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Certification Questionnaire
Please fill out this form without blanks and refer Guidance Notes for Questionnaire
Organization Information
Registered Company/
Organization Name
(Client)
Main Site Address (where audit will take place)
No. of Additional-Sites
Effective number of Employees / Total(A+B)= / A:Full-time / B:Non-permanent
Persons / Persons
Product(s) & Service
Contact Information / Name : / Title :
Telephone : / Fax :
E-MAIL :
Certification Programs
in considering / JAS-ANZ Accredited Programs / SMR-Self Programs
Quality Management / Occupational Health and Safety
□ISO 9001:2008 / □OHSAS 18001:2007
Environmental Management / Food Safety
□ISO 14001:2004 / □ISO 22000:2004
□HACCP
Applicable Audit Service / □Initial Certification Audit / □Re-Certification Audit
□Transfer of Certification with Surveillance audit
□Transfer of Certificationwith Re-certification audit
Respondent
Of Client
Full Name / Title
APPF-C-01
Issue1 Date25/04/2009 / SMR / 1 of 1

GUIDANCE NOTES FOR QUESTIONNAIRE

General Information

The following information is important. Please read it carefully before you complete your questionnaire form. Shouldyou need help in completing it, System Management Registration(hereafter “SMR”) officers are always available to advise you.

•This form is used to quote for SMR Certification Service. Please make sure that you complete all the appropriate sections of this form. If a section is not applicable to you,write ‘N/A’. Do not just write ‘seeattached’, because we will not be able to consider forms marked in this way. If there is not enough room in anysection to write all that you need to include there, then enter a brief summary and enclose the full details onadditional sheets. You should only sign theform whenyou have checked that all relevant sections have been completed correctly.

Main Site/Head Office means a site having an identified central function at which certain activities are planned, controlled or managed, where audit will take place.

Additional Sites a new site or group of sites that have alegal or contractual link with the Head Office of the organization and be subject to acommon management system, which is laid down, established and subject to continuoussurveillance and internal audits by the Head Office. For examples franchises,a network of sales offices (sales network) of Manufacturing companies, etc

Note1 Temporary sitesthat are ones set up by an organization in order to perform specific work or a service fora finite period of time and which will not become a permanent site. (eg. a construction site) are sampled for audit and identified at the time of audit.

Note2Sampling of temporary sites is carried out according to [Annex 1] the Certification of Multiple Sites Based on Sampling of SMR Procedure No. 20 Certification program operations and Certification service delivery based on IAF MD 1:2007 for the Certification of Multiple Sites Based on SamplingIssue 1, Version 2

Effective number of Employeesconsist of all full time personnel involved within the scope ofcertification including those working on each shift. Non-permanent (seasonal, temporary andcontracted personnel) and part time personnel who will be present at the time of the audit shall beincluded in this number.

Note3 The effective number of personnel is used as a basis for the calculation of audit duration.Dependent upon the hours worked, part time personnel numbers may be reduced and converted toan equivalent number of full time personnel. For example 2 part time personnel working 4hrs a day is considered to 1 full time worker.

Products & Service means things that are provided by the applicant to its customers as result of process. Please enter products & services with use, if products are used for next process. For example, Filters for Air-Conditioner.

Certification Programs in consideringTwo types of certification programs are provided by SMR. One is the JAS-ANZ Accredited programs, such as ISO 9001 (QMS) and ISO 14001(EMS). The other one is the SMR self –Accredited Programs, such as OHSAS 18001 Occupational Health and Safety, ISO 22000 Food Safety Management System and Hazard Analysis Critical Control Points (HACCP).

Applicable Audit Servicedepends on the time line of audit that takes place. In case of the initial application for certification, it is initial certification audit. Re-certification audit is taken place after 3years of initial certification or recertification. If Transfer of Certificate to SMR occurs between initial certification/re-certification and re-certification, it is the transfer with surveillance audit. The other is the transfer with re-certification audit.

Note 4Recertification audit is carried out within 3 years after initial certification auditto confirm the continued conformity and effectiveness of the management system as a whole, and its continued relevance and applicability for the scope of certification. The process of the audit is as same as initial audit was conducted.

Note 5Surveillance audits are carried out at requested cycle to maintain confidence that the certified management system continues to fulfil requirements between recertification audits. These are on-site audits, but are not necessarily full system audits.Unacceptance of surveillance audits at requested cycle may cause suspension of certification.

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