GRI Level C report template

Company name:_____________________________________________________________________________________________

Filled in by: Name: Position: Email: ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________

Phone number: ____________________________________________________________________________________________

After you complete this folder, send a copy to GRI at: Global Reporting Initiative P.O. Box 10039 1001 EA Amsterdam The Netherlands Email: smeandsupplychain@globalreporting.org Fax: +31 20 531 0031

Information on numbering: All sections in the boxes are taken directly from the original English version of the G3 Guidelines and the original reference numbers and page number appear in parenthesis. The G3 Guidelines are available for free downloading in several languages at www.globalreporting.org
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Box 1About our company

Profile
1. Strategy and Analysis
This section is intended to provide a high-level, strategic view of the organizations relationship to sustainability in order to provide context for subsequent and more detailed reporting against other sections of the Guidelines. It may draw on information provided in other parts of the report, but this section is intended to produce insight on strategic topics rather than simply summarize the contents of the report. The strategy and analysis should consist of the statement outlined in 1.1 (). 1.1 Statement from the most senior decision-maker of the organization (e.g., CEO, Chair, or equivalent senior position) about the relevance of sustainability to the organization and its strategy. The statement should present the overall vision and strategy for the short-term, medium-term (e.g., 3-5 years), and long-term, particularly with regard to managing the key challenges associated with economic, environmental and social performance. The statement should include: Strategic priorities and key topics for the short/medium-term with regard to sustainability, including respect for the internationally agreed standards and how they relate to long-term organizational strategy and success; Broader trends (e.g. macroeconomic or political) affecting the organization and influencing sustainability priorities; Key events, achievements, and failures during the reporting period; Views on performance with respect to targets; Outlook on the organizations main challenges and targets for the next year and goals for the coming 3-5 years; and Other items pertaining to the organizations strategic approach. [GRI G3: p. 20]

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2. Organizational Profile
2.1 Name of the organization. [GRI G3: p. 21]

2.2 Primary brands, products and/or services. [GRI G3: p. 21]

2.3 Operational structure of the organization, including main divisions, operating companies, subsidiaries and joint ventures. [GRI G3: p. 21]

2.4 Location of organizations headquarters. [GRI G3: p. 21]

2.5 Number of countries where the organization operates, and names of countries with either major operations or that are specifically relevant to the sustainability issues covered in the report. [GRI G3: p. 21]

2.6 Nature of ownership and legal form. [GRI G3: p. 21]

2.7 Markets served (including geographic breakdown, sectors served and types of customers/ beneficiaries). [GRI G3: p. 21]

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Box 1: continued
2.8 Scale of the reporting organization, including: Number of employees; Net sales (for private sector organizations) or net revenues (for public sector organizations); Total capitalization broken down in terms of debt and equity (for private sector organizations); and Quantity of products or services provided. [GRI G3: p. 21]

2.9 Significant changes during the reporting period regarding size, structure or ownership including: The location of, or changes in, operations, including facility openings, closings and expansions; and Changes in the share capital structure and other capital formation, maintenance, and alteration operations (for private sector organizations). [GRI G3: p. 21]

2.10 Awards received in the reporting period. [GRI G3: p. 21]

4. Governance, Commitments and Engagement Governance

4.1 Governance structure of the organization, including committees under the highest governance body responsible for specific tasks, such as setting strategy or organizational oversight. [GRI G3: p. 22]

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Box 1: continued
4.2 Indicate whether the Chair of the highest governance body is also an executive officer (and, if so, their function within the organizations management and the reasons for this arrangement). [GRI G3: p. 22]

4.3 For organizations that have a unitary board structure, state the number of members of the highest governance body who are independent and/or non-executive members. [GRI G3: p. 22]

4.4 Mechanisms for shareholders and employees to provide recommendations or direction to the highest governance body. Include reference to processes regarding: The use of shareholder resolutions or other mechanisms for enabling minority shareholders to express opinions to the highest governance body; and Informing and consulting employees about the working relationships with formal representation bodies such as organization level work councils, and representation of employees in the highest governance body.

Identify topics related to economic, environmental and social performance raised through these mechanisms during the reporting period. [GRI G3: p. 23]

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Box 2About our report

3. Report Parameters Report Profile
3.1 Reporting period (e.g., fiscal/calendar year) for information provided. [GRI G3: p. 21]]

3.2 Date of most recent previous report (if any). [GRI G3: p. 21]

3.3 Reporting cycle (annual, biennial, etc.). [GRI G3: p. 21]

3.4 Contact point for questions regarding the report or its contents. [GRI G3: p. 21]

Report Scope and Boundary

3.6 Boundary of the report (e.g., countries, divisions, subsidiaries, leased facilities, joint ventures, suppliers). See GRI Boundary Protocol for further guidance (www.globalreporting.org/ReportingFramework ReportingFramework Downloads/) [GRI G3: p. 22]

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Box 2: continued
3.7 State any specific limitations on the scope or boundary of the report. [GRI G3: p. 22]

3.8 Basis for reporting on joint ventures, subsidiaries, leased facilities, outsourced operations and other entities that can significantly affect comparability from period to period and/or between organizations. [GRI G3: p. 22]

3.10 Explanation of the effect of any re-statements of information provided in earlier reports, and the reasons for such re-statement (e.g., mergers/acquisitions, change of base years/periods, nature of business, measurement methods). [GRI G3: p. 22]

3.11 Significant changes from previous reporting periods in the scope, boundary or measurement methods applied in the report. [GRI G3: p. 22]

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Box 3About our stakeholders

4. Governance, Commitments and Engagement Stakeholder Engagement
The following Disclosure Items refer to general stakeholder engagement conducted by the organization over the course of the reporting period. These Disclosures are not limited to stakeholder engagement implemented for the purposes of preparing a sustainability report. 4.14 List of stakeholder groups engaged by the organization. Examples of stakeholder groups are: Communities; Civil society; Customers; Shareholders and providers of capital; Suppliers; and Employees, other workers and their trade unions. [GRI G3: p. 24]

4.15 Basis for identification and selection of stakeholders with whom to engage. [GRI G3: p. 24]

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Box 4Determining report content

3. Report Parameters Report scope and boundary
3.5 Process for defining report content, including: Determining materiality; Prioritizing topics within the report; and Identifying stakeholders the organization expects to use the report. [GRI G3: p. 21]

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Box 5Data on performance

Data on performance. Please check the GRI Indicator Protocols before completing this box. Indicator 1:
Performance:

Comments:

Indicator 2:
Performance:

Comments:

Indicator 3:
Performance:

Comments:

Indicator 4:
Performance:

Comments:

Indicator 5:
Performance:

Comments:

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Box 5: continued
Indicator 6:
Performance:

Comments:

Indicator7:
Performance:

Comments:

Indicator 8:
Performance:

Comments:

Indicator 9:
Performance:

Comments:

Indicator 10:
Performance:

Comments:

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Box 6Self declaration (Application Level)

Report Application Level

C
Report on: 1.1 2.1 - 2.10 3.1 - 3.8, 3.10 - 3.12 4.1 - 4.4, 4.14 - 4.15

C+

B
Report on all criteria listed for Level C plus: 1.2 3.9, 3.13 4.5 - 4.13, 4.16 - 4.17

B+

A
Same as requirement for Level B

A+

Stan da rd Disclosures

Disclosures

OUTPUT

Report Externally Assured

Report Externally Assured

Not Required
G3 Manage ment Approach Disclosures

OUTPUT

Management Approach Disclosures for each Indicator Category

Management Approach Disclosures for each Indicator Category

G3 Performance Indicators & Sector Supplement Performance Indicators

Report on a minimum of 10 Performance Indicators, including at least one from each of: Economic, Social and Environmental.

Report on a minimum of 20 Performance Indicators, at least one from each of Economic, Environmental, Human rights, Labor, Society, Product Reponsibility.

Report on each core G3 and Sector Supplement* Indicator with due regard to the Materiality Principle by either: a) reporting on the Indicator or b) explaining the reason for its omission.
*Sector supplemen version

OUTPUT

GRI Application Level C

I hereby declare that to the best of my understanding this report fulfills the requirements for a GRI G3 Application Level C. Name:_______________________________________________________________________________________________ Position:_____________________________________________________________________________________________ Date:______________________________________________

Signature:__________________________________________
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Report Externally Assured

Box 7GRI Content Index

3. Report Parameters GRI Content Index
3.12 Table identifying the location of the Standard Disclosure in the report. Identify the page numbers or web links where the following can be found:

Strategy and Profile Disclosures

Page

Strategy and Analysis

1.1

Statement from the most senior decision maker

Organizational Profile

2.1

Name of the organization

2.2

Primary brands, products and/or services

2.3

Operational structure of the organization

2.4

Location of organizations headquarters

2.5

Number of countries where the organization operates

2.6

Nature of ownership and legal form

2.7

Markets served by the organization

2.8

Scale of the reporting organization

2.9

Significant changes during the reporting period

2.10

Awards received in the reporting period

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Box 7: continued

Report Parameters

3.1

Reporting period

3.2

Date of most recent previous report

3.3

Reporting cycle

3.4

Contact point for questions

3.5

Process for defining report content

10

3.6

Boundary of the report

3.7

Any specific limitations on the scope or boundary of the report

3.8

Basis for reporting on joint ventures, subsidiaries, leased facilities, outsourced operations and other entities Explanation of the effect of any re-statements of information provided in earlier reports, and the reasons for such re-statement Significant changes from previous reporting periods

3.10

3.11

3.12

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Governance, Commitments and Engagement

4.1

Governance structure of the organization

4.2

Indicate whether the Chair of the highest governance body is also an executive officer

4.3

State the number of members of the highest governance body who are independent and/or nonexecutive members Mechanisms for shareholders and employees to provide recommendations or direction to the highest governance body List of stakeholder groups engaged by the organization

4.4

4.14

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4.15

Basis for identification and selection of stakeholders with whom to engage

Box 7: continued
10 GRI Performance Indicators
GRI Indicator Number Indicator Description Page

11

11

11

11

11

12

12

12

12

12

If you need more information, please write to: Name:

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Copyright and Trademark Notice

This document is copyright-protected by Stichting Global Reporting Initiative (GRI). The reproduction and distribution of this document for information and/or use in preparing a sustainability report is permitted without prior permission from GRI. However, neither this document nor any extract from it may be reproduced, stored, translated, or transferred in any form or by any means (electronic, mechanical, photocopied, recorded, or otherwise) for any other purpose without prior written permission from GRI. Global Reporting Initiative, the Global Reporting Initiative logo, Sustainability Reporting Guidelines, and GRI are trademarks of the Global Reporting Initiative. Further information on the GRI and the Sustainability Reporting Guidelines may be obtained from: www.globalreporting.org, info@globalreporting.org

2011 Global Reporting Initiative. All rights reserved.

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