© INDIAN REGISTER

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OF SHIPPING 1993
Indian Register Quality Systems IV IRQS: FORM:IMS:96:05
[A Division of IRCLASS Systems and Solutions Private Limited] Eff. Date : 27-02-2019
Questionnaire – IMS Certification Developed by : NR
Approved by : HEAD-IRQS
ISO 9001:2015, ISO 14001:2015,
OHSAS 18001:2007 or ISO 45001:2018 & ISO 50001:2011
Date :

01.Company and Contact detail :

Name of Company FALCON MULTI SERVICE LIMITED.
Address 201 CREADO APARTMENT, JUHU CHURCH ROAD, JUHU, MUMBAI – 400049
Invoice address if different from above
Telephone No. 022- 26208091 Pin Code 400049
Email ID ashok@falconmsl.com Website www.falconmsl.com
PAN No. AAACF9871F TAN No. MUMF05118B
GST No. 27AAACF9871F1ZE

Name Designation Phone No Mobile No Email ID

Ashok Singh Yadav Director +91 8898080915 ashok@falconmsl.com

Name Designation Phone No Mobile No Email ID

Siddharth Yadav Director +91 8898080906 sid@falconmsl.com

Is your firm part of some large organisation?

If `Yes’ give name of holding company

02. Business activity (product. Processes and/or services) 

(Also attach your Process Flow Diagram, product profile/ company profile / service brochure Attach Write up on your Activities  
i.e. Manufacturing / Service etc.  detailing the Processes and Activities in General & Other Shifts ( as applicable)

03. Scope of Certification (site wise):

In case of multi site certification:
Kindly mention scope of activities site wise (to be filed if different activities are carried out in different sites :)
General Scope as required on the final “Certificate of
Approval”

Scope of Head Office

Scope of Site

Scope Support Office(s) / Location(s), if any

Note: If more than 2 sites, provide the above information in additional row.

04. Details of Sites

Total Number of Sites/ Number of Site/Location Additional for scope extension
Location Permanent Temporary Permanent Temporary
4
 Questionnaire – IMS Certification ISO 9001:2015, ISO 14001:2015, OHSAS 18001:2007/ISO 45001:2018 & ISO 50001:2011 IV IRQS: FORM:IMS:96:05

05.Type of Certification & Accreditation:

Certificate Required ISO 9001:2015, ISO 14001:2015,
OHSAS 18001:2007 ISO 45001:2018
Certificate Type Accredited, If Yes RvA NABCB Both
Unaccredited
To be filled for application for Renewal Certification:
[Any changes in the Management System / Operations / Production Line / Location vis-à-vis last audit]
Previous Certificate Type
Certificate valid till
Certification Body (Previous)
Note: In case of Transfer Annexure 2 is to be filled (Form attached separately)

06. Details of operations in the main unit / Head office.

Product at this site 201 CREADO APARTMENT, JUHU CHURCH ROAD, JUHU,
MUMBAI – 400049
Trade name (if any) Falcon Multi Services Limited
Season of Operation
Language of Communication English and Hindi.
Outsourced Processes / activities if any
List of Department / Processes / Function as applicable for the scope of
certification
Management of Change

07. Level of Integration:

Description Yes / No Remarks, if any
Integrated Documentation (Manual, policy YES
and objectives, procedures, work
instruction etc.)
An Integrated approach to Roles & YES
Responsibilities
Conduct of Integrated / approach to YES
Internal Audit
Conduct of Integrated Management
Reviews considering the overall business
strategy and plan
An Integrated approach to systems YES
processes
An Integrated approach to continual
Improvement mechanisms
Organization’s personnel to respond to YES
questions more than one management
system standards.

List of Processes & Function

(e.g Production, QC, Design Purchase, etc)
A) QMS related Information:
Provide justification for any requirement of ISO 9001:2015 that the organization has
determined is not applicable to the scope of its quality management system (Only

    
 Questionnaire – IMS Certification ISO 9001:2015, ISO 14001:2015, OHSAS 18001:2007/ISO 45001:2018 & ISO 50001:2011 IV IRQS: FORM:IMS:96:05

for QMS)
Approvals / Statutory & Regulatory requirements (Product / Service related)
Information about the identified Risk under QMS (for Product / services causes economic catastrophe or puts life at risk, causes
injury of illness, unlikely to cause injury or illness)
Has the organization identified the Risk & Opportunities as per ISO 9001:2015 Yes
B) EMS Related Information:
1. Please report as applicable.
Description Yes / No Remarks, if any
Surface water body like river/lake NO
Estuary / tidal water body NO
Protected nature conservation areas NO
Large Scale industry NO
Highway / Railway line/ Airport YES
Ground water which is sources of drinking water
Sea YES
Agriculture land / Forest Area NO
Human Habitation YES
Places of tourist attraction YES
Environmental Impacts
Reports Yes / No Report Major Activity / Processes contributing to
this Impact.
Air Pollution NO
Water Pollution NO
Noise Pollution NO
Land Pollution NO
Resources Depletion NO
Generation of Hazardous Waste NO
Generation of Bio-medical Waste NO

2. Information on Legal and another requirement.

Information Yes / No Details along with the Validity as applicable.
Consent to establish and operate.
Authorization for (handling & management) hazardous west
Are all permits including state Pollution Control Board Consent/s in
place?
Do you operate an ETP and or STP
Have you received any notice / direction from Ministry of
Environment & Forest / State Pollution Control Board in Last 5 years
Is any environment related suit filed against you?
any other relevant information pertaining to Environment ao
applicable Other Requirement.

C. OHSAS / ISO 45001

01. Information on Legal and Another requirement.
Information Yes / No Provide relevant details with Validity as

    
 Questionnaire – IMS Certification ISO 9001:2015, ISO 14001:2015, OHSAS 18001:2007/ISO 45001:2018 & ISO 50001:2011 IV IRQS: FORM:IMS:96:05

applicable
Factory License Number
Any other applicable license / permits from statutory & regulatory
authorities?
Received any notice / directive from relevant legal & regulatory
Authorities in last 5 years
Is any litigation file against the organization under health & safety?
Any other applicable compliance obligation w.r.t. Occupational Health &
Safety?

02. Information on Potential Hazards.

Type of Hazards Yes / No If yes, identified process / activities involved
Physical Hazards N/A
[E.g. Acoustic Radiation, Temperature, Magnetic Radiation,
Electromagnet Radiation, Radioactivity, Ergonomic Stress,
Physical Impact]
Chemical Hazards N/A
[E. g. Asphyxiate, Combustible, Corrosive, Explosive, Flammable,
Irritant, Pyrophoric, Organic Peroxide, Oxidizer, Water Reactive,
Unstable/Reactive]
Carcinogen, Mutagen, Poison, Sensitizer, Teratogen, Toxic
Chemicals
Engineering Hazards N/A
Biological Hazards N/A
[E.g. hazards due to pathogens]
Working on electrical equipment / electrical energy source N/A
Working at height N/A
Working in confined space N/A
Working under inadequate ventilation / lighting / High Noise N/A
areas etc.

03. Information on Hazardous Materials

Hazardous Materials Yes / No If yes, identified process / activities / materials involved
The identification of the key hazards and OH&S risks associated N/A
with processes, the main hazardous materials used in the
processes, and any relevant legal obligations coming from the
applicable OH&S legislation.

[E.g. Hazardous material / wastes  can include things such as

chemicals, heavy metals, or substances generated as
byproducts during commercial manufacturing processes, as well
as discarded household products like paint, thinners, cleaning
fluids, and old batteries.
Any product which is labeled WARNING, CAUTION, POISONOUS,
TOXIC, FLAMMABLE, CORROSIVE, REACTIVE or EXPLOSIVE
should be considered hazardous material]

    
 Questionnaire – IMS Certification ISO 9001:2015, ISO 14001:2015, OHSAS 18001:2007/ISO 45001:2018 & ISO 50001:2011 IV IRQS: FORM:IMS:96:05

D. EnMS Related Information:

1) Core process/Processes
2) Product or service Training Services & H.R Consultancy
3) Related activities Training Services & H.R Consultancy

a) Prime Energy Usage (type of energy, no. of main energy intensive equipments, type energy wastages, etc.)

b) Estimated total consumption of electricity and/or heat and main energy consuming installations/processes (building ventilation,
building heating/cooling, specific processes/machines etc.)

c) Any specific regulatory requirements related to energy

d) Outsourcing related to Energy Management System; if any (e.g. incinerator plant owned by company, but operations are
outsourced to another company)

e) Any national program; related to Energy; that the company subscribes to…….

08. Is any Consultant / Advisor used for implementation of System: Yes No

If Yes, Name and contact details of the Management System Consultant / Advisor:
E-mail
Name of the Consultant
Mobile
Name of the
Telephone No.
Consultancy Firm
09. Has any other Departments/Divisions (Inspection Type of Services provided last date of Service Name of the Surveyor
Services/Education & Training) of IRCLASS
Systems and Solutions Private Limited (ISSPL)
and Indian Register of Shipping (IRS) provided
any services to your organization? If Yes, please
mention
10. Expected Audit Date
11. Any Other Certification Scheme(s)
(Required from IRQS)

Ashok Singh Yadav 11.06.2021

Director
Name & Position of Authorized Personnel Signature Date

Indian Register Quality Systems

2nd Floor, New Building, 52 A, Adi Shankaracharya Marg, Powai, Mumbai - 400 072.
Tel. No.: +912230519800 Fax No.: + 91 22 2570 3611, E-mail: irqs@irclass.org Website: www.irqs.co.in