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Please provide the information as requested which will enable us to understand your organization and in
preparation our best quotation / proposal to you.
Please provide the information in clear, legible manner preferably typed. Any corrections may please be
countersigned.
Should you need any assistance in filling up the details, our representative will help you out.
The information to be sent/faxed/emailed to the above address or to the concerned branch office.

Client Questionnaire for the Management System Certification

1.

General Information

Company name
Address including Pin code

Homepage / website (if any)

Contact
Name
Function
Telephone / Fax
E-Mail
Legal Form

Size of the organization

Proprietor ship

Partner Ship

Public Limited

Others (details) ..

SSI

SME

Large Corp

Private Limited

MNC

Others (details) ..
Products manufactured / Services
provided
Tentative scope of certificate
(as you would like to have in the
certificate . This will be finalized after
the assessment )
Major Customers
Management System Certification
required.

ISO 9001

ISO 14001

OHSAS 18001

TS 16949

Others (Please specify: _________________)

Accreditation required

DAkkS

NABCB

Existing certifications, if any

2.

Company process Information

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Client Questionnaire

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Major processes in the
company
Any out sourced processes?
If so, details and the % of
outsourcing:
Nature of the processes
Very small location compared to the number of employees (e.g.: call center etc.)
Processes only comprise of simple general activity
Many buildings with complex logistics
Very large location for the number of employees
Any product / service
specific Statutory and
regulatory requirements

Yes

No

If Yes: Please provide details:

Is your company responsible
for product / service design?

Yes

No

If No, the basis for product manufacturing / service delivery

3.

Site details
Site -1

Site -2

Name and Address

Name and Address

Major activities / Processes

Major activities / Processes

Shifts :

Shifts :

Yes

No, Shift timings ( if yes)

Yes

No, Shift timings ( if yes)

Employee details

Employee details

Permanent :

Permanent :

Contract (full time):

Contract:

Part time*:

Part time*:

Workers in simple tasks ( semi / unskilled):

Workers in simple tasks ( semi / unskilled):

Trainees / Apprentice:

Trainees / Apprentice:

Total :

Total :

Site -3

Site - 4

Name and Address

Name and Address

Major activities / Processes

Major activities / Processes

Shifts :

Shifts :

Yes

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No, Shift timings ( if yes)

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Yes

No, Shift timings ( if yes)

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Employee details

Employee details

Permanent :

Permanent :

Contract:

Contract:

Part time*:

Part time*:

Workers in simple tasks ( semi / unskilled):

Workers in simple tasks ( semi / unskilled):

Trainees / Apprentice:

Trainees / Apprentice:

Total :

Total :

* Part time employees are those working upto 4 hrs or less per day.
4.

Details on Environmental Management (applicable only for ISO 14001 certificates)

Details of Statutory approvals / Consents (Please indicate the reference including the validity)
1.

Air

..

2.

Water

3.

Solid waste

4.

Others

.
.

..

Environmental specific details:

Installations / activities causing emissions /
air pollutions / noise
Installations / activities causing high energy
/ water consumption
Types of significant wastes generated
(especially hazardous wastes)
Effluents generated in significant amount
Is there any known pollution of water or
ground?

5.

System related information:

Since how long the system is in

practice (system effective date)
Details of the system related

Internal audits:

Yes

No If Yes, how many ______

activities carried out

Management review:

Yes

No If Yes, how many _______

Name __________________________________
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Client Questionnaire

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Have you engaged any consultancy

Address ________________________________

services for the development of the

Phone __________________________________

system? If yes, details please

We confirm that the information provided above are correct and to be considered for proposal.

Date:

_______________________________

Place:

Authorized signatory with company seal

Rev:04 dated 20.08.2012

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Client Questionnaire