APPLICATION for ISO Certification (All Standards)

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1 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

2 SN Registrars (Holdings) Limited t/a DAS Certification Ltd & QEC Certification Ltd 22b Church Street, Rushden, Northamptonshire, NN10 9YT Telephone: +44 (0) 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) Company Name Address (Head Office) General Information (Please complete this section for all standards) Telephone Company Website Management Representative Name Primary Contact for Audit Purposes Name of Consultant (if any) Nature of Business 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 Postcode Extension Job Title Telephone Telephone Number of years at this site Main Activities at each Site FMP19/07 Rev. 0 May 2013 Page 2 of 9

3 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? Are there any claimed exclusions from Clause 7 of ISO9001:2008? If Yes what are the exclusions and how are they justified? Are there any outsourced processes? If Yes, please detail them Is English language spoken by all staff? 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

4 END OF ISO9001:2008 APPLICATION (SECTION 3) Detail Main Site activities Detail main processes Main Scope for ISO14001:2004 Certification ISO14001:2004 Environmental Management System (Application) Consultant Details (if any) 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 YES NO N/A site? 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

5 Name Signed Position Date Client Business 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 Nace Codes Competence rating & system Low (1-4) Medium (5-7) High (8-9) Aspects Impacts Risk Minor change to the environment whether adverse or beneficial Change to the environment whether adverse or beneficial 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 is Low Risk priority is increased 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

6 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 s/facilities maintenance Do you have any OH & S risks which require regulatory requirements? Do you operate a Shift System? 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 N/A the site? Do you operate an OHSAS18001:2007 Health & Safety Management System? Do you operate an ISO9001:2008 Quality Management System? Do you operate an ISO14001:2008 Environmental Management System? Site Contacts Site Manager Health & Safety Manager Consultant Details (if any) 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

7 Details of outsourced processes significant to the OH & S Management Additional Information Name Signed Position Date Client Business Competence rating & system Low (1-4) High (8-9) END OF BS OHSAS18001:2007 APPLICATION ANALYSIS OF SCOPES Hazards Risk Impact H & S effect, whether adverse or beneficial but not causing injury or damage to personnel Significant effect causing injury/damage/death to personnel Nace Codes 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 RISK ANALYSIS High Medium Low Regulatory Control High number of consents Minimal consents with low No authorisations with monitoring monitoring 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 EA CODES 28 EA CODES 28 Risk M Risk M Competence M Competence M 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 FMP19/07 Rev. 0 May 2013 Page 7 of 9

8 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) Main Scope for ISO27001:2013 Certification Do you operate an OHSAS18001:2007 Health & Safety Management System? Do you operate an ISO9001:2008 Quality Management System? Do you operate an ISO14001:2008 Environmental Management System? Does your company conduct any activities on clients sites? Does your company have an ISMS Policy Manual which fully addresses ISO27001:2013 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? 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 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

9 Administration Design Manufacturing Additional Information Total 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 System is sufficient for conduct of audit? Requirement for certification documented and provided to applicant Any known differences in understanding; resolved between DAS and applicant? DAS has competence and ability to perform the certification activity? Auditors available? Is Scope Accredited? Location(s) acceptable? Audit time acceptable? Language acceptable? Safety conditions acceptable? Threats to impartiality acceptable? Comments: Produce Quotation or regret letter and submit to client? Reviewed Name Signature by: Date ~ END ~ FMP19/07 Rev. 0 May 2013 Page 9 of 9

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