<Annex> ＣＭＳ Audit Checklist／Internal Audit Report

≪Edition 2.2≫

This document is composed of the Chemical Substances Management System Internal Audit Reportbased on the Ricoh Group Guidelines for Chemical Substances Management System (CAMS) and theCMS Audit Checklist.

Ⅰ．Chemical Substances Management System Internal Audit Report

　　１．"Internal Audit Report" is to be used when a supplier provides Ricoh with its self-audit report.

Ⅱ．Ricoh Group Guidelines for Chemical Substances Management System (CMS) Audit Checklist

　　１．The "CMS Audit Checklist" is to be used for the suppliers' internal audits when they initially register for Ricoh Group Chemical Substances Management System, and renew the registration (once every two years). The checklist is also used by the Ricoh Group audit representative during on-site audits.

　　２．The left column defines the "Ricoh Group's Requests".

　　３．The second column lists the "Audit Items" to be verified during the supplier's self-audit.

We hereby report our internal audit in accordance with the CMS Audit Checklist.

Name of Company:

Business Establishment:

Address:

Date:

CertificationSystem: Third Party Certification System

"Check Items and Check Results"

1. Identification of Banned Substances Good Not Good

3. Acceptance inspection of Banned Substances Good Not Good

Are Banned Substances contained? 　 Yes （Suppliers,Subcontracted suppliers） No

4. Actual management of Banned Substances Good Not Good Omitted

5. Process management of Banned Substances

　　5-1.Suppliers Good Not Good Omitted

　　5-2.Subcontracted suppliers Good Not Good Omitted

6. Prevention of shipment of Banned Substances Good Not Good

7. Management of change in materials, parts, supplies, mixing Good Not Good

8. Handling of nonconforming products that contain Banned Su Good Not Good

　・Circle the check results applied.　・When Banned Substances are not contained, Check Items 4 and 5 can be omitted.　・If any of the results is "Not Good", corrective measures should be taken. (Corrective Action Report should be attached.) 　・The "CMS Audit Checklist" should be attached.　・The person who certifies should be the environment manager or the business manager.

Certified by:

Title:

Point of Contact:

Name:

Department/Section:

Telephone No.:

E-mail :#The "personal information" of yours entered in this document will be used only for duties related to Green Procurement.Provide the information with your agreement.

Chemical Substances Management System Audit Report

Ricoh Group Certification System

2. Examination of the procurement route of materials, parts and supplies for production Good Not Good

Check Items Check Results

AmendmentJul.15, 2005

1／2

Ricoh Group Guidelines for Chemical Substances Management Systems (CMS) Name of Company：CMS Audit Checklist　<Edition 2.2>

Business Establishment/Factory： Internal Auditor： Audit Date

Audit Items Good NoGood NA Omitte

d Audit Results (state facts only)1. Identification of Banned Substances

1) The source of the information on Banned Substance shall be clarified.2) The list of Banned Substances shall be documented and current.

3)

4)

2. Examination of the procurement route of materials, parts, supplies for product1)

2)

3. Acceptance inspection of Banned Substances1) There shall be a procedure for acceptance inspection of Banned Substances.2)

4. Actual management of Banned Substances1)

2)

3)

3.Identify the parts or materials that have the possibility of containing BannedSubstances.

4.Prepare a list of the supplies that have the possibility of adhesion of BannedSubstances to products or parts in the manufacturing process.

2.Confirm it is verified that materials, parts, supplies for production do notcontain any Banned Substances (MSDS is invalid).

3.Confrim that each process that has the possibility of contamination duringthe procurement process is identified.

2.Confrim that the details of the procurement route are fully examined for eachpart category or for each supplier.

1. Confirm that there is a documented procedure to clarify the procurementroute of materials, parts, supplies for production.

5.Confrim that sufficient education is given throughout the company with thelist of Banned Substances posted or distributed.

1.Confirm that there is a documented procedure for acceptance inspection ofBanned substances.

There shall be inventory records documenting the receipt and shipments ofthe materials, parts, supplies for production that contain Banned Substances.

Check Results

1.Confirm that there is a procedure to clarify the information source onBanned Substances.

2.Confirm that the most updated green procurement standards are securedand the measures for the changes to the standards are effective.

Ricoh Group's Requests

The details of the procurement route of materials, parts, supplies forproduction (subcontracted suppliers, process) shall be fully understood.

There shall be a separated procedure for the storage of the materials, parts,supplies for production that contain Banned Substances.

The parts, materials or processes that have the possibility of containingBanned Substances shall be clarified. Except those designated orintroducedexcept those designated or introduced by Ricoh.

Each process that has the possibility of contamination during the procurementprocess shall be identified.

The information on Banned Substances shall be maintained andcommunicated to the employees.

The materials, parts, supplies for production that contain Banned Substancesshall be segregated and managed separately.

2.Check the inventory records showing receiving and shipping (tractability) ofthe materials, parts, supplies for production that contain Banned Substances.

Make sure with appropriated documents, etc. that there is no BannedSubstance contained inside of raw materials, parts, supplies for production.However, Ricoh specified/supplied products are excluded.

3.Confirm that the materials, parts, supplies for production that containBanned Substances are segregated and managed separately so that theoperators will not misplace them (to be stored on separate shelves, etc.)4.Confirm through interviews with operators and on-site observations that thematerials, parts, supplies for production that contain Banned Substances aresegregated and managed separately

1.Confirm that there is a procedure to manage the materials, parts, suppliesfor production that contain Banned Substances if any is purchased andstored.

2／2

Ricoh Group Guidelines for Chemical Substances Management Systems (CMS) Name of Company：CMS Audit Checklist　<Edition 2.2>

Business Establishment/Factory： Internal Auditor： Audit Date：

Audit Items Good NoGood NA Omitte

d Audit Results (state facts only)5. Process management of Banned Substances　5-a. Suppliers

1)

2)

　5-b. Subcontracted suppliers1)

2)

6. Prevention of shipment of Banned Substances1)

2) The procedures shall be properly observed.7. Management of change in materials, parts, supplies, mixing processes

1)

8. Handling of nonconforming products that contain Banned Substances1)

2)

There shall be operational procedures for each identified process that has thepossibility of contamination and the operational procedures shall be properlyobserved.

There shall be operational procedures for each identified process that has thepossibility of contamination and the operational procedures shall be properlyobserved.

2.Confirm that the operational procedures are documented and define thepreventive measures so that the operators will not mix Banned Substances.3.Confirm through the interviews with the operators that the operationalprocedures are properly observed.

The processes that have the possibility of contamination shall be identified.

Procedures shall be established to check and record materials, parts, suppliesfor production and shipment lots.

1.Confirm that procedures are established to check and record materials,parts, supplies for production and shipment lots.

2.Confirm that the procedures are properly observed.

Procedures shall be established to handle situations when nonconformingproducts containing Banned substances are internally or externally detectedor when there is a possibility that nonconforming products containing BannedSubstances have been shipped.

1. Confirm that there is an established communication route for an emergencyand measures to be taken when a problem arises while the procedures arebeing taken (it is to be notified to Ricoh Group).

There shall be a procedure at the time of change in materials, parts, suppliesfor production or mixing processes.

1.Confirm that there is a procedure at the time of change in materials, parts,supplies for production or mixing processes.

When nonconforming products are detected, the cause shall be identified andpreventive measures shall be taken.

2.Confirm that the procedures to be taken in case nonconforming products aredetected are understood (A Corrective Action Report should clearly state thecause of the failure, solutions and preventive measures).

Check Results

The processes that have the possibility of contamination shall be identified.

1.Confirm that both the processes that have the possibility of contaminationand the names of Banned Substances are identified.

Ricoh Group's Requests

2.Confirm that the operational procedures are documented and define thepreventive measures so that the operators will not mix Banned Substances.3.Confirm through the interviews with the operators that the operationalprocedures are properly observed.

1.Confirm that both the processes that have the possibility of contaminationand the names of Banned Substances are identified.

Revision date Edition Revised contents04.01.2004 Edition 111.01.2004 Edition 202.01.2005 Edition 2.1 Corrected error in description07.15.2005 Edition 2.2 1. Changed the item number of requested items on the CMS audit check list

from lower case alphabet to numbers with parenthesis, which are same as requested items on the guide line. The numbers are identical to the requested items on the guide line.2. Relocated the sentence of “However, Ricoh specified/supplied products are excluded.” in 1.(3) under Requested items from Ricoh Group to Requested items 3.(2).3. Regarding Requested items 3.(2), Research results of Banned Substances, "put in writing" was changed to “Make sure with appropriated documents, etc”.4. The edition number of CMS audit check list has mathed to the one of guide line.

Revision history

【Contact information】Green Procurement Secretariat, Procurement Strategic Department,Procurement Control Center, Imaging System Production Business Group, Ricoh Co., Ltd.

zrmd-gpur-qanda1@nts.ricoh.co.jp TEL:03-5742-8791 　FAX:03-3778-8605

Copyright　©　2004, 2005　Ricoh Co., LTD. All rights Reserved.These products are protected by Japanese copyright law and international treaties.

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Ricoh Company., Ltd. Procurement Control Center, Imaging System Production Business Group