Indian Register Quality Systems

INDIAN REGISTER
OF SHIPPING 1993

Questionnaire ISO 9001 (QMS)

Page 1 of 2
IV IRQS:FORM:02:00
Eff.Date
: 27.05.13
Developed by
: NR
Approved by
: HEAD-IRQS

PLEASE COMPLETE IN CAPITALS

1. Company and Contact details:
Name of the Company

Address

Invoice address, if
different from above
Telephone No.
E-Mail ID
PAN No.

:
:
:
:

Director / CEO / Partner

Management
Representative

Pin Code
Website
TAN No.
E-mail
Mobile
E-mail
Mobile

Is your firm part of some large organisation?

If `Yes give name of holding company
2.

:
:
:
:
:
:
:

Yes
No

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

(Also attach your Process Flow Diagram, product profile/ company profile / service brochure)

3. Scope of Certification:
In case of multi site certification:
Kindly mention scope of activities site wise (to be filled if different activities are carried out in different sites:
Site 1:
Site 2:
Site 3:
4. Please put tick on the Type of Certification & Accreditation:
Fresh Certification

Renewal Certification

Transfer of Certificate

Scope Extension

RvA

NABCB

Accreditation Required:

To be filled for application for Renewal Certification:

[Any changes in the Management System / Operations / Production Line / Location vis--vis last audit]
Any previous
Standard certified for /
certifications /
Certificate to be transferred
Transfer of
Certificate valid till
certification
Certification Body (Previous)
Note: In case of Transfer Annexure 2 is to be filled (Form attached separately)
5. Details of operations in the main unit / Head office.
Product at this site
Trade name (if any)
Season of Operation
Language of Communication
Outsourced Processes (if any)
Exclusions
Approvals / Statutory & Regulatory requirements
List of Functions [e.g. Production, QC, Design, Purchase, etc.]

Page 2 of 2
IV IRQS:FORM:02:00
Eff.Date
: 27.05.13
Developed by
: NR
Approved by
: HEAD-IRQS

Indian Register Quality Systems

INDIAN REGISTER
OF SHIPPING 1993

Questionnaire ISO 9001 (QMS)

6. Details of Sites/agencies Address and Pin Code

[Please mention if the site is Permanent (P)/
Temporary (T) / Additional (A)]

Total number of staff in

shift (Full time
No. of
employees)
Shifts
Gen

P/T/A

Particulars

Avg.
Avg.
Total n
Part-time Contractual
Employ
employees employees

Single Site:
Core Activities
Support Activities
More Site 1 :
than
One Core Activities
site Support Activities

Site 2 :
Core Activities
Support Activities

Site 3:
Core Activities
Support Activities

Total No. of Employees

NOTE: Examples of :

Core Activities Design, Product Realization-Production, QC & Maintenance

Support Activities Marketing, Purchase, Administration Training

(Please continue on separate sheets as necessary)

Are the activities similar in all the shifts, If no, mention which shift has dis-similar/unique activities.
Also identify the unique process.

7. Name and contact details of the Management System Consultant / Advisor:

E-mail
Mobile
Fax No.
Telephone No.

Name of the Consultant

Name of the Consultancy
Firm

8. Has other Departments [Marine/Industrial Inspection] of Indian Register of Shipping (IRS) provided any services to your
organisation? If Yes, please mention the Type of Services provided, last date of Service & Name of the Surveyor:
Yes

No

9. Expected Audit Date

10. Please Tick on the other Certification Scheme(s) Interested for:

ISO 14001

OHSAS 18001

ISO 22000

ISO 27001

Name:

Position:

Signature:

Date:

TS 16949

ISO 28000

ISO 30000

Indian Register Quality Systems

9th Floor, Beta Building, i-Think Techno Campus, Near Kanjurmarg Rly Stn. Kanjurmarg (E), Mumbai 400 042.
Tel.: +91 22 67078000, Fax: +91 22 67078221; E-mail: irqs@irclass.org , Website: www.irclass.org

ISO 50001