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ISO Assessment Form

(Please fill and send it back)

*Any information will be treated as confidential and will not be disclosed or discussed with any third party.
Company Name
Address

City Code Country


Tel Number Contact Name
Fax Number Position
Web Site E-mail
Standard(s) to be assessed
exclusions
(ISO 9001, ISO 14001, and OHSAS 18001)
Other
ISO Accreditation Information
Scope: Please describe what activities your organisation carries out

Please list any additional sites to be included in the scope of registration

Please list the number of employees Full Part Full Part


Shifts Shifts
in each area/site Time Time Time Time (Site 2)
(please use additional sheets if required ) (Site 2) (Site 2)
Manufacturing/Service area
Quality Control/Technical
Administration
Storage/Warehouse
Other
Management
Total Employees (Full time equivalent)
Describe the type of
Approx number of sub contractors
work subcontracted if
used on average if applicable.
applicable.
Number of HACCP Plans Number of product categories packed

Approximately, what % of you total Approximately, what % of work is carried


work is subcontracted out? out at clients’ sites?
Do you currently hold any other third party registrations?
When will you be ready for stage one review? Date

Were you assisted by a consultant in developing Name


your Management System? Web site
For ISO 14001 and OHSAS 18001 please also supply a list of applicable regulations, environmental aspects, and
list of any permits, licences or consents. For ISO 27001 SOA and F 69 Complexity Factor Analysis annexure should
be annexed with Applications form. For ISO 22000 List of CCP’s and HACCP Plans should be annexed .
Signature Date

RELEASED BY REV NO : DOCUMENT ID DATE OF RELEASE


MR 00 SAL/FRM/003 13/06/2015

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