CERTIFICATION OF COMPLIANCE OF THE B-BS PROCESS IMPLEMENTED BY AN ORGANIZATION WITH THE “BEHAVIOR-BASED SAFETY PROCESS REQUIREMENTS”

INFORMATIVE QUESTIONNAIRE FOR OFFER

METHOD OF COMPLETION: all the fields of sections 1,2,3,4 are to be filled; where not applicable put N.A.
1. DATA OF THE ORGANIZATION APPLYING FOR CERTIFICATION
HEAD OFFICE
Registered Name:
Type:
Head Office address: / Post Code/Town :
Contact Person : / e-mail: / Tel: / Fax:
VAT Number : / Internet Site:
SITE TO BE CERTIFIED(to be filled only of different from Head Office
Registered Name:
Head Office address: / Post Code/Town :
e-mail: / Tel: / Fax:
2. TYPE OF ASSESSMENT REQUESTED
CERTIFICATION / RECERTIFICATION / EXTENSION
APPLICATION FIELD
Specify the application field of the certification of B-BS process ( WORDING TO BE WRITTEN ON THE CERTIFICATE ):
Main processes of the organisation related to the field of application and resources dedicated to them:
3. CHARACTERISTICS OF STHE SITE TO BE CERTIFIED
Starting date of implementation and operativeness of the B-BS process:
Involved activities in B-BS process:
Any relations with larger size companies :
All outsourced processes used by the organization which influence compliance with the requirements :
PERSONNEL INVOLVED (By personnel is meant partners + employees + collaborators + subcontractors, etc)indicate in the spaces below the total staff in head office + personnel of any sites to be certified + yard personnel
TOTAL N° of personnel : / N° of employees involved in the B-BS process :
N° of leaders involved in the B-BS process: / N° of observers involved in the B-BS process :
OTHER SITES TO BE CERTIFIED AND/OR OPERATIONAL SITES AND/OR EXTERNAL WORKS
OTHER SITES Indicate all sites subject to certification (offices, plants, warehouses, etc.), if different from head office. Attach additional sheet, if necessary. N.A.
Name or type / Address / Activities carried out / No staff
OPERATIONAL YARDS/TEMPORARY SITES WHERE THE ORGANISATION WORKS No N.A.
(Indicate average number of operational yards established per year)
OUTSOURCED ACTIVITIES N.A.
(Indicate in the space below the activities subject to certification that are outsourced by the organization)
PROCESSES, ACTIVITIES, PROGRAMS, SPECIFICATIONS, SYSTEMS, AREAS OR FACILITIES THAT ARE NOT MADE ACCESSIBLE BECAUSE OF SECURITY, CONFIDENTIALITY OR OTHER RESTRICTIONS N.A.
(Indicate in the space below)
4. OTHER INFORMATION
Did a consultancy company help in the preparation/implementation of B-BS Process? YES NO
Name of this company([1]): / Name of consultant(s) (1):
Any certification already obtained: YES NO (If YES, enclose a copy of the certificate) / Is the certificate still valid? YES NO
Safety conditions at sites to be audited:
Main mandatory legislation related to the activities (attach documentation if necessary):
Audit language: / Italian / English / Spanish / Portuguese / Turkish / Rumanian / Bulgarian / Other
PLEASE, ATTACH TO THIS INFORMATIVE QUESTIONNAIRE CHAMBER OF COMMERCE INFORMATION (copy of the certificate of registration with the Chamber of Commerce or equivalent document).
In relation to legislative decree 196/03 concerning the handling of personal data, I declare that I have received the information sheet attached and/or contained in the Rules relevant to the handling of my personal data.
Whereas, as indicated in point 3 of the above-mentioned information sheet, my personal data may be used to receive commercial communications by electronic means (e-mail, fax, SMS or MMS or other)
I consent I do not consent
to these communications being sent
______on ______/ Stamp and Signature
(Give name and position)
______

Form: B-BS_IQ-en (05-2015)

CERTIFICATION OF COMPLIANCE OF THE B-BS PROCESS IMPLEMENTED BY AN ORGANIZATION WITH THE “BEHAVIOR-BASED SAFETY PROCESS REQUIREMENTS”

INFORMATIVE QUESTIONNAIRE FOR OFFER

Attachment to the informative questionnaire - Information in accordance with Article 13 of the Dlgs 196/2003

In accordance with Article 13 of the Dlgs 196/2003, and in relation to your data (company name; address of head office and eventual secondary offices, nominative and personal data of legal representatives; telephone numbers; tax code and VAT number; bank details; other data related to your economic activity needed in order to implement the contract), directly supplied by you and/or at any rate acquired by us in the course of contractual or pre-contractual relations, you shall take note of the following:

  1. The processing to which the above-mentioned data shall be subjected is directed to:

a)making offers and bid and to all other activities aimed at entering into contracts;

b)the performance by us of all related activities instrumental for the correct management and execution of the existing contractual relations, and in particular for the execution of accounting and tax obligations, the administration of the relations with clients and suppliers, the management of the payments and of any claims or disputes, the fulfilling of all our duties pursuant to the applicable laws and our obligations towards the authorizing and accreditation bodies;

c)the commercial information and communication about our services.

  1. In relation to the purposes stipulated in point 1, the processing of the personal data acquired by us may be done either manually or through the use of computer or electronic means or at any rate automated, and may consist alternatively or jointly, of operations of recording, conservation, organization, processing, selection, comparison, extraction, communication, cancellation, destruction of this data.
  2. Relative to the personal data directly supplied by you and/or in any case acquired by us in the course of the contractual relations, an express consent to processing, dissemination and to communication to addressees mentioned in the following point 6 is not necessary, on the condition that it is made for the purposes stipulated in letters (a) and (b) of point 1, this being the presumed consent by law or at any rate not obligatory.
  3. As far as processing of your personal data for the purposes stipulated in letter (c) of point 1 is concerned, your voluntary express consent is necessary to allow us to contact you for commercial purposes, through the use of automated call systems or electronic means, such as e-mail, telefax, sms and mms messages, etc.
  4. The holder of the personal data directly supplied by the you and/or acquired by us is RINA SERVICES S.p.A. with head office in Genoa, Via Corsica 12, that appointed as Responsible its Financial Director, whose details and address can be provided upon request to our head office.
  5. The personal data may be communicated, for similar processing, to other companies in the group to which, as per the regulations stipulated in Article 2359 Italian Civil Code, our Company belongs.
  6. Your personal data may be communicated, even outside the territorial environment of the European Union, to the following categories of individuals: couriers/forwarding agents, banking institutes and non-banking financial intermediaries; postal administrations – postel service; agents, professional offices and consulting companies for the performance of assistance services in accounting and tax matters, claims management and credit collection; consultants and firms entrusted with the maintenance of the company informative system; auditing companies; public administrations and other private or public organizations to whom our Company must communicate your data pursuant to law or contractual duties (e.g.: CISQ, IACS, SAI, ACCREDIA, etc.). The individuals belonging to the above categories to which the personal data may be communicated, shall use this data as Holders with the exception of the individuals nominated Responsible.
  7. Your personal data will be communicated to the individuals nominated Responsible and Authorized, who need to utilize it for the performance of tasks and functions awarded to them.
  8. Your personal data may be disseminated through publication in our Company’s periodicals (Registers, directories, newsletters, etc.) and through the insertion on our website.
  9. The law recognises you a series of rights (Article 7 of Italian Decree 196/2003), among which there is the right to oppose for legitimate reasons the processing in question, to obtain from the holder of the processing confirmation of the existence or not of your own personal data and that this personal data be made available in an intelligible form; the right to find out the origin of the data as well as the logic and the aim on which this processing is based; the right to obtain the cancellation, the transformation into anonymous form, the block, for data processes in violation of the current provisions, or the certification and update and, if interested, the integration of this data.

([1])The name of the consultancy company enables RINA to avoid possible conflict of interest between certification activities and the activities of the associated companies