Bureau Veritas Certification The Independent Certification Body of Bureau Veritas APPLICATION MANAGEMENT SYSTEM FOR CERTIFICATION

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1 Bureau Veritas Certification The Independent Certification Body of Bureau Veritas APPLICATION MANAGEMENT SYSTEM FOR CERTIFICATION Bureau Veritas Certification Local Office Address: Block A, No. 2, First Floor Q Lap Complex, Kg. Kiulap Bandar Seri Begawan Negara Brunei Darussalam Tel: / Fax: [email protected]

2 SECTION-A BVC ENQUIRY NUMBER COMPANY DETAILS COMPANY NAME: One application form should be completed for each company site seeking Certification even though, for ISO 14001/OHSAS Certification, several sites may be DATE BEFORE WE CAN PREPARE A WRITTEN ESTIMATE OF COSTS WE NEED CERTAIN INFORMATION ABOUT YOUR ORGANISATION AND STAFF, SO IF YOU WILL PLEASE COMPLETE THE APPLICATION FORM AND RETURN IT TO THE ADDRESS SHOWN ON THE ACCOMPANYING LETTER, WE WILL THEN SUBMIT A QUOTATION TAILORED EXACTLY TO YOUR SITUATION. ALL INFORMATION SUPPLIED WILL BE TREATED WITH STRICT CONFIDENCE. YOUR APPLICATION DOES T COMMIT YOU TO USING OUR SERVICES IN ANY WAY, AND APPLICATION FEE WILL BE CHARGED. PROVIDING OUR PROPOSAL IS ACCEPTABLE TO YOU, WE CURRENTLY REQUIRE A LEAD TIME OF APPROXIMATELY 4 to 8 WEEKS TO CARRY OUT OUR AUDIT (FROM RECEIPT OF YOUR SIGNED ACCEPTANCE OF QUOTATION ). FOR A DETAILED EXPLANATION OF HOW BVC AUDIT AND CERTIFICATION WORK IN PRACTICE PLEASE EITHER CONTACT YOUR LOCAL OFFICE OR READ THE ENCLOSED BVC SERVICES DOCUMENT. WE LOOK FORWARD TO HELPING YOU OBTAIN THIS IMPORTANT SYSTEM CERTIFICATION AND WORKING AND WORKING IN PARTNERSHIP WITH YOUR ORGANIZAION. PLEASE STATE WHICH CERTIFICATION/REGISTRATION YOU REQUIRE: ISO 9001:2008 ISO 14001:2004 OHSAS 18001:2007 COMPANY ADDRESS: SITE ADDRESS (if different) covered by one Certificate POSTCODE: POSTCODE: TEL : TEL : FAX : FAX : CONTACT NAME: CONTACT NAME: POSITION : POSITION : NAME OF CHIEF EXECUTIVE: POSITION TITLE : REGISTERED OFFICE ADDRESS; REGISTRATION. Please tick box: LIMITED BY GUARANTEE PLC SOLE TRADER/PARTNERSHIP

3 NUMBER OF EMPLOYEES: 1 ADMINISTRATION/MANAGEMENT: 2. PROCESS 3. MAINTENANCE/SERVICE TOTAL NUMBER OF STAFF : WORK PATTERN: 1ST SHIFT: 2ND SHIFT: 3RD SHIFT: 4TH SHIFT: IF THE COMPANY IS PART OF A GROUP OF COMPANIES, PLEASE GIVE DETAILS SCOPE OF ACTIVITY LOCATION: (Following to be captured for ISO & OHSAS application) Please give LOCATION OF SITE INCLUDING DETAILS OF NEIGHBOURS, LAYOUT OF SITE INCLUDING information and/or SIZE, STORAGE, PROCESS AND ADMINISTRATION FACILITIES, SITE SERVICES enclose a site plan showing the INCLUDING DRAINAGE, ACCESS ROUTES, ETC., following: SECTION B ACTIVITIES AND PROCESSES ON SITE: PLEASE LIST HERE (OR ATTACH) INFORMATION RELATING TO ALL SITE ACTIVITIES INCLUDING NUMBER OF PERSONNEL INVOLVED AND THE EXTENT OF ACTIVITY: IF ANY PART OF THE SITE IS SUB-LET OR UNDER SEPARATE MANAGEMENT PLEASE GIVE DETAILS: 1 INCOMING MATERIALS/SUBSTANCES (including raw materials, by-product and waste materials etc) 2 PROCESSES 3 WHO ARE YOUR MAIN CUSTOMERS? (e.g. Automotive Industry, Freight Forwarding, Eng etc) 4 PRODUCT STORAGE - INCLUDING IN-PROCESS 5 LOCAL ENVIRONMENT Please give any significant details, e.g., Proximity to sensitive

4 areas (rivers, lakes, protected parks, ), known or suspected contaminated land, etc. 6 TRANSPORT (distribution, sales, etc.) 7 KEY ACTIVITIES T MANAGED ON SITE, e.g., purchasing, research and development. Please, give details. 8 LIST OF SUB CONTRACTED ACTIVITIES (i.e.: Machining, calibration, delivery, etc.) 9 TYPE OF MATERIAL USED (e.g, plastic, wood): 10 DETAILS OF ISO 9001:2008 CLAUSES T INCLUDED IN MANAGEMENT SYSTEM (e.g 7.3 Design and Development) SECTION C ENVIRONMENTAL /SAFETY ASPECTS AND IMPACTS Please list the principal environmental aspects / impacts of your activities ENVIRONMENTAL/SAFETY REGULATORY AND OTHER REQUIREMENTS Please list your consents, licenses, permits, authorizations, agreements, codes of practice, etc SECTION D

5 OTHER MANAGEMENT SYSTEMS (Please circle and fill in where appropriate): QUALITY EMS / SAFETY OTHER: HAVE YOU IMPLEMENTED OTHER MANAGEMENT SYSTEMS? IF IT HAS BEEN APPROVED BY A THIRD PARTY, PLEASE GIVE DETAILS OF THE FOLLOWING: A) CERTIFICATION BODY: B) STANDARD: C) APPROVAL DATE: D) COPY OF CERTIFICATE ATTACHED? HAVE YOU INTEGRATED WITH OTHER SYSTEM? PLEASE GIVE THE NAME OF THE MANAGEMENT REPRESENTATIVE TARGET DATE FOR AUDIT: Have you used a consultant to assist in developing your Management System? If, please give us the organisation / company name of your consultant AUTHORISED SIGNATORY: POSITION DATE THANK YOU FOR COMPLETING THIS APPLICATION FORM BVC ACTION ONLY CERTIFICATION/REGISTRATION REQUIRED Available accreditations: Audit Team shall PQC/PEC Code covered by: cover: 1. PQC/PEC Code 2. Legislation. Legislation covered by: 3. + any other specific requirements Team Leader: Team Member : Mandays: Initial: Certification: Surveillance: (total over 3 years) Allocated by (Sign.): Authorised by (Sign.):