| |
| Name
of Organisation : |
| Company Status :
Government
Public Ltd.
Private Ltd.
Partnership
Proprietary |
| Company's Certificate of Incorporation No. & Date : |
| Address |
Nearest Station : |
|
| Corporate office/Head
office: |
|
| Sites (Owned / Rented) : |
(Kindly
provide complete contact details with PIN Code No.of Addresses) |
|
|
|
| |
| Chief Executive
Officer :
|
| Management Representative :
|
| Tel. No. :
|
Fax No. :
|
| Email Id :
|
Website :
|
| (Kindly provide STD / ISD Code of the Tel / Fax No.) |
Mobile :
|
|
|
| Name of your Consultant, if engaged in preparing management system : |
| Name :
|
| Company :
|
| Contact No :
|
Email :
|
| Address : |
|
|
| Types of Certification : |
|
Intial Certification
|
Recertification |
|
Transfer of Certificate - Name of earlier Certification Body :
|
|
| Requested Management System Standard : |
|
ISO 9001
ISO 14001
OHSAS 18001
ISO 22000
Product/CE Marking
Other Management System |
|
Integrated Management System
Others (Specify)
|
|
| Accreditations required : |
|
JAS-ANZ (ISO 9001, ISO 14001, OHSAS 18001, ISO 22000) |
|
NABCB - (ISO 9001, ISO 14001) |
|
Others (specify)
|
For EMS & OHSAS : Please fill in separate Questionnaire "FC_03A" for the company seeking certification of ISO 14001, Environmental Management System / OHSAS 18001 : 1999 Occupational Health & Safety Management System, and Questionnaire will be provided on request.
For CE Marking : Please fill separate Questionnaire "FC_42" for company seeking CE marking.
ForISO 22000 / HACCP : Please fill separate Questionnaire "FC_49" for company seeking HACCP / Food Safety. |
|
| Products / Services :
|
| Processess / Activities : |
|
| Proposed Scope of Certification : |
|
| Applicable Statutory & Regulatory Requirements : |
|
|
| Manpower
Information (Location / Site Wise) : |
| Total No. of Employees :
|
| Management :
Staff :
Contract Labour :
|
| Total No. of Additional Sites to be Audited :
No. of working Shifts :
|
| Shift wise activity details : |
|
|
| Name of your main customers (Local & Overseas) : |
|
|
| How long has the Management System been Implemented? |
| Place :
|
Name & Signature : |
Date :
|
Company Seal : |
| |
Notes:
- All the information supplied by the organisation will be treated in strict confidence.
- ICS Certification Procedure & Methodology for the assessment is covered in our literature, that will be supplied on request. You may contact ICS local office for further queries, refer “Certification of the Management System – CM5” available on our website.
- You may attach additional information on the separate paper.
- Scope of certification shall be given in brief describing the activities being performed by your company e.g. Design, manufacture, installation, service and repair of pressure vessels for Oil & Gas industry.
- ICS Standard Terms & Conditions will be applicable.
|
For further queries, please write to info@icsasian.com OR visit www.icsasian.com |
FC-03/Rev-6/24.10.2006 |
|
