APPLICATION FOR MANAGEMENT SYSTEM CERTIFICATION

Dear Sirs,

please fill in the form in order to prepare a quotation for the certification of your management system. At the same time, we would like to inform you that the application does not constitute an order for the provision of services - the condition for the provision of services is the signing of a contract. The information contained in the application is treated as confidential. Please send the application to the following address: office@eucert.pl

THE PROPOSAL CONCERNS *:
Initial certification	Certification renewal	Surveillance audit	Expanding the scope
Transfer of certification 1

1 An application to transfer certification from another accredited certification body must be submitted at least 3 months before the end of the certificate's validity.

AUDIT CRITERION:

ISO 9001:2015	ISO 14001:2015	ISO 45001:2018

Applicant details

Name of Organisation:
Registered address:
Principal place of business:
Vat No.:	REGON
KRS:	http://www:
Telephone:	e-mail:

1.1 Scope of certification

Scope of certification (core processes)

Other addresses/locations of organisations within the scope of certification (permanent and temporary):

Name of branch/ location	Branch/location address	Scope of certification (if different from head office)	Employment status	Number of shifts

Does the Applicant Organisation carry out activities on another entity's premises?

YES NO

Authorised contact person

Name and surname /position	Telephone	E-mail

Employment structure

Total staff numbers	Number of staff in scope of certification (FTE, annual average)	Full-time staff	Subcontractors and contractual employees (contract of mandate, contract of specific work) per FTE, per year average for certification	Number of employees carrying out similar simple activities
administrative	productive	auxiliary

Shifts (if applicable)

Number of shifts	Number of employees on first shift	Number of employees on second shift	Number of employees on third shift

Are the activities carried out on all shifts the same?	YES	NO

Is the supervision of Change II and III similar to Change I? YES NO

Has the organisation identified requirements that are not applicable to ISO 9001?

YES	NO

If yes, please specify ……………………………………………………………..

Recommended processes to meet the requirements of the processes in place.

Subcontracted process	Estimated number of FTEs (annual average) needed to implement the process

Systems integration (if more than one standard is an audit criterion)

Integration criteria	YES/NO
Documentation, including work instructions, integrated for all standards.
Management review including overall business strategy.
An integrated approach to internal audits.
An integrated approach to policy and objectives.
An integrated approach to systems processes.
An integrated approach to improvement mechanisms (corrective action and prevention; measurement and continuous improvement).
Integrated management support and accountability.

Factors relating to the organisation and its management system

Increasing audit time
Complicated logistics involving more than one building or location where operations take place, e.g. the need to audit a standalone Design Centre Staff speaking more than one language (which necessitates the use of interpreter(s) or precludes individual auditors from acting independently) Very large ward in relation to the number of staff (e.g. forest) Large number of regulations related to activities (e.g. food, medicines, aviation, nuclear energy, etc.) The system involves very complex processes or a relatively large number of unusual activities Activities that require visits to temporary branches in order to verify activities in the permanent branch(es) whose management system is subject to certification Subcontracted functions or processes Activities considered high risk (ISO 9001 only) For ISO 14001: Greater sensitivity of the exposed environment compared to typical industrial locations, Stakeholder views (complaints), Indirect aspects requiring an increase in audit time, Additional or extraordinary environmental aspects or conditions defined by regulations in the sector, Risk of environmental accidents and impacts occurring (or likely to occur) as a consequence of incidents, accidents and potential emergencies, previous environmental problems to which the organisation has contributed. For ISO 45001: Stakeholder views, Accident and occupational disease incidence higher than the average for the business sector, Presence of members of the public on the organisation's premises (e.g. hospitals, schools, airports, ports, railway stations, public transport), Legal action against the organisation in a health and safety case (depending on the severity and impact of the risks involved), Temporary presence of a large number of (sub)contractors and their employees, resulting in increased complexity or risks for H&S (e.g. periodic shutdowns or process stoppages of refineries, chemical plants, steel mills and other large industrial complexes), Presence of hazardous substances in quantities which expose the establishment to the risk of major industrial accidents, in accordance with the applicable national legislation and/or risk assessment documentation, Organisation with branches covered in countries other than the country of the home branch (in case of poor legal and language skills). Other:
Reducing audit time
The client is not "responsible for design" or the scope does not include other elements of the standard (ISO 9001 only) Very small branch in relation to the number of staff (e.g. office complex only) Maturity of the management system Previous knowledge of the organisation's system (e.g. already certified to another standard by EU-Cert Sp. z o.o.). Readiness of customer for certification (e.g. customer already certified or recognised under another third party programme) (not applicable for integrated systems) High level of automation (not applicable to ISO 45001) The staff includes people working 'off-site', e.g. salespeople, drivers, service personnel, etc., and it is possible to thoroughly audit their compliance with the system in the form of a records review (not applicable for ISO 45001) Activities considered low risk (not applicable to ISO 45001) Other:

Management system certificates held

Name of the certification body	Standard	Certificate No.	Expiry date

Has the organisation benefited from consultation in the implementation of the management system? YES	NO

If yes, please indicate name of consultant: ……………………………………………………………………………………………………

Applicable legal obligations

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Other activities/information of the Applicant relating to the certification process, including those arising from the certification programme concerned

- the language of the audit: ……………………………………………

- other: ……………………………………………………………………………………………………………………………………….………

Information on the environmental management system according to ISO 14001

Processes, products and services that give rise to significant environmental aspects	Significant environmental aspects	Environmental decisions/permits

Information on the health and safety management system according to ISO 45001

Key hazards and risks for OSH:
Key hazardous materials:
Legal obligations relating to health and safety:
Staff working outside the Organisation's premises:
Staff present during the so-called "peak season" (only applies to seasonal activities)

Readiness for certification

Date of system implementation ………………………. Expected date of audit: …………………….

STATEMENTS AND SIGNATURE

I declare that I have read the Information Clause attached to this application and available on the website of EU-Cert Sp. z o.o.

I consent to the processing of the data, including sharing and transferring it to the accreditation body.

I declare that I am authorised to represent the Applicant in accordance with the applicable legal provisions.

I declare that I have read and accept the certification conditions, the certification programme.

…………………………….	………………………………

Place, date	Signature

* check the appropriate boxes