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* 1. This assessment tool is comprised of six (6) key areas of corporate governance and based on the Maturity Framework Guide. These key areas are based on applicable legislation and most widely accepted international principles.

The key areas are further broken down into twenty-four (24) indicators and presented to you in this assessment tool.  For each indicator presented please indicate which option best suits your organisation’s corporate governance level.  Please circle/highlight the best option for your organisation

The assessment tool has been designed for four (4) organisation types.

Please indicate the type of organisation you represent:

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* 2. Organization Name:

There are 24 Indicators used in this assessment tool. For each indicator you are provided with statements - each representative of the 4 different levels of corporate governance. You are asked to choose the statement that best represents policies and procedures implemented within your organisation.

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* 3. Indicator 1: Division of Roles

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* 4. Indicator 2: Duty of Care

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* 5. Indicator 3: Duty of Loyalty

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* 6. Indicator 4: Appropriate Composition

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* 7. Indicator 5: Choosing Directors

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* 8. Indicator 6: Independence for Oversight

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* 9. Indicator 7: Number of Directors

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* 10. Indicator 8: Directing, Delegating and Monitoring

8.1: Reviews and guides corporate strategy as proposed by management

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* 11. Indicator 8: Directing, Delegating and Monitoring
8.2: Reviews and guides major plans of action including annual budgets and/or business plans

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* 12. Indicator 8 -Directing, Delegating, Monitoring
8.3: Agrees and sets performance objectives with management and monitors management’s implementation plans.

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* 13. Indicator 8 - Directing, Delegating, Monitoring
8.4 Monitors the effectiveness of the company’s governance practices

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* 14. Indicator 9: Risk Oversight and Board Audit

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* 15. Indicator 10: Internal Audit

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* 16. Indicator 11: Conflict of Interest

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* 17. Indicator 12: Compliance Function

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* 18. Indicator 13: Whistle Blower Policy

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* 19. Indicator 14: Separation of Chairman and CEO

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* 20. Indicator 15: Frequency of Meetings

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* 21. Indicator 16: Induction

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* 22. Indicator 17: Board Charter and Committee Terms of Reference

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* 23. Indicator 18: Code of Ethics

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* 24. Indicator 19: Evaluation

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* 25. Indicator 20: Disclosure

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* 26. Indicator 21: Accounting Standards

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* 27. Indicator 22: Auditing Standards

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* 28. Indicator 24: Annual Shareholders Meeting

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