/ Application Form
Certification EN 15085-2
RDT -ISC-1526z-2014 Rév. 0

APPLICATION FORM TO
CERTIFIED ORGANIZATION OR APPLICANT
FOR PRODUCT CERTIFICATION :

Welding of railway vehicles and components

to the requirements of standard EN 15085-2:2007

COMPANY NAME:
Business File N° (if any):
Date:
First evaluation / Extension
Renewal of certification / Significant modification
In case of extension / significant modification, please describe the new information:
Area reserved for IS Certification:
  1. Information about the Manufacturer

Company name:
Legal status:
Group affiliation: / No Yes, Group name:
Headquarters address(including the Country) :
Business registration N°/ SIREN/ SIRET:
N° TVA intracommunity:
(obligatory if headquarters based in European Union)
Phone: Country code + Number
Fax: Country code + Number
E-mail: Public contact
Internet website:
Stamp of the company:

Documents to be attached: National registration record or certificate of incorporation, certificate of liability insurance (or equivalents)

  1. Manufacturer organisation

2.1.  Top management

Legal Representative*:
Job / Position:
Quality Manager*:
Production Manager*:
Contact Name for IS Certification*:
(if other than the legal representative)
Job / Position:
Contact informations Phone:
Fax:
E-mail:

* Mr / Ms, NAME and First name

2.2.  Headcount

Overall headcount
GROUP / WORKSHOPS or SITES CONCERNED BY CERTIFICATION
Overall headcount / Managers / Welders (if applicable)

2.3.  Invoicing

Invoicing address :
(if other than headquarters)
Person to whom the invoice must be sent:
Position:
Contact informations Phone:
Fax:
E-mail:

Nota: The prior establishment of a purchase order is required before any job intervention.

2.4.  Certifications already held

CERTIFICATIONS HELD / CERTIFICATION ORGANISATION / DATE OF EXPIRY
ISO 9001
ISO 3834-
EN 1090-1
Other:

Documents to be attached: copies of certificates

  1. Certification

3.1.  Requested certification level

Tick where applicable.

CL 1 / CL 2 / CL 3 / CL 4 / CL 4 Purchasing

3.2.  Description of products covered by requested certification

Please describe in detail the products.

3.3.  Level of weld performance class

Tick where applicable.

CP A / CP B / CP C1
CP C2
CP C3 / CP D

3.4.  Fields of requested certification

Tick where applicable.

Design / Manufacturing / Repair

3.5.  Application for overlap with an existing certification: Yes No

Certification Body:
Certificate expiring date:
Level of certification: / CL
Level of weld performance class: / CP

Documents to be attached: Copy of in force certificate, assessment report (last one) including finding sheets, further information related to certification (mail)

3.6.  Workshops concerned

Number of sites or workshops concerned by the certification requested:

Please give information about the sites and/or workshops included in the scope of certification requested.

Site or workshop n°1 Address:
Contact Name:
Phone:
Fax:
E-mail:
Site or workshop n°2 Address:
Contact Name:
Phone:
Fax:
E-mail:
Site or workshop n°3 Address:
Contact Name:
Phone:
Fax:
E-mail:
  1. Subcontracted activities Applicable Not applicable

Tick where applicable.

Welding / Control / Heat treatment
Welding Coordination / Machining / Other:

Documents to be attached: - Copy of subcontracting coordination contract for external welding coordination.

-  If a welding coordinator belongs to another company of same group, please attach a document formalizing the making available of this coordinator.

5.  Welding coordination (optional for CL 3)

Please complete the following information according to EN ISO 14731.

COORDINATOR n°1*: / External: Yes No
Function in coordination: / Responsible welding coordinator
Deputy coordinator with equal rights
Other deputy coordinator
Field of responsability:
Qualification: / IWE / IWT / IWS / Other:
Years of experience in welding:
Level of coordination: / A / B / C / S
Date of birth**:
COORDINATOR n°2*: / External: Yes No
Function in coordination: / Responsible welding coordinator
Deputy coordinator with equal rights
Other deputy coordinator
Field of responsability:
Qualification: / IWE / IWT / IWS / Other:
Years of experience in welding:
Level of coordination: / A / B / C / S
Date of birth**:
COORDINATEUR n°3*: / External: Yes No
Function in coordination: / Responsible welding coordinator
Deputy coordinator with equal rights
Other deputy coordinator
Field of responsability:
Qualification: / IWE / IWT / IWS / Other:
Years of experience in welding:
Level of coordination: / A / B / C / S
Date of birth**:
COORDINATOR n°4*: / External: Yes No
Function in coordination: / Responsible welding coordinator
Deputy coordinator with equal rights
Other deputy coordinator
Field of responsability:
Qualification: / IWE / IWT / IWS / Other:
Years of experience in welding:
Level of coordination: / A / B / C / S
Date of birth**:

* Mr/Ms, NAME, First name

** Personal information concerning the staff provided by the Client to IS CERTIFICATION are managed in compliance with laws and regulations, and particularly the French law n°78-17 of 6 January 1978 "Informatique et libertés". All personal data transmitted to CERTIFICATION IS will be subject to a right of access, rectification, opposition and cancellation. The holder of the right of access may at any time use this right by writing to IS Certification.

Documents to be attached for each welding coordinator:

-  Copy of evaluation (sheet RDT 1531) signed by concerned coordinator and company representative

-  CV

-  Copies of diploma

  1. Welders Qualification (WQ)

WQ réalised by third party body accredited in accordance with EN ISO/CEI 17020: Yes No

Deliverance of internal WQ: Not applicable

Applicable, in this case, please complete the information related to designed welding coordinator (one per site) and send document requested below.

Site or workshop n°1- Welding Coordinator*:
Site or workshop n°2- Welding Coordinator*:
Site or workshop n°3- Welding Coordinator*:

Documents to be attached: Procedure and registration form used for WQ delivery.

  1. Activities related to welding

Please complete the following table.

Welding process
according to EN ISO 4063 / Material group
according to EN ISO/TR 15608 / Dimensions (in mm)
Weld thickness, diameter… / Type of assembly
BW, FW, assembly, cross, can

Documents to be attached: Checklist of relevant PQRs (Procedure Qualification Record).

  1. Additional information

8.1.  Confidentiality

IS Certification implements its rules of confidentiality (in accordance with applicable laws, regulations and standards) However, if particular conditions relating to dedicated rules of Manufacturer confidentiality are requested, please, send to IS Certification your particular conditions in order to be check.

8.2.  Language

Communication with IS Certification
Outside assessment: / French / English / Other:
During assessment: / French / English / Other:
Issuing of assessment report / French / English / Other:
Issuing of Certificate / French / English (unmodifiable)
Additional translation (upon request): / French / Other: / Other: / English

8.3.  Safety rules applicable on workshops or sites

Are there any specific safety requirements on sites where IS Certification performs the job? / No Yes, which:
Specific personal protective equipment to make available to IS Certification team:
  1. Confirmation of certification application

I, the undersigned, NAME First Name
authorized as

engage my company, after having taken into account the "Rules of certification," and confirm the application form for certification of my company for certification activities defined herein.

Date and signature

Review of application form befor starting assessment on site Done at on

Certification application has been reviewed and accepted without change

with changes (handwritten annotations on application form)

Lead auditor / Company Representative
Name
Visa

Summary of documents to be attached to the certification application

-  National registration record or certificate of incorporation (or equivalent)

-  Certificate of liability insurance (or equivalent)

-  Copy of certificates, if any

-  In case of overlap request with an existing certification:

o  Copy of in force certificate

o  Assessment report (last one) including finding sheets

o  Further information related to certification (mail)

-  In case of external welding coordination:

o  Copy of subcontracting coordination contract for external welding coordination.

o  If a welding coordinator belongs to another company of same group, please attach a document formalizing the making available of this coordinator.

-  For each welding coordinator, if applicable :

o  Copy of evaluation (sheet RDT 1531) signed by concerned coordinator and company representative

o  CV

o  Copies of diploma

-  Procedure and registration form used for WQ delivery, if applicable (see §6)

-  Checklist of relevant PQRs (Procedure Qualification Record)

The certification application and the attached documents should be addressed to IS CERTIFICATION

By mail: / IS CERTIFICATION
Z.I. Paris Nord 2 - 90 rue des Vanesses - BP 51362
FR-95942 ROISSY CH. DE GAULLE CEDEX
By e-mail: /

p 7 / 7