LBMA Responsible Gold Guidance -
Refiner Assessment Report
For third-party audits based on ISO19011:2011.
Prepared for: / London Bullion Market Association (LBMA)
Date: / 5June2013
Draft Version / 1
Report Distribution List: / Click here to enter text.

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ASSESSMENT INFORMATION
Refiner Name: / [NAME] /
Refiner Location: / [ADDRESS] /
Refiner Contact Person:
Name, Title:
Email:
Phone: / [NAME, TITLE
EMAIL
PHONE NUMBER]
Lead auditor and audit team members / [NAME]
[NAME]
Dates and places where the onsite assessment activities were conducted / Click here to enter a date. - Click here to enter a date.
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LBMA Refiner Assessment Report
Assessment objectives:
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[Example response: The objectives of the assessment were to evaluate the conformity of the Refiner’s management system procedures processes and practices with the LBMA Responsible Gold Guidance.]
Assessment scope:
Refiner location(s) included in the assessment scope / Click here to enter text.
Assessment Period / Click here to enter a date. - Click here to enter a date.
Assessment methodology:
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[Example response: The Assessment teams used a triangulation of findings to evaluate the existence and implementation of appropriate systems at the Refiner, addressing all areas covered by the LBMA Responsible Gold Guidance. Each area of the LBMA Responsible Gold Guidance was verified by documentation review and management/employee interviews, as well as observation during the facility tour.]
The evidence of compliance that was reviewed included:
  • The following areas of the facility were visited during the tour:
  • The following interviews were conducted with management:
  • The following interviews with employees were conducted:

Statement of the confidential nature of the contents:
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[Example response: All the data contained in the assessment report, as well as all information obtained during the performance of the certification, is private and confidential between the auditing body and theRefiner..]
Any significant or inherent limitations or areas not covered that were within the assessment scope:
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[Example response: 1.2.8: It was noted that there was not a clear organization chart explaining the reporting structures in place for conducting due diligence tasks. This chart was in progress at the time of the assessment.]
Assessment criteria:
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[Example response:
  • The auditor or assessment team took into account all relevant objective evidence provided bythe Refiner. Relevant evidence was either qualitative or quantitative in as far as it is appropriate andsufficient to support the auditor or assessment team’s conclusions. Appropriate evidence is evidencethat is relevant and reliable. Sufficient evidence refers to the amount of evidence provided to allow the auditor or assessment team to reach a conclusion.
  • Any actual or potential gaps in the Refiner’s systems in regards to the LBMA requirements are rated in accordance to the level of risk each presents to the credibility and integrity of the LBMA Responsible Gold Programme for the responsible sourcing of gold-bearing materials.]

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Assessment findings:
Category/subcategory / Non-compliance/Observation:
Include evidence found to substantiate the non-compliance as well as frequency of its occurrence. / Recommended corrective action / Timeframe for implementing corrective actions / Refiner comments
Step 1.2 / [1.2.8: It was noted that there was not a clear organization chart explaining the reporting structures in place for conducting due diligence tasks. This chart was in progress at the time of the assessment.] / As part of the organizational structure and communication processes for relevant employees and gold supplying counterparties, the Refiner should develop and distribute internally an organizational chart. / 60 days as reported by the Refiner representative. / The Refiner representative stated that they would finalize the organization chart and post this in relevant areas around the facility.
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Assessment conclusions / Compliant / Low / Medium / High / Zero Tolerance
Based on the above assessment conclusions, the overall rating of the Refiner’s performance is determined to represent:

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ADDITIONAL ELEMENTS
Assessment plan:
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[Example response: The on-site assessment at each of the selected sites of the Refiner is composed of four (4) parts:
1. Opening meeting;
2. Review of objective evidence by means of observation, documentation and interviews;
3. Evaluation of the evidence presented to determine compliance with LBMA requirements;
4. Closing meeting.
Day 1 agenda:
  1. 9:00-10:00: Opening meeting with facility management to review the purpose, scope and methodology of the assessment and clarify required documentation
  2. 10:00-11:30: Facility to prepare:
-documentation on conflict free policies and procedures
-Sales receipts.
-inventory list and production capacity list
-all other documentation required for the assessment]
List of attendees of opening and closing meeting
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Refiner feedback
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[Example response: The Compliance Manager for the Refiner provided the following feedback regarding the non-compliance cited for the lack of clear organization chart explaining the reporting structures in place for conducting due diligence tasks.
“This chart was in progress at the time of the assessment. We had a number of management changes in the last quarter, which required us to revisit the organization chart. We did not have final approval for distributing the chart by the time the audit took place.]

The Auditors confirm that:

The information provided by the Refiner is true and accurate to the best knowledge of the Auditor(s) preparing this report.

The findings are based on verified Objective Evidence relevant to the time period for the assessment, traceable and unambiguous.

The Auditor(s) have acted in a manner deemed ethical, truthful, accurate professional, independent and objective.

The Auditor(s) are properly qualified to carry out the assessment at this Refiner’s facility.

Lead Auditor:

Signature:

Date:

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