QA-MKT-04,Rev.
08,01/06/2020
QACS APPLICATION FOR MANAGEMENT SYSTEM AUDIT AND
CERTIFICATION
Company Name
Main Office Address
Scope
Telephone Number Fax Number
Tax Administration/ Tax
e-mail
Identification Number
Top Management TM Representative
Applicable regulatory
requirements
Assessment Standard against which registration is sought
STANDARD REQUIRED ACCREDITATION EIAC QACS
ISO 9001:2015 Quality Management System
ISO 14001:2015 Environment Management System
OHSAS 18001:2007 Occupational Health & Safety Management
ISO 22000:2018 Food Safety Management System
ISO 13485:2016 Medical Devices Quality Management System
HALAL HALAL
KOSHER KOHSER
ISO 27001:2013 Information Security Management System
ISO 20000-1:2011 Information Technology-Service Management
Any Other standard
Please specify
Details of employees
No. Of Shifts General Shift 1 Shift 2 Shift 3
In Different In Same In Different In Same In Different In Same In Different In Same
Employee involvement
activity activity activity activity activity activity activity activity
Permanent employee
Part Time Employee
Temporary employee
Contractual employee
Per Shift Employees Number
Total Employees Number
Shift having critical Function
(Mark * for critical shift)
Shift wise activity
In Case of companies having multiple sites
No. Of
Address of company – sites (temp/permanent) No. Of shifts
Employees
Site1
Site2
If You are applying for EMS ISO:14001 Please provide following additional information
Sl. Particular Head office Site 1 Site 2
Is there any Other requirement
1.
(Other than legal requirements)
2. Is there generation of solid waste □ Yes □ Yes □ Yes
QACS
QA-MKT-04,Rev.08,01/06/2020
QACS APPLICATION FOR MANAGEMENT SYSTEM AUDIT AND
CERTIFICATION
□No. □No. □No.
□ Yes □ Yes □ Yes
3. Is there generation of liquid waste
□No. □No. □No.
□ Yes □ Yes □ Yes
4. Is there generation of flue gases or vaporous substances?
□No. □No. □No.
5. No. Of EMS aspects identified
□ Yes □ Yes □ Yes
6. Use of natural resources (mineral etc.)
□No. □No. □No.
□ Yes □ Yes □ Yes
7. Use of fossil fuels
□No. □No. □No.
□ Yes □ Yes □ Yes
8. Use of electricity
□No. □No. □No.
□ Yes □ Yes □ Yes
9. Use of water
□No. □No. □No.
□ Yes □ Yes □ Yes
10. Use of chemicals
□No. □No. □No.
□ Yes □ Yes □ Yes
11. Spraying equipment used
□No. □No. □No.
□ Yes □ Yes □ Yes
12. Welding process used
□No. □No. □No.
□ Notified □ Notified □ Notified
13. Location of site □ Acceptable □ Acceptable □ Acceptable
□ Unacceptable □ Unacceptable □ Unacceptable
□ Yes □ Yes □ Yes
14. Does site have proximity to wet land
□No. □No. □No.
□ Yes □ Yes □ Yes
15. Does site proximity to virgin forests
□No. □No. □No.
□ Yes □ Yes □ Yes
16. Does site is situated within human habitat
□No. □No. □No.
If You are applying for FSMS ISO:22000 Please provide following additional information
Sl. Particular Site1 Site 2
1 How many process lines are in the site?
Product Season Product Season
2 What are the product and processing season?
3 How many HACCP Studies are conducted for Site?
4 How many CCP’s are identified?
If You are applying for ITSMS ISO 20000/ ISMS ISO:27001 Please provide following additional information
Statement of applicability: Document Number revision number date of last revision
Business and organization Complexity
Sl Requirement Organisation declaration
Types of Business and regulatory 1. Organization work in non critical business sector and non regulated sector
Requirement 2. Organization has customer in critical business sector.
1
3. Organization works in critical business sector.
Process and Task 1. Standard Process with standard and repetitive task i.e. lots of persons doing work under the
organization’s control carrying out the same tasks, few product or services
2 2. Standard but not repetitive process with high number of products or services
3. Complex Process, High number of products and services, many business units included in
scope of certification
Level of establishment of the 1. ISMS are already well established and/or other management system is in place.
3 Management System 2. Some elements of other Management system are implemented, others not
3. No other Management system implemented at all, ISMS is new and not established.
QACS
QA-MKT-04,Rev.08,01/06/2020
QACS APPLICATION FOR MANAGEMENT SYSTEM AUDIT AND
CERTIFICATION
IT Environment Complexity
IT Infrastructure Complexity 1. Few or highly standardized IT platforms, servers, operating system, database, networks etc
4 2. Several different IT platforms, servers, operating system, database, networks etc
3. Many different IT platforms, servers, operating system, database, networks etc
Dependency on outsourcing and 1. Little or no dependency on outsourcing
5 suppliers including cloud services 2. Some dependency on outsourcing or suppliers, related to some but not all important
business activities.
3. High dependencies on outsourcing or supplier, large impact on important business activities.
Information System Development 1. Non or very limited in house system/application development
2. Some in house or outsourced system/application development for some important business
6 purpose.
3. Extension in house or outsourced system/application development for important business
purpose.
ITSMS Is any ITSMS records cannot be made available for review by the audit team because they contain
7 confidential or sensitive information and to provide the corresponding justification. Kindly provide list
of such information.
Have you done risk Analysis Yes No
What are the major risks identified?
What are the hazards identified? (Safety Hazard in case of ISO 45001 )
Please mention out of scope standard clauses
Yes No
Please mention if you have certification transfer demand
Date of Last internal Audit
Names of internal auditors
Required audit date
Describe your process/functional units
Do you out source any process
Name of the consultants / consultancy company?
Confirmation
DECLARATION: The above information is true to the best of my knowledge and belief and I am authorized to provide such information on behalf of the
company
Contact Name :
Position : Signature:
QACS
