1.1.Structure of the Application

Title / Application for Accreditation
Reference / DA-00
Revision / 07
Date / 2015-11-17

NOTE: The present document represents the English translation of document under reference at the specified revision. In case of conflict the Italian version will prevail. To identify the revised parts reference must be made to version in Italian language only.

Preparation / Approval / Authorization of issue / Application date
Quality Manager / The Directors of Department / The General Director / 2015-11-24

NOTES FOR COMPLETION

1.1.STRUCTURE OF THE APPLICATION

The ACCREDIA application for accreditation consists of a general part and of the specific annexes for the accreditation scheme requested.

To access ACCREDIA’s application for accreditation, Bodies performing conformity assessment activities (CABs)[1],shall complete both the general form and the one specifically for the scheme requested.

In order to do this the applicant is requested to flag the appropriate box for the application of accreditation as follows:

 DA-00 General application for accreditation;

 DA-01 Application for accreditation for Certification Bodies ( ISO/IEC 17021, ISO/EN 17065, ISO/IEC 17024, etc..);

 DA-02 Application for accreditation for Testing Laboratories, Testing Laboratories for Food Safety and Medical Laboratories (ISO /IEC 17025,);

 DA-03 Application for accreditation for Inspection Bodies (ISO/IEC 17020);

 DA-04 Application for accreditation for Certification and Inspection Bodies for purposes of subsequent notification/s (ISO/IEC 17065, ISO/IEC 17020);

 DA-05 Application for accreditation for Calibration Laboratories and Producers of Reference Materials(RMP) (ISO/IEC 17025 and/or ISO Guide 34);

 DA-06 Application for accreditation for organizations managing inter-laboratory testing schemes (ISO 17043);

 DA-07 Application for accreditation for Bodies verifying the emission of GHG;

 DA-08 Application for accreditation for Medical Laboratories (ISO 15189).

Both the forms shall be completed either by hand or in electronic format and be signed by the legal representative of the Body or by a person authorized by the legal representative and it shall carry the stamp of the CAB.

Applications may be sent in paper format to the postal addresses of the departments or by e-mail to the department secretariat – this second solution is preferable.

In order for it to be accepted, the application must be completed in its entirety and accompanied by all the necessary documentation requested.

Any failure to fully complete the form requires a formal explanation.

N.B.

a) (only for laboratories and PTPs): in the case of any changes in name/s or address as given in point 2 of DA-02, DA-05 and 06, it is necessary to re-send DA-00 and, respectively, DA-02, DA-05 and DA-06 including all the updated data;

b) (only for Calibration Laboratories and Reference Materials Producers): in case of renewal, extension or reduction, it is necessary to re-send DA-00 and DA-05.

1.2.NORMATIVE REQUIREMENTS

The verification of conformity of a CAB to the requirements of the standard and to the ACCREDIA regulations is performed using the modalities in accordance with the general, specific and technical regulations of accreditation which are applicable to every type of CAB, and are available on ACCREDIA’s website, and also at ACCREDIA’s departments.

2.GENERAL DATA OF THE CAB

2.1.NAME AND CONTACT DETAILS

2.1.1. Acronym and name of the CAB (please give the full name as used on the CAB’s formal and legal documents)

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

Address of the registered HeadOffice [2]

STREET NAME
POSTAL CODE / TOWN/CITY
PHONE
FAX
E-MAIL / WEBSITE
PEC
Fiscal Code (if different from VAT number) / VAT number

Address of the registered office (*) (if different from above)

STREET NAME
POSTAL CODE / TOWN/CITY
PHONE
FAX
E-MAIL / WEBSITE
PEC
Fiscal Code (if different from VAT number) / VAT number

(*): the table must be duplicated for each operative location if it is a multi-site laboratory.

Addresses of branch offices (including those which are involved, completely or partially, in activities which come within the scope of the requested accreditation and adequately highlighted.)

STREET NAME
POSTAL CODE / TOWN/CITY
PHONE
FAX
E-MAIL / WEBSITE
Fiscal Code (if different from VAT number) / VAT number

2.1.2.Name of the CAB and addresses to give on the certificate of accreditation (among those given above; where applicable, please specify the division, department or unit which is the object of accreditation.)

………………………………………………………………………………...……………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………………………………………………….

2.1.3.Address for invoicing

STREET NAME
POSTAL CODE / TOWN/CITY
PHONE
FAX
E-MAIL
Fiscal Code (if different from VAT number) / VAT number

2.1.4Communications with ACCREDIA

Give an email address for the receipt of all communications fromACCREDIA.

E-MAIL

2.2DATE OF SET-UP OF CAB

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

…………………………………………………………………………………………………………………………………………………………………………………….

2.2.1 Legal status of CAB (please attach any relevant document attesting the legal identity of the CAB along with the identification of its legal representative):

[ ] Private organization

[ ] Public entity

[ ] Different category from above. (Specify the precise legal nature of the CAB: public, private, consortium etc.):

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

2.2.2 CAB shareholders (applicable for Certification and Inspection Bodies also for the purposes of notification).

Give the names of physical and legal persons and their shares (of the CAB of or corporate enterprises if they are CAB shareholders.)

2.2.3 Does the CAB belong to a group?  yes  no

If yes, give details of the group:

NAME
STREET NAME
POSTAL CODE / TOWN/CITY
PHONE
TELEFAX
E-MAIL / WEBSITE

2.3ATTESTATIONS and VERIFICATIONS

2.3.1Has the CAB has obtained other accreditations, designations, authorizations, notifications or recognitions in the last 4 years?yesno

If “yes” what were they? (indicate the Body – national or foreign – the public or private entity which issued the declaration.)

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

2.3.2Other

Indicate the date and the Body, public or private, which conducted the assessment activity at the CAB in the last four years:

a)…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

b)…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

c)…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

2.4. GEOGRAPHICAL AREAS IN WHICH THE CAB OPERATES AND IF IT HAS ANY

OPERATIVE BRANCHES ABROAD

Geographical area (Italy/abroad – if abroad write the name of the country) / Name of operative branch abroad (write the operative status) / Main activity

3.ORGANIZATION

3.1Name, qualification2, function and contact details (phone, fax, e-mail) of the legal representative of the CAB:

3.2Name, qualification2, function and contact details (phone, fax, e-mail) of the CAB’s Officer in charge:

3.3Name, qualification2(including study details), function of the CAB’s Management System Officer:

3.4Name, qualification2, function and contact details (phone, fax, e-mail) of the person in charge of contacts with ACCREDIA

4.CABPERSONNEL

4.1Total number of CAB dependent personnel

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

Full-time employees / University graduates / High school graduates / Others
Other types of contract / University graduates / High school graduates / Others

4.2Total number of CAB personnel involved in assessment activities coming within the scope of accreditation (technical, administrative, commercial, quality, testing etc.).

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

5.OTHER ACTIVITIES

Describe the activities undertaken by the CAB, apart from conformity assessment activities, for which accreditation is sought, such as training, publications and so forth, indicating the type of clientfor which the activities are destined (if necessary an attachment may be used.)

……………………………………………………………………………………………………......

......

6.AVAILABILITY FOR ASSESSMENT

Indicate the date when the CAB is available for assessment: ……………………………………………………

Is the assessment urgent?yes [ ]no [ ]

If yes, give reasons:

……………………………………………………………………………………………………......

2 indicate the study title

DECLARATION

I hereby declare that I have read, understood and fully accept the requirements of the applicable ACCREDIA documents, including the pricelist.

I declare the conformity with the Regulation (EC) 765/2008.

I also hereby declare that I have read and that I accept and shall sign the Contractual Agreement of Accreditation CO-00 without requesting any modifications.

I also declare, in accordance with Law Decree 196/03 “Protection of persons with regard to the treatment of personal data”, that I accept the treatment of data contained in the present document for the process of accreditation performed by ACCREDIA and that the information given above may be used by ACCREDIA for accreditation, administrative, international recognition activities in both the voluntary and mandatory sectors, in accordance with the EA, IAF and ILAC agreements. Such information may be communicated and made available to the competent authorities whenever so requested. In such cases ACCREDIA shall notify the organization in question, with the modalities and timeframe given by the authorities.

I declare that the CAB is in possession of all the authorizations required by law for the exercise of the activities required for accreditation.

Rev. number:………………………. Date:…………………………..

Stamp of the CAB…………………………………..

Signature of the legal representative[3]

APPLICATIONS DA-00 rev. 07 Page 1 of 9

Date: 2015-11-17

[1] “CAB” means Certification, Inspection, Verification Bodies, Testing, Calibration and Medical Labs, organizers of inter-laboratory assessments (PTPs) and Notified Bodies.

[2]The details concerning the address, phone number, fax, email and website are published in the databank of ACCREDIA’s website once accreditation has been granted.

[3]legal representative or his delegate