Questionnaire Management Systems

Questionnaire Management Systems

Completion Guidance Notes

On receipt of this completed Questionnaire, SGS will prepare and submit a No Obligation proposal detailing the assessment, certification and other costs.

Please note for accredited standards SGS are prohibited from providing consultancy. We can offer a pre assessment with regard to the state of readiness of your management system which is referenced in section 3.If you are an existing client applying for an Extension to Scope please indicate additions only i.e. additional sites, activities etc. in the relevant sections.

Section 1:Company/Organisation Details

Name (Legal Entity) Division or Trading Name for Certificate (if different) VAT No. Companies House Registration No. Main Address (i.e. Head Office)Invoicing Address (if different)If company is part of a group, please specify Web Site Management Rep (Contact) PositionEmailTel NoFax No

Section 2:Background InformationHas previous contact been made with SGS Personnel i.e. via telephone etc.?YES FORMCHECKBOX NO FORMCHECKBOX

If YES, please state the name of the person, date of meeting/visit etc.

Where did you hear about SGS? Do you currently use any other SGS Services?YES FORMCHECKBOX NO FORMCHECKBOX

If YES, please state which SGS services used

Section 3: Certification Requirements (Please indicate)If you are an SGS Client applying for an Extension to Scope, please indicate Certificate Number(s) affected: Please indicate if you would like an Optional Pre-assessment /Gap Analysis? YES FORMCHECKBOX NO FORMCHECKBOX

ISO 9001: 2008 Quality Management Systems (QMS)

YES FORMCHECKBOX NO FORMCHECKBOX

ISO 14001: 2004 / BS 8555 / EMAS Environmental Management

YES FORMCHECKBOX NO FORMCHECKBOX

OHSAS 18001:2007 Health/Safety

YES FORMCHECKBOX NO FORMCHECKBOX

FSC/PEFC Chain of Custody Forestry

YES FORMCHECKBOX NO FORMCHECKBOX

TS16949:2009 Automotive Certification YES FORMCHECKBOX NO FORMCHECKBOX

AS9100 / AS9120 / AS9110 Aerospace Certification YES FORMCHECKBOX NO FORMCHECKBOX

Other (Please state) Are your systems integrated? NO FORMCHECKBOX FULLY FORMCHECKBOX PARTIALLY FORMCHECKBOX Total no of employees: in the organisation in the activities to be certified Does the company operate a shift system or conduct any activities offsite during daytime working hours?YES FORMCHECKBOX NO FORMCHECKBOX

If YES, please indicateDo you have any additional site addresses? YES FORMCHECKBOX NO FORMCHECKBOX Please confirm a list of addresses are attachedYES FORMCHECKBOX NO FORMCHECKBOX

Does your company already have third party certification (SGS or other)?YES FORMCHECKBOX NO FORMCHECKBOX If YES, please indicate the following:

Standard Name of the certification body Scope of Certification Date of last visit Do you wish to transfer this certification to SGS?YES FORMCHECKBOX NO FORMCHECKBOX

Section 4: Scope/Processes

Please define the scope of registration (In detail attaching any relevant supportive information) Please list the main processes or activities on site Are any of the processes covered within this scope outsourced to a third party?YES FORMCHECKBOX NO FORMCHECKBOX

If YES, please provide detail

Section 5: Additional Information

Implementation date of the system? Please indicate when you would like to achieve certification by Have you completed a management review? YES FORMCHECKBOX NO FORMCHECKBOX Have you commenced internal auditing? YES FORMCHECKBOX NO FORMCHECKBOX

If you have used/intend to use Consultancy Services for the design of Management Certification Systems please give details of the Consultancy/ individual Consultant(s) involved :

Environmental Management Addendum

Standard: ISO 14001:2004 / BS 8555 / EMAS

Please indicate below the standard(s) you are interested in.ISO 14001:2004 FORMCHECKBOX BS 8555 FORMCHECKBOX EMAS FORMCHECKBOX

Has an Initial Review been performed? YES FORMCHECKBOX NO FORMCHECKBOX

If yes, please indicate below how the expertise was provided by marking with an X.

a) In- House FORMCHECKBOX b) Consultancy FORMCHECKBOX c) Other (please describe) Describe your site as appropriate (delete as appropriate) INDUSTRIAL FORMCHECKBOX URBAN FORMCHECKBOX COMMERICAL FORMCHECKBOX RESIDENTIAL FORMCHECKBOX Has an environmental policy been issued? YES FORMCHECKBOX NO FORMCHECKBOX

Do you require A ISO 14001, B BS8555, C EMASIf BS 8555, which Phase(s) do you wish to inspected against 1, 2,3,4,5 or 6List significant aspects and applicable legislation in order importance below:

Significant Aspects/Effects

Most applicable LegislationList any Licences and authorisations applicable, i.e. PPC Permits, Discharge, Consents etc: If the contact for this standard is different to that given in section 1 please indicate below

Environmental Management Rep (Contact) Position

E-mail Tel No

Safety Management Addendum

Standard: OHSAS 18001:2007Please indicate below the standard(s) your are interested in.OHSAS 18001:2007 FORMCHECKBOX

How large is your site in m2/square foot? Have formal risk assessments been conducted? YES FORMCHECKBOX NO FORMCHECKBOX

Do you have/use/perform any of the following items/activities or have any of these hazards, mark with an X in the box to the left of each category to indicate yes.

FORMCHECKBOX

Abrasive Wheels FORMCHECKBOX

Agriculture FORMCHECKBOX

Armaments/Weapons *

FORMCHECKBOX

Asbestos removals etc. FORMCHECKBOX

Biological Hazards FORMCHECKBOX

Chemical/Hazardous Substances

FORMCHECKBOX

Compressed Air FORMCHECKBOX

Construction FORMCHECKBOX

Confined Spaces

FORMCHECKBOX

Diving/Docks Proximity to Water FORMCHECKBOX

Electrical Plant/Equipment FORMCHECKBOX

Explosives

FORMCHECKBOX

Flammable Substances FORMCHECKBOX

Food Preparation/Processing FORMCHECKBOX

Fumes/Gases/Dust

FORMCHECKBOX

GM Organisms FORMCHECKBOX

Lead FORMCHECKBOX

Lifting Equipment

FORMCHECKBOX

Liquefied Petroleum Gas (LPG) FORMCHECKBOX

Machine Tools FORMCHECKBOX

Manual Handling

FORMCHECKBOX

Maritime Operations FORMCHECKBOX

Moving Vehicles (Proximity to) FORMCHECKBOX

Noise

FORMCHECKBOX

Offshore Operations FORMCHECKBOX

Pressuried Systems FORMCHECKBOX

Railways

FORMCHECKBOX

Radiation FORMCHECKBOX

Road Haulage FORMCHECKBOX

Transport of Dangerous Goods

FORMCHECKBOX

Toxic Waste treatment/disposal FORMCHECKBOX

Working at heights/depths FORMCHECKBOX

Woodwork

FORMCHECKBOX

Other:-

* SGS does not provide services relating to Ammunitions, weapons, implements of war, or explosivesIf the contact for this standard is different to that given in section 1 please indicate below:

Health/Safety Management Rep (Contact)PositionE-mail Tel No

FSC/PEFC Forestry Addendum

Standard: Chain of CustodyPlease indicate below the standard(s) you are interested in.PEFC Chain of Custody FORMCHECKBOX FSC Chain of Custody FORMCHECKBOX FSC Group/Multi site Chain of Custody FORMCHECKBOX

FSC Partial Project Certification FORMCHECKBOX FSC Full Project Certification FORMCHECKBOX

Are any of your source materials;

FSC certified products YES FORMCHECKBOX NO FORMCHECKBOX

PEFC certified productsYES FORMCHECKBOX NO FORMCHECKBOX

From non certified sourcesYES FORMCHECKBOX NO FORMCHECKBOX

(Controlled wood standard)Reclaimed/recycled (non pure source)YES FORMCHECKBOX NO FORMCHECKBOX

(Reclaimed material standard)Type of Business;

Trader/Broker FORMCHECKBOX Primary Processor FORMCHECKBOX Secondary Manufacture FORMCHECKBOX Manufacturer FORMCHECKBOX Printer FORMCHECKBOX

Other: Please Specify Group/Multi Site CertificationIf you are a group/multi site application please define the relationship between the group managing organisation/Head office and the group members/sites. For a group/multi site application please include a list of group members/sites, including the following information for each site:

Site/group name & address,

Scope & processes; including what materials you are buying, your processes and what products you intend to sell as certified. # employees

Any outsourced activities

Type of businessSource of materials

Project Certification

If you are applying for project certification please provide a brief description of the project, including the Type of building or structure, the main purpose and the project address Date Construction to be initiated Expected date of completion Certified material to be used

Automotive Certification Addendum

Standard: TS16949:2009Have you received any consultancy / training / pre-audit towards TS16949? YES FORMCHECKBOX NO FORMCHECKBOX

If yes, please confirm the name of the company used to provide the above, including the auditor / consultants name.

List Customers & Corresponding Supplier Code: FORMCHECKBOX BMW

(no format check)

FORMCHECKBOX Chrysler

5 digits which could be followed by 1 or 2 capital letters

FORMCHECKBOX Fiat

(no format check)

FORMCHECKBOX Ford

(5 characters, alphanumeric)

FORMCHECKBOX GM

9 digits without any blanks Code for South Africa: 000000000Code for South Korea: 111111111

FORMCHECKBOX Mercedes

(no format check)

FORMCHECKBOX PSA

(maximum length is of 10 positions with any characters.)

FORMCHECKBOX Renault

(no format check)

FORMCHECKBOX VW

(no format check)

If the contact for this standard is different to that given in section 1 please indicate below

Automotive Management Rep (Contact) Position

E-mail Tel No

Aerospace Addendum

Standard: AS9100 / AS9120 / AS9110Please indicate below the standard(s) you are interested in. AS9100 Quality Management Systems: Aerospace Requirements FORMCHECKBOX

AS9120 Quality Management Systems : Aerospace Requirements for Stockists & Distributors FORMCHECKBOX

AS9110 Quality Management Systems: Aerospace Requirements for Maintenance Organisations FORMCHECKBOX

Do you currently hold any regulatory approvals? Yes FORMCHECKBOX No FORMCHECKBOX

Please list the approvals Do you currently hold NADCAP approval? Yes FORMCHECKBOX No FORMCHECKBOX

If yes, please select the relevant NADCAP process:

Chemical Processing FORMCHECKBOX

Coatings FORMCHECKBOX

Composites FORMCHECKBOX

Elastomer Seals FORMCHECKBOX

Electronics - FORMCHECKBOX

Fasteners - FORMCHECKBOX

Fluids Distribution FORMCHECKBOX

Heat Treating FORMCHECKBOX

Materials Testing Laboratory FORMCHECKBOX

Non-destructive Testing FORMCHECKBOX

Nonconventional Machining and Surface Enhancement FORMCHECKBOX

Sealants FORMCHECKBOX

Welding FORMCHECKBOX

If the contact for this standard is different to that given in section 1 please indicate below

Aerospace Management Rep (Contact) Position

E-mail Tel No

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