for 01-01 questionnaire ohsas

7/26/2019 For 01-01 Questionnaire OHSAS

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MANAGEMENT SYSTEM CERTIFICATION DEPARTMENT

QUESTIONNAIRE

SQAS/MSC/FOR/01-01Issue 2 Rev. 1

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This questionnaire is sent to applicants to allow us to understand your business and to provide you with the best possibleservice.

CERTIFICATION SCHEME

Please indicate below the scheme(s) for which you are applying:

ISO 9001 ISO 14001 OHSAS 18001 MS 1722

MS1900 ISO/TS16949 ISO13485

If enquiry relates to more than one scheme, do you want a combined audit to be carried out? Yes No

PLEASE COMPLETE IN BLOCK LETTERS.

1. DETAILS OF APPLICANT

Name of organization :

Company registration no. :

Postal Address :

Web-site (if any)

Contact person (1) : Contact person (2) :

Position : Position :

Telephone : Telephone :

Fax No. : Fax No. :

E-mail : E-mail :

Do you trade under any other trading names? Yes No

If „Yes‟ give further details :

Is your organization part of some larger organization? Yes No

If „Yes‟ give the name of holding company :

Legal status of applicant (e.g. registered company, statutory body, etc.) :

Category of organization - only for Malaysian organizations

SMI Multinational Origin :

Large Joint Venture Government Other




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2. INFORMATION ABOUT SITES SEEKING CERTIFICATION

Please specify all sites to be included in the certification. Please include the above site, if applicable.

a) Address :

Activities :

Site built-up area : Total land area :

No. of employees : Detail of shifts system :

b) Address :

Activities :

Site built-up area : Total land area :

No. of employees : Detail of shifts system :

If more sites are to be covered, please provide a separate list.

Total number of employees in sites to be certified :

Note : “Employees” refers to all employees involved in the implementation of the system including part time and subcontracted employees.

Please enclose organizat ion chart .

3. ACTIVITIES AND PROCESSES ON SITE

a) Please describe, within the space provided, the scope of your organization‟s activity for which certification is sought.Clearly specify whether design is included.

b) Please list range of products/ services to be covered by the certification with details of the processes involved.Please enclose relevant process flowcharts.For ISO/TS 16949 certification, identify the automotive customer(s) of the product including the IATF OEM suppliercodes, where applicable.

c) Other products or services :

List any other products manufactured or services offered for which certification are not being sought




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d) List of major activities which have been sub-contracted (if applicable)

4. OTHER INFORMATION

a) Have you engaged the services of a consultant to develop your system? Yes No

If „Yes‟, give the name of the consultant :

b) Please give details on any management system certification currently or previously held:

c) Please specify national/international regulations which your product or services have to comply with:

d) How long has the management system seeking for certification been implemented?

(e) Have you obtained certification for any of your management system? Yes No

If yes, please name the certification body:

(f) Target date for Stage 1 Audit :

(g) Target date for Stage 2 Audit :

Note : Please ensure that at least one internal audit cycle and a management review have been conducted prior to the Stage 1 audit.

Thank you for your co-operation in completing the questionnaire. Please ensure that all information requested have beenprovided to expedite the processing.

For EMS certification (ISO 14001), please provide additional information as required in Appendix I.For OHSMS certification (OHSAS 18001 and MS 1722), please provide additional information as required in Appendix II

FOR OFFICE USE ONLY :

Approved to proceed with contract review and issuance of quotation : Yes No

If No, please provide justification for declining:

Approved by (Section Head) : Date :




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APPENDIX I – FOR EMS ONLY

1. ENVIRONMENTAL ISSUES OF THE ACTIVITIES AND PROCESSES ON SITE

a) Please specify the types of emissions/ releases/ discharges from the activities, product or services at the site based onits interaction with the environmental media.

Land :

Water :

Air :

b) Please specify the type of treatment or mitigating facilities available at site e.g. wastewater treatment plant, scrubber,dust collector, incinerator, oil trap, etc.

c) Please specify types pollutants or class of pollutants discharged i.e. types of scheduled waste. Standard (a) or (b) forwater, or air (according to EQA or other related legislation/ regulation)

2. ENVIRONMENTAL, LEGISLATIVE AND REGULATORY REQUIREMENTS

a) Please list the legislative and regulatory requirements affecting your activities. (Federal/ state/ local authoritylegislations/ regulations)

b) Please indicate any licenses / approvals held. (Federal/ state/ local authority)

c) Please describe briefly the content of any contravention license or waver from the relevant authority (if applicable)

d) Please indicate any subscription to Industry Code of Practice/ International Charter or Multilateral Environmental Agreements etc. undertaken by your organization or its headquarters.




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APPENDIX II – FOR OHSMS ONLY

1. HAZARDS

Please tick the 5 main types of hazards associated with the company activities.

Fire/ explosion Noise and vibrations

Slips, trips and falls Climate and lighting

Machinery and equipment Biological hazards

Electricity & radiation Ergonomic hazards

Hazardous substances Hygiene and welfare

Confined spaces Stress

Falling / flying objects

Is your company categorized as major hazard installation and fall under the CIMAH (Control of Industrial Major AccidentHazard) Regulations

Yes No

2. OCCUPATIONAL HEALTH AND SAFETY LEGISLATIVE AND REGULATORY REQUIREMENTS

Please list the Occupational Health and Safety legislative and regulatory requirements affecting your activities.

Occupational Safety and Health Act 1994 and its regulations

Factory and Machinery Act 1967 and its regulations

Fire Services Act 1988

Atomic Licensing Board Act 1986

Uniform Building By Law Act 1984

Poison Act

Electricity Supply Act 1990

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