.

公司是否訂立有關環境負荷物質NG産品之處理程序？ 在程序書中有訂立應變計劃，且有規劃合宜的配套措施
18 Do you establish a handling procedure for NG II 3 Procedure has set up disposal plan and work out a suitable measure.
products in hazardous substance?
只規定對NG産品採取矯正措施，但無嚴謹配套防護措施
Only set up a corrective measure to NG products, but no exact
protective measure.
無訂立應變計劃，也無規劃合宜的配套措施
No plan and no suitable measure.
適合産品和不適合産品有清楚的辨識措施且有規劃特定的區域存放
Have a clear identify system to segregate qualified/disqualified products
and storage in a designated area.

有清楚的辨識措施但無規劃特定的區域存放
Having a clear identification but no designated area for storage.

公司對不適合産品和適合的産品有否區分清楚的機制？ 文件有清楚的辨識措施，但部份人員未清楚或未依規定實施。
19 Do you have a system to segregate I 4 Document has clear identification, but some staffs are not clear and not
disqualified/qualified products clearly? follow the regulation implement.

有標示，但無固定隔離場所。
Has identification, but do not have fixed insulated place.

無任何的管理計劃
No any management plan.
產品沒有使用回収(次料)材料，回収材料有嚴格管制措施
Not using recycled material. Recycled material is under strict control.

只有特定材料有回収使用，但回収材料沒有嚴格管制措施
公司回収材料管理 Only specified products use recycled material. But recycled material
Recycled Material Management. does not control exactly.
20 [註]產品沒有使用回收材料者，則得 3分。 II 3
P.S. Product does not use recycled material can 任意使用回収(次料)材料，且沒有嚴格管制措施
get 3 points. Use recycled material at random and without strict control.

完全未有規劃及管理機制
Totally has no plan and management mechanism.

沒有使用回収(次料)材料，回収材料全部做為下腳料
No recycled material. Recycled material is taken as leftover bits.

只有特定產品有使用次料，但次料有採取管制措施
Only specified products use recycled material. Recycled material is
回収再利用的材料沒有使用在建準的零組件材料上嗎？ taken in control.
21 Is the recycled material used in Sunon's II 3
components? 全部產品都使用回収材料，且沒有嚴格管制措施
All products use recycled material and without strict control.

完全未有規劃及管理機制
Totally has no plan and management mechanism.
 供應商風險評估報告表
Supplier's risk assessment
項目 評估內容 風險等級 配分 狀態說明
Item Assessment content Risk Level Allotment Situation

每次使用的回収材料皆有驗証材料裏的禁止物質含有量，皆在限值規定內且有證明文件。
All recycled materials contained banned substances and its threshold is
confirmed with verified documents.
回収材料有定期驗証材料裏的禁止物質含有量？
Do you identify concentration of hazardous
substance of recycled material periodically？ 回収材料採以定期驗証的方式
※22 II 3 Recycled material test regularly.
[註]產品沒有使用回收材料者，則得 4分。 回収材料僅一年驗證一次。
P.S. Product does not use recycled material can Recycled material only test once a year.
get 4 points. 因認定次料很安全，故從無驗證是否含有危害物質
Never verified if any hazardous substances contained as recycled
material is safe.

有合宜的管理措施，公司內部及客戶端未曾發生超過濃度標準情事
Has suitable management measure, and never have the problem on
exceed threshold of hazardous substances at company or customer
end.

有合宜的管制措施，但曾在內部發生過，經採取措施未流至客戶端
Has suitable control measure, but it happens before, after taking action,
it does not deliver to customer end.

沒有合宜的管制措施，但不曾發生過超標問題。
公司生產的產品未曾發生有禁止物質超過濃度標準情事嗎？ No suitable control measure, and never have the problem on exceeded
23 Haven't you products exceeded threshold of I 4 threshold of hazardous substances.
hazardous substances?

曾在客戶端發生超標之客訴事件，改善後未再發生。
In past, customer complained that your product had exceeded threshold
of hazardous substances, and after improvement, it does not happen
again.

過去曾在客戶端發生超標之客訴事件，且事後的改善又曾經再發生。
In past, customer complained that your product had exceeded threshold
of hazardous substances, and after improvement it happens again.

有設置專線/專機設備生產，且無污染之疑慮。
Has set up a specialized product line/equipment, and it absolutely won't
have pollution problem.

未設置專線生產但有制訂換線機制，並能有效管制污染問題。
No specialized product line, but have set up change line mechanism,
and it can effectively control pollution problem.

針對環保零物件(成品)有設置專線或專用設備生產？(包括無鹵專線)
Have you set up a specialized production line or 未設置專線/專機設備，已有換線確認機制，但未臻完善或未落實
24 II 3 No speicalized line/equipment, but have production change line confirm
equipment for green material (product)?
mechanism. However, it is not perfect or implement.
(Including Halogen-free Line)

未設置專線/專機設備，亦無環保/非環保換線生產機制計劃
No specialized production line/equipment, and green/non-green
production change line mechanism plan.

現場有書面管理文件，相關(物料/半成品/成品/治工具)標示、儲放執行完善，且未發生污染事件
Work field has written management document, related indication for
(raw material/half finished product/ product/ tool) and storage execute
completely and do not occur pollution event.

現場有書面管理文件，但相關作業標示或儲放未落實管理
Work field has written management document, but related operation
indication or storage do not execute to manage.

製程管理
25 II 3
Manufacture Process Management
現場有書面管理文件，但相關(物料/半成品/成品/治工具)標示、儲放未實施
Work field has written management document, but related indication for
(raw material/half finished product/ product/ tool) and storage do not
execute.

生產現場/製程未有標示，亦無書面管理文件
Production work field/ manufacture process do not have a indication,
also do not have written management document.
 供應商風險評估報告表
Supplier's risk assessment
項目 評估內容 風險等級 配分 狀態說明
Item Assessment content Risk Level Allotment Situation

首件成品落實確認機制，且有有完整紀錄或佐證資料
First product has executed confirm mechanism, also has complete
record and proof information.

有書面管理文件，但未經品保或相關單位Double 確認
Has written management document, but does not double check by QA
製程檢查 or related department.
26 II 3
Manufacture Process Check

有書面管理文件，但首件未落實確認或送檢
Has written management document, but first case does not confirm or
check.
未有書面管理文件，亦無執行任何措施
No written management document, also not execute any action.

有建立有效與可靠之追溯方式，能從成品至所有材料可追溯至環境管理物質使用之材料批號
Set up effective and credible deduce method, able to track back from
product to all the material to the material batch number of used
environment management substance.

有建立追溯機制，但部份使用的材料無法追溯至產品。
追溯管理 Set up deduce mechanism, but part of used materials are not able to
27 I 4 trace back to product.
Deduce Management
僅記錄使用材料的批號、廠牌，但無法追溯到成品
Only record used batch number and brand name of the material, but
cannot track back to the product.

有建立追溯機制但未執行。
Set up deduce management but not execute.
沒有建立有效與可靠的追溯機制。
No establish effective and credible deduce mechanism.
對可追溯性之相關記錄表單、測試資料或製程確認記錄…等訂定有保存期限，且有確實遵守規定保存。
Set up expiry date for related record sheet、test report or manufacture
process confirm record…ect. , which are able trace back, and follow the
regulation to keep it.

相關記錄表單、測試資料有訂定保存期限，但未依照規定保存。
Related record sheet、test report have set up the expiry date, but does
文件管理 not follow the regulation to keep it.
28 II 3
Document Management

僅有Third party測試資料有訂定保存期限，並有依照規定保存。
Only has Third party test information and set up expiry date, also follow
the regulation to keep it.

任何的確認或檢驗記錄並無訂定保存期限。
No set up the expiry date for any confirmed or test records.

有依照計劃實施內、外部稽核且有矯正記錄。
Follow the plan to implement internal and external audit And has
correction record.
有依照計劃實施內、外部稽核，但部份缺失未矯正完成。
Follow the plan to carry out internal and external audit, but part of
shortcoming has not been corrected yet.

環境負荷物質管理績效考核 有內、外部稽核計劃但未準時實施。
29 Environment Burden Substance management I 4 Has internal and external audit plan but does not implement on time.
performance audit

有內、外部稽核計劃但未實施。
Has internal and external audit plan but has not accomplished.

無內、外部稽核計劃也未實施。
No internal and external audit plan and has not accomplished.
 供應商風險評估報告表
Supplier's risk assessment
項目 評估內容 風險等級 配分 狀態說明
Item Assessment content Risk Level Allotment Situation

客戶資訊有傳達給相關人員並有佐證資料，人員能清楚資訊目的並採取因應措施。
Customer information delivered to related personnel and has the proof
information, and personnel can clear know the purpose of the
information and taking action.

客戶資訊僅傳達給上層人員與負責人，但下層人員未傳達。
Customer information only deliver to management level personnel and
people in charge, but not deliver to employee.
客戶法規之資訊傳達與內部溝通
30 Deliver customer's regulation, and internal I 4
communication.
客戶資訊有傳達給相關人員，但人員未採取任何措施。
Customer information delivered to related staffs, but the staffs do not
have any actions.
客戶資訊有傳達，但未佐證資料/紀錄
Deliver customer information, but does not have proof report/ record.

客戶資訊未傳達給內部員工
Customer information does not deliver to internal staffs.

備註：1.上表評估的項目，若調查的結果是屬於"否定"者，則所得到的分數不可大於該配分之中位數。
例如：配分為「8」，則評分所得到的分數不可大於「4」。
Remark: 1. If your answer is no to above assessment items, your score can't be greater than half of allotment.
For example: allotment is 「8」 and your score can't be greater than 「4」.

2.本表「項目」欄位有“※”記號者，必須於「說明」欄位內舉證實際的資料。
2. Regarding the item column with “※”mark, please provide proof of actual date in "explanation" column.
3.項目[2]、[5]、[14]、[24]為必須滿分項目，若無法達到滿分,將不予通過,未得滿分則需記錄為缺失.
3.The Item[2]、[5]、[14]、[24] must be achieve full marks. And the supplier can`t be approved when the one item can`t achieve full marks, and record the defect.
4.若有N/A項目，母數需要減去此項目配分，此項目不於給分.
4.If there is NA Item,we will reduce the Allotment,the item is not in to the sub.
 供應商風險評估報告表
Supplier's risk assessment
說明
給分範圍
自評得分 建准評分 Explanation
allotment

ISO 9001:2015
4 CERTIFIED

3 3
2

3 3
1

ILPI-QMS-EMS-QP-
005_Hazardous Waste
3
Management

Environmental
Committee under
2 ROMC Organizational
Chart
3 3

Materials has RoHS

2 and REACH Compliant
Certificates
2 2
1

0
Materials has RoHS
and REACH Compliant
3 Certificates

3 3

Materials has RoHS

and REACH Compliant
3 Certificates

2 3 3

0
 供應商風險評估報告表
Supplier's risk assessment
說明
給分範圍
自評得分 建准評分 Explanation
allotment

Materials has RoHS

3 and REACH Compliant
Certificates

1 3 3

Materials has RoHS

and REACH Compliant
3
Certificates

2
3 3

Materials has RoHS

and REACH Compliant
Certificates, updated
under 1- 2yrs validity

3
4 4

During Employee
Orientation, Material
Handling Procedure
4 and Work Instructions
with Maintained and
Retained available
Material SDS is
informed to all
personnel
3
4 4

0
 供應商風險評估報告表
Supplier's risk assessment
說明
給分範圍
自評得分 建准評分 Explanation
allotment

Not applicable
4

1 1
2

0
Materials has RoHS
4 and REACH Compliant
Certificates togetherr
with Certificate of
3 Compliance

2 4 4

0
PPAP documents has
3 supported Materials
with RoHS and
REACH Compliant
2 Certificates
togetherr with
Certificate of
3 3 Compliance
1

PPAP documents has

supported Materials
with RoHS and
3 REACH Compliant
Certificates
togetherr with
Certificate of
Compliance

2
3 3

ILPI-LOG-WH-SP-001-
01_Warehouse
Procedure
4

3
4 4

0
 供應商風險評估報告表
Supplier's risk assessment
說明
給分範圍
自評得分 建准評分 Explanation
allotment

In-Process QC, Line

Clearance Validation
3

2
3 3

0
PPAP documents has
3 supported Materials
with RoHS and
REACH Compliant
2 Certificates
3 3 togetherr with
1 Certificate of
Compliance

0
ILPI-QMS-EMS-QP-
005_Hazardous Waste
3 Management
ILPI-LOG-WH-SP-002-
01_Product
Identification and
2 3 3 Traceability Procedure
ILPI-QAS-QC-QP-005-
01_Control Of Non-
Conformance
1
Procedure

0
ILPI-QAS-QC-QP-005-
01_Control Of Non-
4 Conformance
Procedure

4 4
2

0
Can't used recycled
material, all product is
3
customer based
designs

2
3 3

Can't used recycled

3 material, all product is
customer based
designs
2
3 3

0
 供應商風險評估報告表
Supplier's risk assessment
說明
給分範圍
自評得分 建准評分 Explanation
allotment

Not applicable
3
Can't used recycled
material, all product is
customer based
2 designs
3 3
1

Materials has RoHS

and REACH Compliant
Certificates togetherr
4
with Certificate of
Compliance

2 4 4

Only Materials with

3 RoHS and REACH
Compliant Certificates
togetherr with
Certificate of
Compliance based on
2 customer requirement

2 2
1

ILPI-OPN-PD-SP-001-
01_Production Control
Procedure
3

3 3

0
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Supplier's risk assessment
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自評得分 建准評分 Explanation
allotment

ILPI-QAS-QC-QP-006-
00_Sample Procedure
3
ILPI-QMS-NPD-QP-
001-00_New Product
Development
Procedure
2
3 3

ILPI-LOG-WH-SP-002-
01_Product
Identification and
4 Traceability Procedure

3 4 4

0
ILPI-QMS-DC-QP-
002-01_Control of
Documents
Information Procedure
3

2 3 3

ILPI-QMS-IA-QP-001-
4 01_Internal Audit
Procedure

ILPI-QAS-QC-QP-006-
3 01_Corrective Action
Procedure

4 4
2

0
 供應商風險評估報告表
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allotment

ILPI-QAS-QC-QP-008-
02_Change Point
Procedure
4
ILPI-QAS-QC-QP-010-
01_Continous
Improvement
Procedure

ILPI-OPN-PD-SP-001-
3
01_Production Control
4 4 Procedure

f allotment.

ation" column.

d when the one item can`t achieve full marks, and record the defect.