Please complete the form in English
Do you already have an RBA Online account with a completed SAQ?	No Yes
Facility Name:
Facility Address:
Requested Audit Date:	Between  and
Facility Profile Info
Total number of direct hired workers working in core business:*
Total number of direct hired workers working in non-core business and covered by OT law:*
Total number of indirect workers working in core business.*
# of Buildings:
Are there any buildings (such as hostels) that are more than 1 hour drive away from factory?	Yes No
Languages spoken by workers:
Languages spoken by management:
Has there been a VAP before?	Yes No
Invoicing Info
Person responsible for payment
Name:
Email Address:
Phone #:
Comments:
* For more information regarding worker types, please visit the Worker Type Chart on the RBA website located here.