.

CORE QUESTIONNAIRE
General
(Except for IATF 16949, AS, O-01.A
ISO 27001, ISO 13485, ISO 22000) April 2018
For ISO 14001/ISO 45001/OHSAS, kindly
complete additional questions as
mentioned in this form.
Should you require URS to provide your company with a detailed quotation, please provide as much
detail as possible.
Please complete one form for each office or site to be included within the quotation.
Supplementary questionnaires may be required for specialist schemes.

Company Name

Address

Postal/Zip Code County/State

Telephone Number Mobile Number
Email Website
Contact Name Position
Finance Contact
Finance Email
Type of Business
VAT Number
e.g. Franchise,
(EU based clients)
Partnership, Corporation
When describing your proposed scope below, should you have a range of products or services, please give examples
of this in the scope. An example of this would be:
Design and Manufacture of Electronic Components Including; Capacitors, Resistors & Diodes.
We would not be able to accept 'Design and Manufacture of Electronic Components' as this is too generalised.

Scope of Certification

Standard(s) applied for

Accreditation
Such as UKAS/NABCB
Please give a summary of
your Main processes and
functions which relate to
the desired Scope
What are your main legal
or regulatory obligations
and relevant industry
standards (e.g. Data
Page 1 of 4
 . CORE QUESTIONNAIRE
General
(Except for IATF 16949, AS, O-01.A
ISO 27001, ISO 13485, ISO 22000) April 2018
For ISO 14001/ISO 45001/OHSAS, kindly
complete additional questions as
mentioned in this form.
Privacy, Intellectual Property
rights)?

Please identify any out-

Not present
sourced processes
Total Number of Employees (full and part
time) that work at this location seeking Not detected yet (expected 70)
certification
Does the Site Operate Shifts Yes No
If Yes, Number of Shifts?
Maximum Number of Employees at this
Location at any one time
Number of Part-Time Employees
How many Subcontractors
(Not included above)
Are Subcontractors Full or Part Time? Full Time Part Time Not Applicable
Do Subcontractors Perform Repetitive Tasks? Yes No Not Applicable
Average Number of Hours of a
Part Time Employee per day*
Including subcontractors (enter zero
if none)
Normal Number of Hours of a Full Time
Employee in a normal working day or shift
Number of employees (not including
subcontractors) Performing Same or Similar
Repetitive Tasks
(E.g. 300 Employees on sewing machines)
Number of Employees in Design/Development
Department
Are there any clauses of the standard that do
Yes No
not apply?
Please state which clause(s)

Primary Language

Currency Used
Is this a new application or an extension to an
Yes No
existing Certification?
If existing URS Certification is held for another
standard, please state the certificate number
and standard.

Page 2 of 4
 . CORE QUESTIONNAIRE
General
(Except for IATF 16949, AS, O-01.A
ISO 27001, ISO 13485, ISO 22000) April 2018
For ISO 14001/ISO 45001/OHSAS, kindly
complete additional questions as
mentioned in this form.

Is this a transfer from another Certification

Yes No
Body (CB)?
If Yes, Please forward a copy of the latest
audit report and current certificate
Have you engaged a consultant to assist with
the implementation of your Management Yes No
System
If Yes, Full details of consultant used
Please provide information about any non-
native language spoken in your organisation
Client Portal Email Letter
How do you prefer to receive
correspondence?
Multisites
Yes No
If there is more than one site which requires
Certification, please indicate here:

As you have selected IOS 45001/14001 or OHSAS 18001, we are required to ask you for further
information to conform with the Scheme Rules.

Please give the a summary of your Processes

and Risks

Please advise of any Consents, Permits and

Licences

Please state any significant areas of interest

i.e. Chemicals, Working in confined spaces,
heights etc.?

Are you subject to or aware of any imminent Yes

advise from your Regulator (i.e., HSE) for
breaches of condition? No

The organisation hereby undertakes to comply …… I have read, understood and agree to comply with
with the Certification Regulations of URS the Scheme Rules and Regulations at http://www.urs-
available on the website:
holdings.com/scheme-rules-and-regulations.

Page 3 of 4
 . CORE QUESTIONNAIRE
General
(Except for IATF 16949, AS, O-01.A
ISO 27001, ISO 13485, ISO 22000) April 2018
For ISO 14001/ISO 45001/OHSAS, kindly
complete additional questions as
mentioned in this form.

Signature

Name

Date
1

Page 4 of 4