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Indian Register Quality Systems IV IRQS:FORM-9K15:94:02
[A Division of IRCLASS Systems and Solutions Private Limited] Eff. Date : 04-08-17
Developed by : NR
Questionnaire – ISO 9001:2015 (QMS) Approved by : HEAD-IRQS

Questionnaire No. : Date :

1.Company and Contact detail :


Name of Company
Address
Invoice address if different from above
Telephone No. Pin Code
Email ID Website
PAN No. Fax No.
GST No. TAN No.

Name Designation Phone No Mobile No Email ID

Name Designation Phone No Mobile No Email ID

Is your firm part of some large organisation?

If `Yes’ give name of holding company

2. 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 files if different activities are carried out in different sites:)

4. Details of Sites
Total Number of Sites/ Number of Site/Location Additional for scope extension
Location Permanent Temporary Permanent Temporary
Questionnaire – ISO 9001:2015 (QMS) IV IRQS:FORM-9K15:94:02
Name & Address of Sites / No. of Full Time Employee Part Time Employee Contract Employee
Location - Temporary List of Function Shif
G 1 2 3 G 1 2 3 G 1 2 3
Single Site/Location 1) Core activities [Production / QC/Stores]
2) Support Activities
Name :
[Administrative - Accounts, HR, Training, Liasioning work,
etc]
3) Repetitive work (Loading / Unloading, same nature of
work by different group of people etc.)
Marketing / Sales / Purchase / Security
Address: Packaging/Housekeeping/Transportation
4) Others (employed for any other activity of the
organization)
5) Is similar activities are carried out in all shifts First Shift :
Yes  If No : 
Second Shift :
If no briefly described the activities undertaken in each
shift. Night Shift :
Site – 1 1) Core activities [Production / QC/Stores]
Name :
2) Support Activities
[Administrative - Accounts, HR, Training, Liasioning work,
etc]
3) Repetitive work (Loading / Unloading, same nature of
work by different group of people etc.)
Address: Marketing / Sales / Purchase / Security
Packaging/Housekeeping/Transportation
4) Others (employed for any other activity of the
organization)
5) Is similar activities are carried out in all shifts First Shift :
Yes  If No : 
Second Shift :
If no briefly described the activities undertaken in each
shift. Night Shift :
NOTE: If more than 1 site, provide the above information in additional sheet.
Questionnaire – ISO 9001:2015 (QMS) IV IRQS:FORM-9K15:94:02

Name & Address of No. of Full Time Employee Part Time Employee Contract Employee
Sites / Location – Shif
List of Function G 1 2 3 G 1 2 3 G 1 2 3
Additional for scope
extension
Single Site/Location 1) Core activities [Production / QC/Stores]
2) Support Activities
Name :
[Administrative - Accounts, HR, Training,
Liasioning work, etc]
3) Repetitive work (Loading / Unloading, same
nature of work by different group of people etc.)
Marketing / Sales / Purchase / Security
Address: Packaging/Housekeeping/Transportation
4) Others (employed for any other activity of the
organization)
5) Is similar activities are carried out in all shifts First Shift :
Yes  If No : 
Second Shift :
If no briefly described the activities undertaken
in each shift. Night Shift :
Site – 1 1) Core activities [Production / QC/Stores]
2) Support Activities
Name :
[Administrative - Accounts, HR, Training,
Liasioning work, etc]
3) Repetitive work (Loading / Unloading, same
nature of work by different group of people etc.)
Marketing / Sales / Purchase / Security
Address: Packaging/Housekeeping/Transportation
4) Others (employed for any other activity of the
organization)
5) Is similar activities are carried out in all shifts First Shift :
Yes  If No : 
Second Shift :
If no briefly described the activities undertaken
in each shift. Night Shift :
NOTE: If more than 1 site, provide the above information in additional sheet.

5.Type of Certification & Accreditation:


Certificate Required As per ISO 9001:2015
Certificate Type
Accreditations Required
RvA □ NABCB □ Un-Accredited □
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)

6. 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
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.
Questionnaire – ISO 9001:2015 (QMS) IV IRQS:FORM-9K15:94:02

Approvals / Statutory & Regulatory requirements (Product / Service related)


List of Function (e.g Production, QC, Design Purchase, etc)
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 Yes □ No □
ISO 9001:2015

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


Name of Consultant Email ID Phone No Mobile

8. Has any other Departments/Divisions (Inspection Services/Education & Training) of IRCLASS


Systems and Solutions Private Limited (ISSPL) and 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:
Who Delivered Services
9. Expected Audit Date
10. Any Other Certification Scheme(s) (Required from IRQS)

Name: Position:
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