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APPLICATION for ISO Certification (All Standards)

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APPLICATION for

ISO Certification (All Standards)

Contents

Section 1 – General Information

(Please complete this section for All standards)

(Please complete ONLY the sections for the Standard(s) that you are applying for)

Section 2 - ISO9001:2008

Quality Management System

Section 3 - ISO14001: 2004

Environmental Management System

Section 4 – BS OHSAS18001:2007

Occupational Health & Safety

Management System

Section 5 – ISO27001:2013

Information Security

Management System

FMP19/07 Rev. 0 May 2013 Page 1 of 9

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SN Registrars (Holdings) Limited t/a

DAS Certification Ltd &

QEC Certification Ltd

22b Church Street, Rushden, Northamptonshire, NN10 9YT

www.dascertification.co.uk [email protected]

Telephone: +44 (0)1933 381859

Which Standard(s) are you interested in (Please Tick all that apply)

ISO 9001:2008

ISO 14001:2004 ☐ BS OHSAS18001:2007 ☐ ISO 27001:2013

OTHER (Please state)

(SECTION 1) General Information

(Please complete this section for all standards)

Company Name

Address (Head Office)

Postcode

Telephone

Extension

Email

Company Website

Management Representative Name

Job Title

Primary Contact for Audit Purposes

Telephone

Name of Consultant (if any)

Telephone

Nature of Business

Number of years at this site

Principle Services or Products provided by the Company

Does your company conduct any activities on

Clients’ sites ☐YES ☐ NO (If YES please list

activity)

Name of Present Certification Body (if any)

Certificate Expiry Date(s)

Date Next Certification Body Visit is Due

Total Number of Employees

Total Number of Company Directors

Multi-Site Operations

Number of Locations

Please list all Sites Main Activities at each Site

FMP19/07 Rev. 0 May 2013 Page 2 of 9

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Please complete only the relevant sections for the Standard(s) that you require

(SECTION 2)

ISO 9001:2008 Quality Management System (Application)

Main Processes and materials used

Main Scope for

ISO9001:2008

Certification

Does your company’s quality manual fully address ISO9001:2008? ☐ YES ☐ NO Are there any claimed exclusions from Clause 7 of ISO9001:2008? ☐ YES ☐ NO If Yes what are the exclusions and how are they justified?

Are there any outsourced processes? YES ☐ NO

If Yes, please detail them

Is English language spoken by all staff? ☐ YES ☐ NO

If NO, which other languages will we be required to understand during the assessment? What Key Legislation is applicable on your site(s)?

Company Employees (Breakdown)

Category/Description/Department Total Permanent Total Temporary

Sales Marketing Administration Design Manufacturing Other Total Additional Information

Name Signed Position Date

FMP19/07 Rev. 0 May 2013 Page 3 of 9

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END OF ISO9001:2008 APPLICATION

(SECTION 3) ISO14001:2004 Environmental Management System (Application)

Detail Main Site activities Detail main processes

Main Scope for

ISO14001:2004

Certification

Consultant Details (if any) Contact Telephone:

Do you have any Environmental Aspects which are controlled by regulatory requirements? ☐YES ☐ NO (If YES what are they?

Are there any Environmental issues facing the company (Management view)? ☐YES ☐ NO

i.e.; General noise & air pollution, like inside & outside in-house vehicle (No major issue) If Yes please state

Total Area of Site No of Employees on Site Is there a Shift System in Operation? ☐YES ☐ NO Daily Operating Hours

Period of Maximum Activity (Please tick all that apply)

Night ☐ Day ☐ Morning Afternoon ☐ Evening ☐ Weekends Weekdays ☐ 24 hour

Are Site Plans (including drainage system) available for the

site? YES ☐ NO ☐ N/A

Do you operate an ISO9001 Quality Management System? YES ☐ NO

Do you operate an ISO14001 Environmental Management System? ☐YES ☐ NO

Site Manager Name Telephone

Does the company have appropriate licences, authorisations and consents? If Yes, please detail them

(Attach a separate sheet if required)

YES ☐ NO

Profile of the sites previous use(s) and the legacy of waste

contamination

Details of any audits which have been carried out Sensitivity of audit site

(Interest groups, high regulations, populations…)

List of chemicals/materials in the site/facility. Details Hazardous Waste Management

Detail significant utilities used in the site/facility

(Gas, Electric, Water, Oil….)

Details of Waste Management

(Effluent treatment/discharge, solid waste management…..)at the site/facility

Details of outsourced processes significant to the environment management

(Outsourced effluent processing, waste disposal…)

Additional Information

FMP19/07 Rev. 0 May 2013 Page 4 of 9

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Name Signed Position Date

END OF ISO14001:2004 APPLICATION

Refer to IAFMD5:2009 and DAS Procedure 22 - Issue 7 EMS Table 2 for related Industry Risk Category

ANALYSIS OF SCOPES

Client Business Nace Codes Competence rating

& system Aspects Impacts Risk Low (1-4) Activity, product and/or

service Minor change to the environment whether adverse or beneficial Risk priority is Low

Medium (5-7) Activity, product and/or

service Change to the environment whether adverse or beneficial Risk priority is increased

High (8-9) Activity, product and/or

service During normal, abnormal and emergency operating conditions there is a significant risk of an impact causing harm to the eco system and/or breach to legal & regulatory requirements

Risk priority High

RISK ANALYSIS High Medium Low

Regulatory Control IPC LAAPC No authorisations

Complexity of

Operation Highly technical, large & complex operations Technical, smaller less complex operations Non-technical, small simple operations

Severity of Releases Large scale, hazardous

pollution Medium scale, harmful pollution Small scale, minor pollution

---

Refer to IAFMD5:2009 and DAS Procedure 22 – Issue 7

EMS Table 2 for elated Risk Category

ENVIRONMENTAL ASPECTS/IMPACTS, RISK & SKILLS REQUIREMENT

(Please tick appropriate box to indicate relevant aspect and impacts for your scope of activity)

ASPECTS/IMPACTS EA CODES

Risk/Competence ASPECTS/IMPACTS EA CODES Risk/Competence

e.g. 28, H. M

Air Emissions Electro Magnetics

Air Quality Landscape Visual

Aqueous Discharge Land Use

Water Supply Heritage

Fresh Water Quality Transport

Fresh Water Ecosystem Community & Social

Marine Quality Economics

Marine Ecosystems Nuisance

Ground Water Public Health

Waste Control Emergency Service

Waste Minimisation Nature Conservation

Waste Disposal Ethical

Land Contamination Odours

Soil Quality Energy Use

Terra/Avian Ecosystems Electricity

Resource Usage Gas

Life Cycle Coal

FMP19/07 Rev. 0 May 2013 Page 5 of 9

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Noise Oil

Vibration Raw Materials

Comments

(SECTION 4)

BS OHSAS 18001: 2007 Occupational Health & Safety Management System (Application)

Detail main site activities

Main Scope for

BS OHSAS18001:2007

Certification

Detail processes and detail any licences, authorisations and consents held Detail the products

Detail the services/facilities maintenance

Do you have any OH & S risks which require regulatory requirements?

Do you operate a Shift System? ☐ YES ☐ NO Daily Operating Hours Period of Maximum Activity (please tick all that apply)

Night ☐ Day ☐ Morning Afternoon ☐ Evening ☐ Weekends Weekdays ☐ 24 hour

Are Site Plans (including drainage system) available for

the site? YES ☐ NO ☐ N/A

Do you operate an OHSAS18001:2007 Health & Safety Management System? YES ☐ NO

Do you operate an ISO9001:2008 Quality Management System? YES ☐ NO

Do you operate an ISO14001:2008 Environmental Management System? YES ☐ NO

Site Contacts

Site Manager Contact Telephone:

Health & Safety Manager Contact Telephone: Consultant Details (if any) Contact Telephone: Profile of the sites previous use(s) and

The legacy of waste contamination Sensitivity of audit site

(Interest groups, high regulations, populations…)

List of chemicals/materials in the site/facility Detail significant utilities used in the site/facility

(Gas, Electric, Water, Oil….)

Details of Waste Management activities for the site

FMP19/07 Rev. 0 May 2013 Page 6 of 9

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Details of outsourced processes significant to the OH & S Management

Additional Information

Name Signed Position Date

END OF BS OHSAS18001:2007 APPLICATION

ANALYSIS OF SCOPES

Client Business

Nace Codes

Competence rating &

system Hazards Risk Impact

Low (1-4) Activity, product and/or

service H & S effect, whether adverse or beneficial but not causing injury or damage to personnel

During routine, non-routine and emergency operating conditions there is a risk of incident causing harm to the personnel and/or breach to legal and regulatory requirements

High (8-9) Activity, product and/or

service Significant effect causing injury/damage/death to personnel

RISK ANALYSIS High Medium Low Regulatory Control High number of consents

with monitoring Minimal consents with low monitoring No authorisations

Complexity of

Operation Highly technical, large & complex operations Technical, smaller less complex operations Non-technical, small simple operations

Severity of Releases Large scale OH & S Risk Medium scale Small scale

HAZARDS RISKS

e.g. EA e.g. EA

Air Emission

Psychological

Air Quality

Electro Magnetic

Noise Emission

Community & Social

Vibration

Economics

Fresh Water Quality

Nuisance

Lighting

Public Health

Manual Handling

Emergency Service

Lifting Equipment

Health Conservation

Height Working

Lifting Equipment

Chemical Handling

COSH

Waste Disposal

Electric Handling

Biological Risk

Gas Handling

Risk from Sharps

Coal Handling

Risk from Neighbours

Oil Handling

Ergonomics

Raw Materials

EA CODES 28 EA CODES 28

Risk M Risk M

Competence M Competence M

FMP19/07 Rev. 0 May 2013 Page 7 of 9

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Asbestos

DSE

PPE Use

Please tick all relevant boxes

to indicate hazards and risks involved in your scope of activity

---

(SECTION 5) ISO27001:2013 Information Security Management System (Application)

Main Services or Products provided by the Company

Main Service offered (if applicable)

Consultant Details (if any) Contact Telephone:

Main Scope for

ISO27001:2013

Certification

Do you operate an OHSAS18001:2007 Health & Safety Management System? ☐ YES ☐ NO Do you operate an ISO9001:2008 Quality Management System? ☐ YES ☐ NO Do you operate an ISO14001:2008 Environmental Management System? ☐ YES ☐ NO Does your company conduct any activities on clients’ sites? YES ☐ NO

Does your company have an ISMS Policy Manual which fully addresses ISO27001:2013 ☐ YES ☐ NO Does your company have all necessary documentation to comply with ISO27001:2013,

including a Statement of Applicability?

If NO, when do you expect your documented system to be ready for assessment?

YES ☐ NO

Number of Employees & Contract Staff Number of Users

Number of Sites Number of Servers

Number of Workstations + PC + Laptops

Number of Application Development & Maintenance Staff Network & Encryption Technology

Ext Internet with encryption With use of encryption built in Without encryption

Significance in legal compliance Prosecution

Financial penalty or goodwill damage Insignificant

Applicability of sector specific risk Law & regulation

NO applicable law but sector specific risk applies No law or risk

When do you expect to be ready for the Main Certification visit to take place? Details of outsourced processes

Legal regulations applicable to the company Is the English Language spoken by all staff?

If NO what other languages will we require to understand when doing the assessment YES ☐ NO

Company Employees within the Scope for ISMS

Category/Description/Department Total Permanent Total Temporary

Sales Marketing

FMP19/07 Rev. 0 May 2013 Page 8 of 9

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Administration Design

Manufacturing

Total Additional Information

Name Signed Position Date

END OF ISO27001:2013 APPLICATION

DAS Review of ISO Application

(For office Use only)

ISO9001:2008

BS OHSAS 18001:2007

ISO14001:2004

ISO27001:2013

(Tick all that apply)

Information on the organisation and its Management ☐ YES ☐ NO

System is sufficient for conduct of audit?

Requirement for certification documented ☐ YES ☐ NO

and provided to applicant

Any known differences in understanding; ☐ YES ☐ NO

resolved between DAS and applicant?

DAS has competence and ability to perform the certification activity?

YES ☐ NO

Auditors available? ☐ YES ☐ NO

Is Scope Accredited? ☐ YES ☐ NO

Location(s) acceptable? ☐ YES ☐ NO

Audit time acceptable? ☐ YES ☐ NO

Language acceptable? ☐ YES ☐ NO

Safety conditions acceptable? ☐ YES ☐ NO

Threats to impartiality acceptable? ☐ YES ☐ NO

Comments:

Produce Quotation or regret letter and submit to client?

Reviewed

by:

Name Signature

Date

~ END ~

FMP19/07 Rev. 0 May 2013 Page 9 of 9

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