ANNEX FOR EMERGENCY LIGHTING SYSTEMS SP203-4APPROVAL
Please complete and return this Annex with the Application Form
/ ANNEX J

1

/

Name of applicantcompany

2 / Scheme Please select the scheme you are applying for / SelectFire GoldFire Silver
3 / Management – the responsible management for emergency lighting systems
3.1 /

Senior Qualifying Manager(s) /Executive Manager(s)

/ Experience
(years)
3.2 / Qualifying Manager(s) / Experience
(years)
Note. All Qualifying Managers should complete the Fire Industry Competence Form (FSF 452) provided
3.3 / Nominated Designer(s) / Experience
(years)

Note. Nominated Designers - The person(s) within an organisation that has the competence and authority to undertake design.

All Nominated Designers should complete the Fire Industry Competence Form (FSF 452) provided

3.4

/

Indicate which module(s) are required to be approved

Module 1 - Design

/

Module 2 - Installation

Module 3 – Commissioning & Handover

/

Module 4 - Maintenance

4 / Level of Trading
4.1 / Total number of Emergency Lighting Systems installed by the applicant
4.2 / Number of the above systems installed during the last 12 months
4.3 / Approximate number of the total given in 4.1 above covered by a current maintenance arrangement
4.4 / Approximate numbers of any other Emergency Lighting Systems under maintenance by applicant but which may have been taken over from other companies
4.5 / Area of Installations - indicate the radius in miles from base of the majority of installations
5 / Test Equipment- List the test equipment provided for use by installation staff (by type and by number)
6 /

Service Support Cover

6.1 / Describe your service support capability & arrangements for providing 24 hour cover & emergency call out if required
7 / Staff
7.1 / Describe the training given to your employees
7.2 / Have engineers attended & passed an ICEL Competent Engineers Course or equivalent?
7.3 / Describe systems used to communicate with your staff when they are working away from the office
7.3.1 / Normal working hours
7.3.2 / Other times
8 / Documentation
8.1 / Confirm that you possess, have read & understood the current NSI Regulations, Criteria for Recognition, Codes of Practice and BAFE SP203-4 scheme document applicable to the type of approval being applied for / SelectYesNo
8.2 / Confirm that you possess the current issue of BS 7671 (also known as IEE Wiring Regulations) / SelectYesNo
8.3 / Do you have access to the current issue of all relevant International, European, British and other Standards relating your approval class and scope of activity?
8.4 / Indicate whether any/all records are kept on a computer system (indicate the name of the software program – e.g. Cash Alarm Master, Excel spreadsheet)
8.5 / Do you issue system documentation in accordance with the relevant British Standard and/or Code of Practice? / SelectYesNo
8.6 / Confirm that a System log book is issued / SelectYesNo
8.7 / Other Documentation – Do you issue and maintain the following type of system records?
8.7.1 / System Record (as fitted drawing) / SelectYesNo
8.7.2 / Record of each preventive maintenance visit / SelectYesNo
8.7.3 / Record of each corrective maintenance visit / SelectYesNo
8.7.4 / Record of temporary disconnection / SelectYesNo
9 / Quality Manual & Procedures (Fire Gold) / Business Operating Manual and Procedures (Fire Silver)
9.1 / Quality Manual & Procedures Fire Gold applicants only -
Do you have a Quality manual that complies with BS EN ISO 9001 & NSI Quality Schedule ELSQS122?
If YES, please send a copy with this application. If NO, please tell us when it will be ready to send.
Note. It may take the form of a draft or existing QA Manual and Procedures
Please bear in mind that no technical visits or inspections can be programmed until an existing or draft Quality Manual has been submitted to NSI and reviewed successfully. / SelectYesNoN/A
9.2 / Business Operating Manual Fire Silver applicants only -
Do you have a Business Operating Manual (“BOM”)? / SelectYesNoN/A
Please confirm that a copy will be available at your premises during the audit. / SelectYesNo

Thank you for completing this form

Please use the check list on the following page

Emergency Lighting Systems SP203-4 - Application Check List

Please submit these documents with your application

/

Submitted

Completed Application Form, or Short Application form for existing NSI approved companies
Completed Annex Form J
Application feePlease see quotation
The following documents are required for new applications only (not normally required when extending the scope of an existing approval however NSI reserves the right to request additional data at any time)
Finance
Limited companies and plc’s - NSI reserves the right to request statutory accounts during the application process
If you are a Sole trader or partnership please submit a full set of properly prepared accounts (to include Profit and Loss and Balance Sheet) for the last 3 years (which would cover a 4 year period by showing comparative figures). If you have traded for less than 4 years:
  • For Gold applications a minimum of 2 years accounts should be submitted
  • For Silver applications a minimum of 1 years accounts and one year projected figures to include profit & loss and balance sheet or for new companies 2 year business plan to include profit & loss and balance sheet; a letter of comfort is optional
Note: A model business plan, with notes is available through NSI Support Services Ltd upon request
Personal Data Forms
For Directors, Partners, Sole Traders, Shareholders (with 10% or more of the shares)
Note - If your company is Stock Exchange listed (or is a subsidiary of a Stock Exchange listed company), ask the NSI office for details of which individuals need to fill in these forms
Fire Industry Competence Form
For Senior Qualifying Managers, Qualifying Managers and Nominated Designers
Quality Systems Documentation – Gold applications only
Quality manual, procedures and engineering instructions complying with BS EN ISO 9001 and NSI Quality Schedule ELSQS122. Please ensure you submit the following QMS Documentation:
Quality Manual
Process Descriptions/flowcharts
Mandatory and any additional procedures
You may wish to also include any other relevant documentation such as; working instructions, example forms, quality records, engineer’s worksheets, document control records etc.
The auditors will not be tasked to complete a document review until such times that at all relevant documentation has been received.

NSF 200.2 Annex J1July 2013