Quote Request Form for Management System Certification

Please indicate the management system standard(s) required

Quality, Environment & Safety ICT and Information Security Food & Feed
ISO 9001 ISO 22301* FAMI-QS Code of Practice*

ISO 14001 ISO/IEC 20000* ISO 22000*

OHSAS 18001 ISO 45001 ISO/IEC 27001* FSSC 22000*

ISO 50001* TickITplus* HACCP*

ISO 28001* GMP+ FSA*

*For this scheme some additional scheme specific information might be

TAPA
requested.
Please complete your general company information
Company name (legal entity name) >
Parent company name (if applicable) >
GST >
Office address >
Postal address >
Invoicing address >
Contact person >
Position >
Telephone >
E-mail address >
Web-site address >
NO
Did you use consultancy related to the management system?
YES - please specify below

Consultancy company name >

Name of the consultant >
Extend and work performed >

Please describe the products, activities and/or services of your company:

>
Please identify the key aspects/hazards and associated risks (process and product) for the
management system under consideration:
Key aspects/hazards and associated
risks (Note: For ISO 45001/OHSAS also indicate
main hazardous materials used in the processes) >

Regarding legal obligations for the management system under consideration: Please provide details on
key legal obligations, including authorisations, consents and licences relating to your sites and
operations. Also please indicate any legal issues with regulator(s) over the last 12 months
(improvement, prohibitions, prosecutions etc)
>

DNV BA QRF rev.5 (July 2018) Page 1-5

Only for ISO 45001/OHSAS:
Please provide key health and safety performance data and information for past 24 months and
comment on how this compares to your industry sector. This should include incident rate, accident rate
and incidence of occupational health issues.
>

Please describe the desired scope of certification:

>
Are you subcontracting/outsourcing any of the activities NO
within the scope of certification? YES - please specify below

Overview of subcontracted activities

>

Does the system cover offsite activities? NO

YES - please specify below

Overview of the activities, location and

duration of the projects and number of >
worker/employees involved
Is a part of your management system currently certified? NO
activities? YES - please specify below

Management system standard >

Certification body >
Certificate expiry date >

NO
YES - for the following standards:
Did you set up an integrated Quality / Environmental and/or
ISO 9001
Safety management system?
ISO 14001
OHSAS 18001/ISO 45001

In case of an integrated audit needs to be performed (audit on two or more management system
standards) please indicate the level/extend of integration of the management system:
Management Reviews consider the overall business strategy and YES NO
plans
Integrated approach to internal audits YES NO

Integrated approach to policy and objectives YES NO

Integrated approach to systems processes YES NO

Integrated documentation set including work instructions, to a good YES NO

level of development as appropriate
Integrated approach to improvement mechanisms (corrective and YES NO
preventive action; measurement and continual improvement)
Integrated approach to planning, with good use of business-wide YES NO
risk management approaches
Unified management support and responsibilities YES NO

Please complete the site specific information of the head office

Company name (legal entity name) >
Office address >
City > Country >
Activities performed on this site >
Total # of own employees1 (full time) >
Total # of contractors2 (full time) >

DNV BA QRF rev.5 (July 2018) Page 2-5

Total # of own employees on part-time > Working % >
Total # of contractors on part-time > Working % >
1
Includes personnel working away from the organization's premises
2
Contractors include temporary and seasonal personnel, sub-contractors and contracted personnel present on
the premises (use an average number)
If shifts are applicable please indicate the details for each shift below:
Total # of personnel working in shifts > Total # shifts >
Shift 1 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 2 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 3 Start time shift > End time shift >
(add more if needed)
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)

Are other sites/locations to be covered in the NO

certification? YES - please complete the table below per site

If yes, is a single management system with central NO

governance/coordination used across all sites to be
YES
covered in the certification?
If yes, please indicate below any relevant process(es) that are centralized to certain site(s)
>

Site 1 information
Company name (legal entity name) >
Office address >
City > Country >
Activities performed on this site >
Only for ISO 45001/OHSAS >
List significant OH&S hazards and
associated risks which differ from
the other sites (e.g. related to
technology, equipment, use and quantities of
hazardous materials, premises etc.)
Total # of own employees1 (full time) >
Total # of contractors2 (full time) >
Total # of own employees on part-time > Working % >
Total # of contractors on part-time > Working % >
1
Includes personnel working away from the organization's premises
2
Contractors include temporary and seasonal personnel, sub-contractors and contracted personnel present on
the premises (use an average number)
If shifts are applicable please indicate the details for each shift below:
Total # of personnel working in shifts > Total # shifts >
Shift 1 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 2 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 3 Start time shift > End time shift >
(add more if needed)
Key shift activities >

DNV BA QRF rev.5 (July 2018) Page 3-5

Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)

Site 2 information
Company name (legal entity name) >
Office address >
City > Country >
Activities performed on this site >
Only for ISO 45001/OHSAS >
List significant OH&S hazards and
associated risks which differ from
the other sites (e.g. related to
technology, equipment, use and quantities of
hazardous materials, premises etc.)
Total # of own employees1 (full time) >
Total # of contractors2 (full time) >
Total # of own employees on part-time > Working % >
Total # of contractors on part-time > Working % >
1
Includes personnel working away from the organization's premises
2
Contractors include temporary and seasonal personnel, sub-contractors and contracted personnel present on
the premises (use an average number)
If shifts are applicable please indicate the details for each shift below:
Total # of personnel working in shifts > Total # shifts >
Shift 1 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 2 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 3 Start time shift > End time shift >
(add more if needed)
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)

Site 3 information
Company name (legal entity name) >
Office address >
City > Country >
Activities performed on this site >
Only for ISO 45001/OHSAS >
List significant OH&S hazards and
associated risks which differ from
the other sites (e.g. related to
technology, equipment, use and quantities of
hazardous materials, premises etc.)
Total # of own employees1 (full-time) >
Total # of contractors2 (full time) >
Total # of own employees on part-time > Working % >
Total # of contractors on part-time > Working % >
1
Includes personnel working away from the organization's premises
2
Contractors include temporary and seasonal personnel, sub-contractors and contracted personnel present on
the premises (use an average number)
If shifts are applicable please indicate the details for each shift below:
Total # of personnel working in shifts > Total # shifts >
Shift 1 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)

DNV BA QRF rev.5 (July 2018) Page 4-5

Shift 2 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 3 Start time shift > End time shift >
(add more if needed)
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)

Site 4 information (add more tables if needed)

Company name (legal entity name) >
Office address >
City > Country >
Activities performed on this site >
Only for ISO 45001/OHSAS >
List significant OH&S hazards and
associated risks which differ from
the other sites (e.g. related to
technology, equipment, use and quantities of
hazardous materials, premises etc.)
Total # of own employees1 (full time) >
Total # of contractors2 (full time)
Total # own employees on part-time > Working % >
Total # of contractors on part-time > Working % >
1
Includes personnel working away from the organization's premises
2
Contractors include temporary and seasonal personnel, sub-contractors and contracted personnel present on
the premises (use an average number)
If shifts are applicable please indicate the details for each shift below:
Total # of personnel working in shifts > Total # shifts >
Shift 1 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 2 Start time shift > End time shift >
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)
Shift 3 Start time shift > End time shift >
(add more if needed)
Key shift activities >
Describe level of control for the shifts >
(based e.g. on internal audits, Quality Control)

DNV BA QRF rev.5 (July 2018) Page 5-5