Request for quotation for certification process of quality management system

check the relevant box *

organization in Israel
overseas organization

Organization details

Registration company number / Authorized Dealer *

Organization address (in English) *

Invoice address (if different)

Organization Name (in English) *

Address for letters *

Phone Number *

Email *

Fax number

Website *

Zip code *

Name of General Manager *

Contact Person with SII *

Mobile Number - General Manager *

Mobile number *

Email - General Managerl *

Email *

Already an SII customer (mark)?

If so: Customer number *

Does your organization holds a valid certificate from another CB for the requested standard?

If yes: certifier body name

Copy of the certificate *

Attach No file chosen

Certificate valid from

Copy of last audit report *

Attach No file chosen

Certificate valid until

Last audit date

Please Mark:

No of employees *

Number of employees in each field, if applicable

Total number of employees in the organization *

Service

Procurement

Securing

Development

Cleaning

Production

Other

Shifts details if any(No of employees, type of works):

Please mark the requested standard:

Other

Additional information Relevant for ISMS according to ISO 27001

Total Number of employees in the Organization *

Number of IT/IS employees (Including outsourced personnel for all shifts under the scope of certification) *

Information about you organization systems

Describe your organization

(Services, business processes, the sensitive information in use) *

Appendix for quotation for ISO 45001 standard

לארגון *

Mobile Phone *

Is there a safety supervisor in the organization

כן
לא

Name of director of safety and health in employment in the organization *

Email *

שמו *

The scope of his job *

Initial assessment of key risk factors in the organization (for each of the areas, specify the departments / processes)

Work in heights *

Chemical hazards *

Noise *

Other

Mechanical hazards *

שריפה *

electrical power *

Self-assessment of the readiness of the organization's safety and health management system in employment:

Is there a safety management plan in place? *

לא
כן

If so, please specify: *

Is a risk survey conducted / conducted? *

לא
כן

If so, please specify: *

Is there safety equipment? *

לא
כן

If so, please specify: *

Are internal audits conducted and documented? *

לא
כן

אם כן, פרט/י: *

Does the organization use hazardous materials? *

לא
כן

אם כן, פרט/י: *

Does the organization have a business license? What's the attacker? *

לא
כן

If so, please specify: *

האם לארגון יש היתר רעלים? *

לא
כן

אם כן, פרט/י: *

נספח להצעת מחיר לתקן ISO 14001

After environmental quality management system: *

טל' נייד: *

Email: *

Preliminary assessment of organizational factors affecting the environment

In each field, mark the impact attribute if any

Air

ארובות
פליטות לא מוקדיות
אבק

ground

אזורים חשודים בזיהום
מיכלים טמונים בקרקע

Water - high flow

ערוץ זרימה העובר האתר הארגון
ניקוזי גשם

Water - Wastewater

מתקן קדם טיפול
שפכים תעשייתים

Water - Groundwater

באר פעילה בשטח הארגון
קידוחי בדיקת קרקע

Self-assessment of the readiness of the organization's environmental management system

Is there an environmental monitoring system?

לא
כן

If so, please specify: *

Has an environmental aspect survey been conducted?

לא
כן

If so, please specify: *

Are environmental emissions events recorded?

לא
כן

If so, please specify: *

Is there an emergency plan in the event of an environmental pollution event?

לא
כן

If so, please specify: *

Are internal environmental audits conducted and documented?

לא
כן

If so, please specify: *

Does the organization use hazardous materials?

לא
כן

If so, please specify: *

Does the organization have a business license?

לא
כן

If so, please specify: *

Does the organization have a poison permit?

לא
כן

If so, please specify: *

Is the organization close to a nature reserve? \ N (Water Resources, Historic Value Areas)

לא
כן

If so, please specify: *

information Relevant for ISO 50001

General Energy Consumption [in Tera-Joules] *

Number directly engaged in the energy system and the energy management system *

[For example: technical agents, operators, procurement and administration, decision makers and policy makers in the energy field].

Is there an Energy supervisor ? *

Yes
No

Name *

Email *

Mobile Number *

Energy sources

Please specify energy sources

Electricity
Diesel
Gas
Fuel
steam
Solar energy

Main energy uses

מס' סידורי *

SEU's added (Tuesday)

SEU's *

Remarks

Serial No *

SEU's added (Wednesday)

SEU's *

Remarks

Serial No *

SEU's added (Thursday)

SEU's *

Remarks

Serial No *

SEU's *

Remarks

The Scope of the organization: processes and technologies, product, service, as will appear on the certificate

in English: *

In Hebrew (If relevant)

Additional sites for the organization:

name of the site:

Another site (second)

Type of Activity:

Address:

Number of employees:

name of the site:

Another site (Tuesday)

Type of Activity:

Address:

Number of employees:

name of the site:

Another site (Wednesday)

Type of Activity:

Address:

Number of employees:

name of the site:

Another site (Thursday)

Type of Activity:

Address:

Number of employees:

שם האתר:

Another site (Fri)

Type of Activity:

Address:

Number of employees:

name of the site:

Type of Activity:

Address:

Number of employees:

Additional Certification (indicate type)

If an organization is approved, please indicate to what standard: *

Additional Confirmation (Second)

Approving body name: (including USDA, FDA, GMP) *

Approval Date: *

If an organization is approved, please indicate to what standard: *

Additional confirmation (Third)

Approving body name: (including USDA, FDA, GMP) *

Approval Date: *

If an organization is approved, please indicate to what standard: *

Approving body name: (including USDA, FDA, GMP) *

Approval Date: *

Parent Company

Does your organization operate under a parent company? *

Yes
No

Parent company name: *

Does the mother company certified by SII ? *

Yes
No

Are the companies share the same employees? *

Yes
No

Standards Institution of Israel Number (If any):

The quality management system is the same ? *

Yes
No

The scope of activity is the same? *

Yes
No

Access restrictions

Please specify whether there are restrictions on the entry of the team (Security clearance) :

Restrictions on equipment entry:

Smartphone
Laptop

Expected Schedule

Is there an expected schedule for the approval process?

Yes
No

Consultant details

Are you assited by consultant comapy ? *

Yes
No

Consulting company *

Email

Consultant name *

Phone Number *

Form filled By

Signee's name: *

signature *

role *

date *

for office use:

The request was verified by:

Date *

SII Number *