BUREAU VERITAS CERTIFICATION APPLICATION FORM

(kindly enter information in the yellow-coloured cells)

Basic Inputs (* Mandatory Fields to be filled)

* Name of the Organization

* Address

Name of the Top Management (e.g. CEO, MD, etc) Organization's Unique ID-1 :

Name of the designated person for liaisioning with BV Organization's Unique ID - 2 (if applicable) :

Designation : Telephone :

E-mail : Mobile No.:

Website : * Type of Audit Service Required : Certification select from drop-down

* Standard(s) for which the certification is required IMS - ISO 9001:2015+ISO 14001:2015+ISO 45001:2018 Accreditation Required (subject to review) : Local AB ONAC select from drop-down

* Level of Integration (for IMS only) & Ability of persons to respond to
questions w.r.t Mgt. Sys., if integrated.
(subject to verification during Stage 1 audits)
An integrated approach to policy and objectives, internal audit and Management Reviews with an integrated documentation set including work instructions, to a good level of
development as appropriate and Unified management support and responsibilities followed with an integrated approach to systems processes, improvement mechanisms
Level 5 (Corrective and Preventive Action; measurements and Continual Improvement) and with good use of business wide risk management approaches and Management Reviews
select from drop-down
that consider the overall business strategy and plan w.r.t organizational context as well as risks and opportunities

Construcción de otras obras de ingeniería civil, Terminación y acabado de edificios y obras de ingeniería civil, Mantenimientos locativos,
* Proposed / Current Scope of Certification Mantenimientos electricos, Repetitive Work Yes
Instalaciones eléctricas, Metalmecanica.

* Is the organization Design-responsible *Kindly confirm whether the organisation has all the applicable
Yes select from drop-down
(applicable for QMS only) licenses available and Valid.

List of processes performed within the site(s) to be covered under the GESTION GERENCIAL SEGURIDAD Y SALUDN EN EL TRABAJO (9)
scope of certification.
GESTION COMERCIAL COMPRAS (10)
(If any activities are performed at temporary sites or at premises of
client's customers - please provide details including site address, scope
of activity and manpower in the next sheet "Annexure- Manpower MEJORA CONTINUA (7) (11)
Details". Kindly specify as "temporary site" within bracket in "Site name"
column) RECURSOS HUMANOS (8) (12)

(1) (3) (5)

Information on outsourced processes:
(2) (4) (6)

NA Boiler Act / Rules NA State PCB Consent to Operate/UT &/or SEZ Rules select from drop-down
Sector-specific (e.g. Mines Act,
Biomedical Waste Rules, etc)
NA Factory Act/Rules NA Hazardous Waste / E-waste Rules / Battery Rules select from drop-down

Legal requirements (applicable for the specific management system) NA MSIHC Rules NA PESO / Explosives Act & Rules (1) pl specify, if applicable select from drop-down

(The list alongside is for representative purpose & not an exhaustive list. NA Noise Rules NA Energy Conservation Act / Electricity Act & Rules (2) pl specify, if applicable select from drop-down
Additional requirements may be applicable & organization has to ensure
that the applicable legislations have been determined). NA NAAQS NA Insecticide / Poison Act & Rules Is the organization having any select from drop-down
legal cases / litigations in
NA Gas Cylinder Rules NA FSSAI / GMP / Drugs & Cosmetics Act & Rules progress select from drop-down

NA Motor Vehicle Rules NA Banking Regulations / School Norms. Etc select from drop-down
Major environmental aspects & OH&S risks (for ISO 14001 and/or ISO45001
certifications only), please use the separate sheet to provide details (if required).
NA Enter country-specific NA Enter country-specific Any Contractual/Other Reqmts select from drop-down
Additional information for ISO
45001 NA Enter country-specific NA Enter country-specific (1) pl specify, if applicable select from drop-down
Materials / Substances : Please
specify the main hazardous materials / substances (including raw materials, by- NA Enter country-specific NA Enter country-specific (2) pl specify, if applicable select from drop-down
products and waste materials etc) associated with this site.
Key hazards and OH&S risks associated with processes and any relevant legal NA Enter country-specific NA Enter country-specific (3) pl specify, if applicable select from drop-down
obligations coming from the applicable OH&S legislation
NA Enter country-specific NA Enter country-specific (4) pl specify, if applicable select from drop-down
(The list alongside is for representative purpose & not an exhaustive list.
Additional aspects/hazards may be present or applicable & organization has to
NA Enter country-specific NA Enter country-specific (5) pl specify, if applicable select from drop-down
ensure that the same have been adequately determined).
Is the Seveso III Directive 2012/18/EU applicable to the organization?

* Certified to any other standards/Previous Cert. History Certification Body Name Accreditation Certified Since Certificate Valid till

ISO 9001 ONAC

ISO 14001

ISO 45001

Any Other (pl specify)^

* Whether
Details of Consultant involved (if any) NINGUNO select from drop-down
Multi-site :

PLEASE CONFIRM IF THERE ARE ANY SIGNIFICANT CHANGES TO THE FOLLOWING ELEMENTS
Legal, commercial, organizational status or ownership If yes, please mention details =>

Major changes to the products/services and processes If yes, please mention details =>

Context of Organization (external/internal issues, risks, etc) If yes, please mention details =>

Identification & Requirements of relevant interested parties If yes, please mention details =>

In case of remote audit, does the organisation have the necessary

1) Number of total personnel physically
infrastructure to support the use of ICT (Information and Communication Yes working in the organization premises 2 2) Number of total personnel working away or remotely 5
Technology) during the audit?” (Select from drop down Y/N)

* BV COMMON SERVICES RISK ESTIMATION

Performing the No perceived risk / conflict of
Building &
*Has the organization availed services from any other BV Group Company within the last 24 months =>
Management
No Result / Actions =>
role of
interest
Industrial (Inspection)Destructive Communication
Construction Design System Occupational safety reporting
Services
Industrial Testing Services Performing with regulatory
Non-Destructuve Consultancy
Consumer Consultancy
Customized Health and Safety
Product authorities
Use of Services
Testing BV BuildingTesting
Products & Training / Audits
risk
coordinator Accident andon
Environmental
Certification Other Technical
assessments behalf of the
personnel on Construction Design Food Testing incident
Monitoring Services Services . client
100% Onsite

deputation
Do you want to have all audits in the certification Review
cycle 100% on site or would you accept
Partially remote Comments investigation
partially remote? (Select from drop down Y/N) Partially remote

Any Additional Comments / Remarks

Application Form Completed by : Dated

Position/Designation within the Organization : REPRESENTANTE LEGAL 5/28/2024

BV CER/App Form/QHSE & Related Schemes (More than 20 sites) Version 28: dated 04/03/2024
 Full-Time Full-Time
Persons Persons
For Part-Time
working in working in
Part-Time Personnel & For seasonal /
Full-time & Shifts &/or Shifts &/or Seasonal /
Personnel & Employees project
Sr. No. of Management Repetitive / Repetitive / Project-based Total
Site Name Site Address Scope / Activity - specific to each Site Employees partially in workers, no. of
No. Shifts Staff working in Similar Similar Workers (if Manpower
partially in scope, no. of months for
General Shift Processes - Processes - applicable)
scope hours for which which deployed
Skilled (both Unskilled (both
deployed
Permanent & Permanent &
Contractual) Contractual)

SINGLE SITE
Construcción de otras obras de ingeniería civil, Terminación y acabado de
edificios y obras de ingeniería civil, Mantenimientos locativos,
1 1 2 0 0 7 2
Mantenimientos electricos,
Instalaciones eléctricas, Metalmecanica.
MULTI SITE

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Reason for Change
Creation of CR Tool
Inclusion of Guidance for Application form with Manday Calculator
Provision to capture client unique ID for tax/invoicing purpose in "Client Input" sheet; Removal of incorrect references to OHSMS from the Guidance Sheet
Correction in formula for ISO 45001 discount. Earlier the discount was not getting applied. The additional rows are hidden for users to unhide if required.
SAF codes revised as per IAF MD22:2018, Added "Additional information for ISO 45001 Materials / Substances".

a) Included 39 SAF technical area/codes applicable for scope of certification

b) Included all factors for addition and reduction of audit time for QMS, EMS and OHSMS as per IAF MD 5:2019
c) Included section to capture comments for increasing, decreasing or keeping same man-days for QMS high risk codes
d) Removal of colour coding for SAF codes from the Column B of SAF Section of CR Tool.
e) NABCB accreditation schedule removed for QMS, EMS and OHSMS
f) Type of Audit Service Required – Added - “Migration for ISO 45001-2018”
g) “Details of Consultant involved (if any)” field in the “Client Input” sheet is now mandatory.
h) “Justification of Site wise adjustment” field in “QHSE CR-Man Day Calculator” sheet is now mandatory.
i) “CR Rev”, “Prepared By”, “Date” fields in “QHSE CR-Man Day Calculator” sheet are now mandatory.
j) Added a message box “Click enable content…..” in “Client Input” sheet.
k) Added a button to copy data from client input file in “Client Input” sheet.
l) A filter has been provided for selection of QMS, EMS, OHSAS……. For “Justification if any for” in “CR Basic Information” sheet.
m) Added 6 buttons to navigate from top to middle and middle to bottom in “QHSE CR-Man Day Calculator” sheet.
n) Added 2 buttons to navigate from top to bottom in “PQC” sheet.
o) Mandatory field “Comments for QMS (If PQC Risk Level is High)” is added in “CR Basic Information” Sheet.
p) Site wise adjustment should not cross more than 50% for “MD1 Check”, in in “QHSE CR-Man Day Calculator” sheet.

1. Provision to consider increase in audit duration due to repetitive work for HSMS, as per IAF MD22 requirement.. (minimum 10%).
2. Added provision of "Repetitive work" in Client Input sheet.
1. SAF codes complexity is now shown in parity with PQC and PEC codes,
2. Comment has been added for provision of temporary sites in the "Client Input" Sheet
1. SAF codes for 09A has been changed from Mixed risk to 09A High Risk and 09A Medium Risk in CR basic information sheet
2. SAF table corrected as NACE code 74,9 has been shifted from 35 to 34.
3. SAF and PEC tables corrected as NACE code 25,73 has been shifted from 18A to 17.

1 Effective manpower for OH&SMS is not consideriing the square root factor for unskilled.
2 Client is already certified for another standard by BV (FOR QMS AND EMS ONLY)." This is change is done under MD5 reduction as it is not applicable fo
3 Data from application form can be transfered to calculator by clicking the "Click here to import Client Application Form" on "Client Input" sheet. Window wi
"Select File" and then click the "Import Data". Please ensure that "Application File" is not open.
1. Cell number Q519 to W520 of "QHSE CR - Manday Calculator" are unlocked to change data manually, if required.
2. Column "B" of "QHSE CR - Manday Calculator" sheet has been increased to accommodate clear visibility of "site name"
Rectification of PQC list by shifting NACE 32,5 from 23A to 23F
1.Removal of OHSAS 18001 from Client input sheet
2.Correction in the Mandays for OHSMS high risk
3."Determination of mandays" sheet is added

1. SAF codes risk Level has been revised in “SAF” sheet.

2. “Justification for selected level of Integration” field is added in “QHSE CR Man Day Calculator Sheet”.
3. Rephrased the “Temporary site details” in “Client Input Sheet”

(1) Described the "The exceptional situations for calculating Effective no of employees under Temporary / Unskilled manpower for OHMS". Mandays clarifie
audit time or audit duration.
(2) Amendments in the risk category of some PQC/PEC/SAF codes
(3) Risk Levels in drop down menu of “CR Basic Information” Sheet corrected.

1. CR Basic Information Sheet: Rectified the mismatch for “Codes” and “Descriptions” in PQC drop down menu.
2. QHSE CR MD (Audit Time) Calculator Sheet: Replaced “shall” with “should” in the statement “Onsite MDs (audit duration) shall typically not be less than
audit time ……..”, (3) Client Input Sheet: Removal of "OHSAS 18001"

1. Client Input: In case of remote audit, does the organisation have the necessary infrastructure to support the use of ICT (Information and Communication T
during the audit?” (Select from drop down Y/N)
2. Client Input: Number of total personnel physically working in the organization premises; 2) Number of total personnel working away or remotely.
3. Client Input: BV Common Service Risk Estimation” Matrix: Removal of two boxes related to RMC.
4. Client Input: BV Common Service Risk Estimation” Matrix: Added 5 new Boxes as per MD 22, 3.3 g. Modify other boxes.
5. Client Input: Do you want to have all audits in the certification cycle 100% on site or would you accept partially remote? (Please select from drop down).

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1. CR Basic Information: Removal of Code 18C and inclusion of 19 D in the drop down menu
2. CR Basic Information: Line 57, “Client is already certified in another voluntary OH&S scheme by the same CAB (FOR OHSMS ONLY)”, removed “or othe
3. CR Basic Information: Line 58: Client is periodically undergoing audits by National Authority for a mandatory governmental OH&SMS scheme (FOR OHS
added “governmental”.
4. Added “Remote Audit” Sheet and included “Maximum time for ICT usage” as pe Remote Audit Procedure.
5. QHSE CR MD Calculator: Effective Manpower (OH&SMS) is now protected. The Effective Manpower is now changed based on “The exceptional situatio
Effective no of employees under Temporary / Unskilled manpower for OHMS” drop down menu selection.
6. CR Basic Information: Removed “Increase in audit duration due to repetitive work for HSMS, as per IAF MD22 requirement. (Minimum 10%).
7. GUIDENCE FOR USING THE TOOL: Removed the statement “Minimum 10% or more increase in audit time shall be considered in case of repetitive wo
8. (i) CR Basic Information: Added “Low Risk PQC” in Line 48 (ii) CR Basic Information: Modify statement as "High Risk PQC" in line no. 68. (iii) CR Basic
Modify the statement in line no. 97 as “Justify here any reasons for not increasing audit time for High Risk PQC (QMS only)”.
9. Following Changes made in PQC/PEC/SAF Sheets. (a). The number 32.99 is repeated in 23A and 23F for PQC. Now it is removed from 23A. (b) The NA
repeated for EMS and SAF in 19A and 19C, the nace 33.13 is not found in 19A in PQC. NACE 33.13 is added in 19A in PQC

1. Client Input sheet: Is the Seveso III Directive 2012/18/EU applicable to the organization? Y/N.
2. CR Basic information: if the organization is subject to the Seveso III European Directive. new field added for addition in OHSMS
3. CR Basic information: Seveso III directive added now in the row 73 under EMS
4. Client input sheet: Added new option "Accredia" in Accreditation Required (subject to review) dropdown

Adjustment of risk classification for PECs 19 and 24

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Date of change Author Reviewed by Approved by
19th February 2018 Rahul Nayak Rajendra Sharma Fabien Joly-de-bresillon
19th June 2018 Amit Patil Rajendra Sharma
27th June 2018 Rahul Nayak Rajendra Sharma
21st August 2018 Amit Patil Rajendra Sharma
1st April 2019 Rashid Athar Rajendra Sharma
2nd September 2019 Rashid Athar Rajendra Sharma

13th March 2020 Rashid Athar Flavio Gomes

8th June 2020 Rashid Athar Rajendra Sharma

9/21/2020 Rashid Athar Rajendra Sharma

11/6/2020 Rashid Athar Rajendra Sharma

11/24/2020 Rashid Athar Rajendra Sharma

12/11/2020 Rashid Athar Rajendra Sharma

6/24/2021 Rashid Athar Rajendra Sharma

8/30/2021 Rashid Athar Flavio Gomes

11/8/2021 Rashid Athar Rajendra Sharma

12/20/2021 Rashid Athar Rajendra Sharma

7/8/2022 Rashid Athar Rajendra Sharma

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7/26/2023 Rashid Athar Sameer Pendse CER MS Committee

3/15/2024 Rashid Athar Sameer Pendse Fabien Joly de Brésillon

4/3/2024 Rashid Athar Sameer Pendse Fabien Joly de Brésillon

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