Good practice submission form

Step 1

Basic information and contact details:

Company name

Company address

Enterprise size (small, medium, large)

Characteristics of the business profile: (manufacturing, services, construction, transport, etc.)

Name of the contact person

Telephone number

E-mail

Name of the submitted practice

Step 2

Detailed area of the Polpharma Group Supplier Code of Conduct to which the practice is related:

Step 3

1. Description of the implemented practice, including:
• Motivation behind the described actions;
• Adopted objectives;
• Methods for attaining the objectives;
• Implementation level of the adopted objectives;
• Impact of the practice on the organisation of the company;
• Verifiability of the impact of the practice on the company’s business;
• The way the Polpharma Group Supplier Code of Conduct is implemented through the described practice;
• Possibility of transferring the implemented solutions and their application by other organisations, max. (800 characters)

2. The biggest challenges that the company faced when implementing the practice and measures whereby they were resolved (max. 300 characters).

3. The benefits gained by the company thanks to the implementation of the described practice (max. 300 characters).

4. Space for comment from a management representative (max. 400 characters, not compulsory).

Step 4

Additional materials:

If you have any questions or doubts, please contact me at: dobrepraktyki@polpharma.com.

Being authorised to act on behalf of the aforementioned entity, I represent that the aforementioned entity consents to inclusion of the information concerning good practices stated in the Good Practice Submission form, in the section for the Suppliers of the Polpharmа Group, as well as to use of this information in other publications concerning good practices of the Suppliers of the Polpharmа Group.

I represent that I am authorised to represent the aforementioned entity within the scope specified in this form.

I consent to the processing of my personal data by Polpharmа Biuro Handlowe Sp. z o.o. with its registered office at ul. Bobrowiecka 6, 00-728 Warsaw for the purpose of the execution of the Sustainable Supply Chain project carried out by Polpharma Biuro Handlowe Sp. z o.o.

Sustainable Supply Chain ‒ a system of interconnected business activities within a product’s life cycle allowing value creation for all stakeholders, while ensuring commercial success which contributes to the improvement of social wellbeing and the environment. (Source: Business For Social Responsibility ‒ BSR 2007).
The data controller is Polpharmа Biuro Handlowe Sp. z o.o. with its registered office at ul. Bobrowiecka 6,
00-728 Warsaw. Personal data are collected by Polpharmа Biuro Handlowe Sp. z o.o. exclusively for the purpose of the execution of the Sustainable Supply Chain project carried out by Polpharma Biuro Handlowe Sp. z o.o. The data will not be made available to data recipients within the meaning of Art. 7(6) of the Act on personal data protection. The data subject is entitled to access and correct his or her personal data. Data subjects provide their data voluntarily.

Good practices

GOOD PRACTICE SUBMISSION FORM