G
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Name of the Organisation |
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Legal Status ( Tick ) |
Proprietor / Partner / LLP / Pvt Ltd / Ltd / Govt . |
Industry Classification ( Tick) |
Manufacture / Service Provider / Trading / Govt |
Whether part of large group.
|
If Yes , Name :
|
Address (Mailing) |
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Address (Site) |
Management Representative |
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Telephone / Fax / e-mail
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Tel:
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Fax:
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e-mail:
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S
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Location /s |
1 |
2 |
No. Employees : Permanent /
Temporary/Contract / Seasonal |
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No. of Shifts
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Area : |
Products / Services
|
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Core Processes for
scope of Certification |
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Out sourced Processes |
If Yes , Name :
|
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Certification Required QMS / EMS / FSMS / OHSAS
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Standard : ISO 9001
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S
Y
S
T
E
M |
Preferred Accreditation NABCB for QMS (QCI India) □ IAR (USA) □
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Processe/s or ISO clause excluded from the Certification Scope? |
ÖYes / No
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If yes, name
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Justification for Exclusion :
|
Legal /Regulatory requirments |
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Desired Scope of Certification |
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Do you have a System Manual? |
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Number of Procedures |
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System Implemented from : |
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Has a full Internal
Audit been done? |
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Has a Management
Review been held |
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Approximate dates for
|
Document Review
|
Stage 1 Audit :
|
Stage 2 Audit :
|
Consultant, if any, engaged for system development / implementation / internal audit / training.
Yes / No , If yes name : |
If previously certified, please enclose copy of certificate. |
Place :
Date : Signature of Client (CEO / MR) |
NB : For Multisite certification information relating to sites and system should be provided
separately.
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F
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S
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Within Scope: |
Yes / No |
Resources Available / Not available
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Technical Area
|
|
IAF # |
Bettter than IAF / 3 digit NACE :-
|
Conflict of Interest ,if any |
|
Mitigation |
|
Auditor Man-Days
|
Certification :
Stage 1 |
|
Stage 2 |
|
Surveillance :
|
|
Application Registration No.
|
C.B Approval :
Signature : |
Cert Mgr Signature :
Date: |