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Application Form Rohs

This document is an application for management system certification from ROHS Certification Private Limited. It requests information about the applicant's company including name, address, number of sites, and contact details. It asks about the applicant's legal status, regulatory requirements, and certifications being requested such as ISO 9001, OHSAS 18001, and ISO 14001. Additional questions cover topics like outsourced processes, exclusions, hazards identified, and environmental management programs. The applicant must provide employee numbers and shift details for the scope of certification. Finally, the applicant declares the information is true and the application is signed for review by ROHS.

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Ajai Srivastava
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148 views

Application Form Rohs

This document is an application for management system certification from ROHS Certification Private Limited. It requests information about the applicant's company including name, address, number of sites, and contact details. It asks about the applicant's legal status, regulatory requirements, and certifications being requested such as ISO 9001, OHSAS 18001, and ISO 14001. Additional questions cover topics like outsourced processes, exclusions, hazards identified, and environmental management programs. The applicant must provide employee numbers and shift details for the scope of certification. Finally, the applicant declares the information is true and the application is signed for review by ROHS.

Uploaded by

Ajai Srivastava
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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ROHS CERTIFICATIONPRIVATE

LIMITED
APPLICATION QUESTIONNAIRE FOR MANAGEMENT
SYSTEM CERTIFICATION
408, MADHUBAN BUILDING, 55, NEHRU PLACE,NEW DELHI – 110019, INDIA
Tel No. 011-41525522
Website: www.rohscertification.co.in, Email : [email protected]

*Name of Company

*Postal Address

Number of Sites Linked & Address(if certification required):


*Phone *Fax

*Email: *Website
*Contact Person Name: *Position: *Mobile No
*Legal Status of Company: Pvt. Ltd./Public Ltd./Proprietorship/Partnership
*Statutory & Regulatory Requirements:
(Related to the Nature Work & Management System Certification)
*Service Tax/Excise/TIN:
*Outsourced Process:
(which effects the conformity of the product/service)

CERTIFICATIONS REQUESTED

Quality Management System ISO 9001:2008


Is the category “design and development” included in the activities to be certified? Yes No

Is there any process that affects product conformity outsourced? Yes No

Exclusions if any?
Any legal obligation?
Occupational Health & Safety System OHSAS 18001:2007
How many sites is your company managing at the same time?      
Hazard’s Identified?      
Please detail any critical occupational health & safety risks identified?      
Environmental Management System ISO 14001:2004
How many sites is your company managing at the same time?      
A Register of Significant Environment aspect? Yes No
An Environmental Management Manual? Yes No
An Internal Environmental Audit Programme? Yes No
Has the Internal Environmental Audit Programme been implemented? Yes No
ROHS-MKT-F-01 (Rev 00) Page 1 of 3
Food Safety Management System ISO 22000:2005
HACCP implementation or Study conducted ?: Yes No
How many sites is your company managing at the same time?      
How many process lines?      
Any prior audits? Yes No
If yes then Specify the result      
Any other standards: ISO13485/HACCP/27001/TS16949/CE/GMP/HALAAL/SA8000/Product Certification
etc : Yes No

CERTIFICATION PROGRAMME REQUESTED


Initial certification
Recertification
Combination audit
Transfer Cum Surveillance
In the case of several certification programmes, would you like the audits to be
Combined or carried out separately?      
If the answer is yes, please specify which combination :      

EMPLOYEES (For multi-site, indicate all sites to be covered under certification)


Site Detail Staff Workers (Permanent/ Temporary)

Total No. of Employee :

No. of Shifts :

Scope:

Please define key processes at your facility?

ADDITIONAL INFORMATION
 Have You A Specific Programme/Timescale For Achieving Registration?
Have you called on the services of a consultant? Yes / No

 If yes, please specify which one :


Name of Business Associates:-
 Is any way Business Associate involved other than marketing?
Declaration: The information provide above is true to the best of our knowledge and Belief.

(Authorized signatory Name, Seal & Signature) Position Date


FOR ROHS CERTIFICATION USE ONLY:-

REVIEWED BY:

DATE:

Can the application be further processed?

ROHS-MKT-F-01 (Rev 00) Page 2 of 3


ROHS-MKT-F-01 (Rev 00) Page 3 of 3

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