In order to be able to make you a detailed and complete offer for certifying/reviewing your organization, we would like to ask you to fill in this questionnaire and return it to us (Fax: +43 732 34 23 23 or e-mail: ).

We will be pleased to answer your questions on the phone number +43732342322 at our Customer Service Center.

1.  Address/Contact person

Company:
Street:
Postal Code, Place:
Phone/Mobile Phone:
Fax:
E-Mail/Homepage:
VAT Identification Number:
Top Management:
Interlocutor for Quality Austria:

2.  Data about the organization

Corporate form:
Main business purpose: / Trade / Service prov. / Production
Scope acc. to EAC and NACE (if known) / EAC: / NACE:
Size of the organization: *) / Small organization / Medium-sized/large org.
Affiliation to a company group:
Sector:
Product design relevant: / Yes / No
Field of activities, main products:
(please state in detail)

*) Notes to the Table – classification of incorporated firms:

Classification of incorporated firms acc. to UGB (“Unternehmensgesetzbuch” – “Commercial Code”) §221: Small organizations are organizations that do not exceed at least two of the three below mentioned features for the last two business years at the moment of a compulsory Conformity Review (e.g. audit):

1.  Balance sheet total Euro 1,5 million

2.  Euro 10 million sales revenues in the last twelve months before the fixed date for closing;

3.  50 employees on an annual average.

3.  Information on the structure

Location / Number of salaried employees / Number of wage-earners / Number of employees in the area to be certified / Legal form *) / Sales in Euro *)
if applicable / Location 1 (Multisite)
Location 2
Location 3
Location 4
Location 5
Location 6
Total number of employees

*) NOTE: Please specify the legal form and sales in Euro

Number of shifts

PEFC CoC: For sawmills, the solid cubic meters per year must also be declared:

4.  Standards:

Which standard should be taken as a basis for the audit/assessment?

PEFC CoC / FSC® CoC

Also interested in the following standards:

ISO 9001 / ISO 14001 / ISO 18001 / ______

5.  Information about certification FSC® CoC and PEFC CoC

Single certificate

Multi-site certification

Group certification

Important note: Quality Austria does not offer audits and certifications according to FSC-STD-40-005 V3-0 Controlled Wood as part of FSC.

Are manufacturing processes outsourced to external service providers (outsourcing/sub-contractors)?

no yes (If yes, please fill in further details in Annex 1)

How many relevant outsourcing contractors do you have?

Is reclaimed material or wood waste used (wood, paper)?

no yes

Are non-certified materials used for the manufacturing of FSC products and are risk assessments carried out?

no yes

From which countries does your company purchase raw / virgin materials?

Do you already have a valid quality seal or certificate? / yes / no
or what guideline(s) / standard(s) / regulation(s)?
From what certification body?

Have you recently or within the past 5 years applied for FSC certification or other forestry certification programs at other certification bodies?

Note: The certification body must refuse applications for certification of management units or sites that are already covered by a valid or suspended FSC certification unless a certification exchange process (=transfer) according to FSC-PRO-20-003 takes place.

no yes

6.  Desired date and further procedure

Do you have a desired date for the audit?
Were you/are you supported/advised by a consultant when establishing your management system? / yes / no
Name of the consulting company:
Name of the consultant:

How or through whom have you taken notice of Quality Austria?

Other remarks:

,
Place, Date / Due signature

Annex 1:

The company may only include activities outsourced to a subcontractor to the scope of the CoC certificate if it has legal ownership of the certified material during outsourced processing.

Information about the contractor performing outsourced activities:

Name of the
Sub-contractor
Address
Activity
The company regularly assigns orders to one or more outsourcing contractors. / yes / no
The outsourcing contractor repackages the products or sorts them. / yes / no
The outsourcing contractor puts the FSC logo on the product. / yes / no
The outsourcing contractor mixes different input materials. / yes / no
The products do not go back to the certificate holder before sale. / yes / no
Outsourcing is carried out across national borders (<50 CPI) / yes / no

In case of other subcontractors, please copy this table as necessary.

Clarification of the feasibility (filled in by Quality Austria)

qualityaustria certification/assessment acc. to possible? / Yes / No
Other possible variants? / Yes / No
If so, which:
No.: FO_25_03_10e / Edition: 2017/04 / Page 1 of 6 / Customer Service Center: A-4020 Linz, Am Winterhafen 1
Telefon: (+43 732) 34 23 22, Fax: (+43 732) 34 23 23, www.qualityaustria.com E-Mail:
Created: Sattler / Reviewed: Dick / Released: Kreiter