Application Form for Laboratory Accreditation

We apply for NABL accreditation of our calibration laboratory as per details given below:

First Accreditation Renewal of Accreditation

1. Laboratory Details
1.1 Name/ Identification of the Calibration Laboratory __ __
(Permanent Facility)
Address _ __________________
Telephone No. __ ___________________ Fax No. __ ______ e-mail ______________

1.2 Do you conduct Calibrations in the following Category

(if yes, please clearly indicate in the scope of accreditation, para 2.2, the calibration conducted)
a. Site Facility (when undertaking calibration at site of the client) Yes No
b. Temporary Facility (when a facility is created temporarily) Yes No
c. Mobile Laboratory Yes No

1.3 Name of Parent Organisation ___ __________________

(if part of an organisation)
Telephone No. __ ____ ___________Fax No. ___ _____________ e-mail _______________
1.4 Legal status and date of establishment ________For detail please refer ANX – 1 _____________
(please give Registration No. and name of authority who granted the registration)
________________________________________________________________________________________________

1.5 Type of laboratory by service

(please tick in appropriate box)

open to others partly open for others an in-house activity

1.6 Other accreditations____________________NIL_________________________________________

1.7 Indicate exactly how the name of the laboratory and the locations (if any) are to appear on the
certificate
(the current bi-lingual system calls for this information)

In English __ _______________________________________________________

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 152 Application Form for Calibration Laboratories
Issue No: 11 Issue Date: 01.03.2018 Amend No: 00 Amend Date: Page No: 7 / 10
2. Accreditation Details

2.1 Field of Calibration for which accreditation is sought

(please tick the appropriate box, separate application to be filled for each discipline)

 Electro-Technical
 Mechanical √

 Fluid Flow
 Thermal & Optical
 Radiological

2.2 Scope of Accreditation

Sl. Parameter/ measured Range Best measurement capability () Remarks
no. quantity

Note 1. Best measurement capability are to be expressed as uncertainties () for confidence probability at 95% (refer to para 15 on
page iv of this form)
Note 2. Laboratories performing site calibration shall clearly identify the Specific calibrations on product(s)/ material performed at
permanent laboratory and/ or at site.

3. Organisation
3.1 Senior Management (Name, Designation, telephone, Fax, e-mail)
3.1.1 Chief Executive of the laboratory, Fax no, email: ________
3.1.2 Person responsible for the Quality Management system __ Fax no.:, email:,
_____________________________
3.1.3 Person responsible for technical operations _, Mob:, Fax no.:, email: ___________
3.1.4 Contact person for NABL _ Fax no.:, email:,
3.1.5 Authorised Signatories for issue of calibration certificates/ reports (please refer relevant specific criteria)
Sl. Laboratory/ Name & Qualification with Experience in Relevant Authorised for Specimen
no. Department/ Designation of Specialisation years related to Training which specific area Signature
Section Signatory present work of calibration
3.2 Organisation Chart
3.2.1. Indicate in an organisation chart the operating departments of the calibration laboratory for which
accreditation is being sought (please append)
3.2.2 Indicate how the calibration laboratory is related to external organisations or to its own parent
organisation (where applicable)

3.3. Employees
3.3.1 Total number in calibration laboratory for the specific field applied ___________06__________
3.3.2 Total number in calibration laboratory for which accreditation is being sought _____06________
(if the accreditation applied for is for a part)
3.3.3 Details of staff (please clearly indicate staff responsible for site calibration)
Sl. Name Designation Academic and Professional Experience related to
no. Qualifications* present work (in years)

* Please clearly indicate the field of specialisation

4. Equipment
List of major calibration equipment available for use
a. Standard Maintained
Sl. Field & Standard Model/ type/ Receipt dt. & Range Measurement Dt. of last Calibrated by**
no. Parameter maintained year of make dt. placed in Uncertainty calibration/
service calibration
due on*

b. Calibration Facilities
Sl. Field & Major Model/ type/ Receipt dt. & Range Overall Date of last Remarks
no. Parameter Equipment year of make dt. placed in Measurement calibration/
service Uncertainty calibration due
on*

For Ionizing Radiations, please specify radiation sources and radiation monitors available, giving nature of radiation, details of
technical specifications, location and calibration status etc.
* the laboratory to decide the calibration interval based on ISO 10012
** Please mention name of calibration agency. In case the equipment is calibrated in-house, same needs to be clearly indicated
under this column.

5. Internal Audit and Management Review

Date of last Internal Audit, its findings and corrective action taken __ For detail please refer ANX – 8
 Whether all requirements of ISO/ IEC 17025: 2005 covering all activities of laboratory have been audited
atleast once in last one year ______________Yes __________________________________
Date of last Management review ___________ _________________________________

6. Proficiency Testing
Participation in NABL/ APLAC/ any other Inter Laboratory Comparison
(for details and requirements please refer to ISO/ IEC Guide 43, NABL 162, NABL 163 & NABL 164)

Sl. Artifact Details of Date of Nodal Laboratory Performance in Corrective

no. Measure-ment(s) Measure- (Accreditation body/ terms of En action taken
ment(s) Country) number

7. Declaration by the laboratory

We declare that
7.1 We are familiar with the terms and conditions of the maintaining accreditation (NABL 131), which
is enclosed and will abide by them.
7.2 We agree to comply fully with ISO/ IEC 17025: 2018 for the accreditation of calibration laboratory.
7.3 We agree to comply with accreditation procedures, pay all costs for pre-assessment, full
Assessment, verification visit (if any), surveillance and reaccredidation irrespective of the result of
the assessment.
7.4 We agree to co-operate with the visit assessment team appointed by NABL for examination of all
relevant documents by them and their visits to those parts of the laboratory which are part of the
scope of accreditation.
7.5 We satisfy all national, regional and local regulatory requirements for operating a laboratory.
7.6 All information provided in this application is true to the best of our knowledge.

Signature of Chief Executive or authorised representative ___________________________________

Name & Designation ___ _____________________

Date & Place _________________________________ ___________________________