questionnaire qf -01_ rev 06 04 10 latest

8/8/2019 Questionnaire QF -01_ Rev 06 04 10 Latest

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TÜV INDIA PRIVATE LIMITED

APPLICATION

Intended certification: (Tick mark as applicable)

Certification according to ISO 9001:2008

Certification according to ISO 14001:2004

Certification according to OHSAS 18001:1999/2007

Certification according to HACCP / FSMS / BRC / FAMIQS

Certification according to ISO 27001/ISO 20000-1

Certification of an integrated management system:

ISO 9001:2008 and ISO 14001:2004

ISO 9001:2008, ISO 14001:2004 and OHSAS 18001

ISO 14001:2004 and OHSAS 18001

ISO 9001:2008 and OHSAS 18001

Any other combination

CERTIFICATION / RE – CERTIFICATION

(TICK Mark which is applicable)

TÜV INDIA PRIVATE LIMITED801, Raheja Plaza – I, L.BS Marg,Ghatkopar (W), Mumbai 400 086

Tel : 022-66477000 Fax : 022-6647009E-Mail: [email protected]

Visit us at www.tuvindia.co.in

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QF-01 Rev. 06/04.10 of 11



Questionnaire for thepreparation of an offer

This questionnaire is intended as a self-description of your company. The questionnaire

helps TÜV India Pvt Ltd to estimate the scope of and resulting effort involved in theperformance of a certification

I. General Questions

Company: Seagull Cooling Pvt.Ltd.

Unit Dadra

Corporate/ Legal Entity Pvt.Ltd.

Address: Survey No. 202/1 Gala no. G, Part - II

Zero Tax Industrial Estate, Dadra, Silvassa - 396230

Phone: 0260 2669962 Fax: 0260 2668805

Head Office: G-2 Industrial House, 23B, Mahal Industrial Estate,Mahakali Caves Road, Andheri East, Mumbai – 400093

Top Management

Name: Parasmal Sirohia

Phone: 022 26874044 Fax: 022 26874848Email: [email protected]

Management Representative

Name / Dept.: Deepak Sharma

Phone: 0260 2669962 Fax: 0260 2668805

Email: [email protected]

Accreditation Desired TGA NABCB Others

Consultancy By

Scope of Management System: (Text on certificate, description of activitiesregarding products or services, e.g.: “design, production and sales of…”)

______________________________________________________

______________________________________________________

______________________________________________________

Please attach Organization Chart

Please attach simple process flow chart.

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Basic Questions

A. Raw Materials: ______________________________________________________

______________________________________________________

Is Raw Material supplied by your customer? Yes no

B. Does the company have Product design responsibility? Yes no

If no: (Who is responsible):

C Number of employeesSite 1 Site 2

HeadOffice

at the individual sites:(use separate sheet foradditional sites)

TOTALOf which working in -

management/administration:

-

research/development/design- production- quality, inspection andtesting:- sales:

- Other, (e.g. Purchase,Stores, field staff,laboratory staff, etc.):

- contract LabourersFor additional site information, submit an annexD. No. of sites / subsidiaries:

___________________________________________

Addresses of sites / subsidiaries/ No. of employees

Warehouse/ Regional Offices / BranchOffices /Sales offices**

Regula Others* Comments

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* Other employees (subcontractors, seasonal workers, part-timers, etc.) **do these Offices carry out any activities which are to be audited (Contract Review, Purchasing, Servicing, Training,Storage/ Godowns).


E. Operation of temporary sites (e. g.: building sites, projects): Yes No

No. of temporary locations: No (Please attach the list with location, activity,employees)

Outsourced Processes (if any)

___________Yes________________________________________

F. Has the company and/or have the sites been certified against any ManagementSystem Certification? If yes, then specify e.g. ISO 9001, ISO 14001, and OHSAS(by which Certification Body and Validity of the Certificate (Please attachcopy of the certificate)

Is the environmental management system / OHSAS integrated into an existingcertified management system? (e. g.: ISO 9001, TS 16949)?

Yes No

G Information on Shift is Mandatory

Site I Site II Head Office

No. of Employees not in Shift

No. of Employees in First Shift

No of Employees in Second ShiftNo. of Employees in Third Shift

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We herewith confirm the completeness and accuracy of the information given above andin any annexes which may be attached. We agree that this information may be stored for thepurposes of drafting an offer and processing any resulting order or transactions.

Place/Date Name, Function Signature*)

*) If sending by email, the sender's address will be accepted

Note: Kindly fill up the relevant annex.

Annex I (EMS)

Questionnaire in Preparation

Of an Offer

Area of the location (m2

or hectare):_____________________________________

Significant environmental impacts of the activities, products and services of the organisation(e. g.: waste, hazardous waste, waste water, emissions [air pollution, noise],soil contamination):

Operation of environmentally relevant facilities (e. g.: sewage treatment plant,landfill, waste treatment plant, electroplating):

Is the organisation located in a water protection area or in a landscapeconservation area?

Yes No

Operation of temporary sites (e. g.: building sites, projects):

Yes No

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No. of temporary locations: No

We herewith confirm the completeness and accuracy of the information given above


Annex 2 (HACCP/FSMS/BRC/FAMIQS)


For an Offer

Product Category (names)

Number of processes included inHACCP studiesNumber of production lines for therelevant products or product families.

Seasonal Products

Months of ProductionOut sourced Processes (give details)

HACCP (Tick where applicable) √/×( Mention details where required ) YES NO

Is there a HACCP team?

Does the team avail of the required knowledge? If yes, How

No of HACCP Studies

Have HACCP studies been performed for

• Raw materials (incl. packaging)

• Intermediate products

• End products

Does HACCP STUDY compromise the following steps?

1. analysis of risk potential for the area under observation

2. Specification of manageable number of CCP’S

3. List of critical limits for each CCP

4. System for monitoring CCP’s

5. Documentation of monitoring procedure

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Annex 3 (ISMS)Questionnaire in Preparation

For an Offer

Details on the IT-security relevance of the company

Please state the important IT-security aspects at each location

Please list out the applicable legal, statutory and regulatory requirements for your organization.

We herewith confirm the completeness and accuracy of the information given above

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Annex 4 (OHSAS)


For an Offer

1. OHS-relevant plant and machinery / manufacturing processes / activities at the

location(What OHS-relevant plant and machinery / manufacturing processes / activities arethere at the location?)

2. Construction sites / Workshops / Subcontractor activities at the location(What internal / external / workshops are operated by the location, what

subcontractors work at the location?)

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questionnaire qf -01_ rev 06 04 10 latest

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