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.