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 *

Website

Zip code

Email *

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

Does your organization employ subcontractors?

Yes
No

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

The requested quote is for the ISMS version *

ISO 27001:2013 (Until 30/4/2024)
ISO27001:2022

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

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

Email *

Mobile Phone *

Is there a safety supervisor in the organization

Yes
No

Name *

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 *

Fire *

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?

No
Yes

If so, please specify: *

Is a risk survey conducted / conducted?

No
Yes

If so, please specify: *

Is there safety equipment?

No
Yes

If so, please specify: *

Are internal audits conducted and documented?

No
Yes

If so, please specify: *

Does the organization use hazardous materials?

No
Yes

If so, please specify: *

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

No
Yes

If so, please specify: *

Does the organization have a toxin permit ? *

No
Yes

If so, please specify: *

Additional information Relevant for ISO 14001

After environmental quality management system: *

Mobile Number: *

Email: *

Preliminary assessment of organizational factors affecting the environment

In each field, mark the impact attribute if any

Air

Chimney / Stack / Vent
fugitive emission
Dust

Ground

area suspected of being contaminated / polluted.
underground tanks

Water - Surface current / Surface runoff

Creek, dry riverbed passing through the organization.
Rain drainage system

Water - Wastewater

Pre-treatment facility
Industrial sewage

Water - Groundwater

Well
Soil testing drilling

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

Is there an environmental monitoring system?

No
Yes

If so, please specify: *

Has an environmental aspect survey been conducted?

No
Yes

If so, please specify: *

Are environmental emissions events recorded?

No
Yes

If so, please specify: *

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

No
Yes

If so, please specify: *

Are internal environmental audits conducted and documented?

No
Yes

If so, please specify: *

Does the organization use hazardous materials?

No
Yes

If so, please specify: *

Does the organization have a business license?

No
Yes

If so, please specify: *

Does the organization have a poison permit?

No
Yes

If so, please specify: *

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

No
Yes

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

Additional information Relevant for FSMS according to ISO 22000

Is the organization a part of a different entity? *

No
Yes

If yes, Please provide detailes *

Does any legal requirements apply to your product(s) ? *

No
Yes

If yes, Please provide detailes *

Does the organization operates seasonaly or have seasonal products? *

No
Yes

If yes, Please provide detailes *

Please provide general information about your organization (English): *

Information concerning process lines and HACCP studies :

Detail the main process line – in the technological level

First process line *

Another process line (second) *

second process line *

Another process line (Third)

Third process line *

Another process line (fourth)

Fourth process line *

Another process line (fifth)

Fifth process line *

Please detale the noumber of haccap staudies that releted to the requested cedrtification scope *

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 (Third)

Type of Activity:

Address:

Number of employees:

name of the site:

Another site (fourth)

Type of Activity:

Address:

Number of employees:

name of the site:

Another site (fifth)

Type of Activity:

Address:

Number of employees:

שם האתר:

Another site (sixth)

Type of Activity:

Address:

Number of employees:

name of the site:

Type of Activity:

Address:

Number of employees:

Additional Certification (indicate type)

Does the organization certified for another standard *

Yes
No

Please indicate to what standard: *

Additional Certification (Second)

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

Approval Date: *

Please indicate to what standard: *

Additional Certification (Third)

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

Approval Date: *

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 using consulting services ? *

Yes
No

Consulting company *

Email

Consultant name *

Phone Number *

Form filled By

Signee's name: *

signature *

role *

date *