Name of Company or Organization
Division or Trading Name for Certificate
Main Address (ie Head Office)
Pin Code
If company is part of a group, please specify group
Company Web Site Address
Management Representative (Contact)
Position
E-mail address
Tel No:
Fax No:
MD/Chief Executive (or equivalent)
Section 2: Background Information
Has previous contact been made with GCAS Personnel i.e. via
telephone etc.?
Yes
No
If YES, please state the name of the person and if applicable
the date of meeting/visit etc.
Where did you hear about GCAS?
Do you currently use any other GCAS Services?
Section 3: Certification (s) Required
Please indicate, by entering
YES ,
the certification you wish to achieve.
Quality Management Systems (QMS)
ISO 9001: 2000
Environmental Management (Please complete Environmental
Addendum)
ISO 14001: 2004
Health/Safety (Please complete Health & Safety
Addendum)
OHSAS 18001:1999
Integrated (Please indicate above which standards
you wish to combine and answer the following question)
Please indicate if your management systems are fully/partially
integrated – delete as appropriate?
Fully
Partially
Section 4: Existing Registrations/Extension
to scopes (See guidance note 2)
Does your company already have third party certification (GCAS
or other)?
Yes
No
If YES, please indicate the following
Name of the certification body
Scope of Certification
Date of last visit
If you are an GCAS Client applying for an Extension to Scope,
please indicate Certificate Number(s) affected
Section 5: Number of Employees
Total number of employees in the organization
Total number of employees in the activities to be certified
Do the company operate a shift system or any conduct any activities
outside
Yes
No
If YES, please indicate
Please list the main processes or activities on site
Section 6: Locations/Multi site Registrations
If you wish to include other sites in
the same registration, please indicate below:
Location 2
Number of Employees
Address
Post Code
Location 3
Number of Employees
Address
Post Code
Section 7: Scope/Processes
Please define the scope of registration (Please complete this
question in detail and attach/send supporting information (if
relevant) describing the Company's scope of operation, e.g Company
Brochures or publicity Material)
Please list the main processes or activities on site
Section 8: Additional Information
Please indicate below the status of your Management System.
Paper
Electronic
Mixed
Please indicate if you have a timescale(s) for
the following
Implementation date of the system?
Pre-assessment (if applicable)
Certification Assessment
Have you completed a management review?
Yes
No
Have you commenced internal auditing?
Yes
No
What is the approx. number of pages in the System excluding
forms?
How many forms are in current use?
Environmental Management Addendum
Standard: ISO 14001:2004
Has an Initial Review been performed?
Yes
No
If yes, please indicate below how the expertise
was provided by marking with an X.
a) In- House
b) Consultancy
c) Other please describe
Describe your site as appropriate
Individual
Urban
Commercial
Residential
Has an environmental policy been issued?
Yes
No
List significant aspects/effects and
applicable legislation in order of priority/importance below
Significant Aspects/Effects
Most applicable Legislation
List any Licences and authorisations applicable, ie
Process Authorisation, Discharge, Consents etc
If the contact for this standard is different
to that given in section 1 please indicate below
Environmental Management Rep (Contact)
Position
E-mail address
Tel No:
Fax No: