MANAGEMENT SYSTEM CERTIFICATION DEPARTMENT

QUESTIONNAIRE

This questionnaire is sent to applicants to allow us to understand your business and to provide you with the best possible
service.

CERTIFICATION SCHEME
Please indicate below the scheme(s) for which you are applying:
ISO 9001

ISO 14001

OHSAS 18001

MS1900

ISO/TS16949

ISO13485

MS 1722

If enquiry relates to more than one scheme, do you want a combined audit to be carried out?

Yes

No

PLEASE COMPLETE IN BLOCK LETTERS.

1.

DETAILS OF APPLICANT

Name of organization

Company registration no.

Postal Address

Web-site (if any)

Contact person (1)

Contact person (2)

Position

Position

Telephone

Telephone

Fax No.

Fax No.

E-mail

E-mail

Do you trade under any other trading names?

If Yes give further details

Yes

No

Is your organization part of some larger organization?

If Yes give the name of holding company

Yes

No

Legal status of applicant (e.g. registered company, statutory body, etc.)

Category of organization - only for Malaysian organizations

SMI

Multinational

Large

Joint Venture

SQAS/MSC/FOR/01-01
Issue 2 Rev. 1

Origin :
Government

Other

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MANAGEMENT SYSTEM CERTIFICATION DEPARTMENT

QUESTIONNAIRE

2.

INFORMATION ABOUT SITES SEEKING CERTIFICATION

Please specify all sites to be included in the certification. Please include the above site, if applicable.
a)

b)

Address

Activities

Site built-up area

Total land area

No. of employees

Detail of shifts system :

Address

Activities

Site built-up area

Total land area

No. of employees

Detail of shifts system :

If more sites are to be covered, please provide a separate list.

Total number of employees in sites to be certified

Note : Employees refers to all employees involved in the implementation of the system including part time and subcontracted employees.

Please enclose organization chart.

3.

ACTIVITIES AND PROCESSES ON SITE

a)

Please describe, within the space provided, the scope of your organizations activity for which certification is sought.
Clearly specify whether design is included.

b)

Please list range of products/ services to be covered by the certification with details of the processes involved.
Please enclose relevant process flowcharts.
For ISO/TS 16949 certification, identify the automotive customer(s) of the product including the IATF OEM supplier
codes, where applicable.

c)

Other products or services :

List any other products manufactured or services offered for which certification are not being sought

SQAS/MSC/FOR/01-01
Issue 2 Rev. 1

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MANAGEMENT SYSTEM CERTIFICATION DEPARTMENT

QUESTIONNAIRE

d)

List of major activities which have been sub-contracted (if applicable)

4.

OTHER INFORMATION

a)

Have you engaged the services of a consultant to develop your system?

If Yes, give the name of the consultant

Yes

No

b)

Please give details on any management system certification currently or previously held:

c)

Please specify national/international regulations which your product or services have to comply with:

d)

How long has the management system seeking for certification been implemented?

(e)

Have you obtained certification for any of your management system?

Yes

No

If yes, please name the certification body:

(f)

Target date for Stage 1 Audit :

(g)

Target date for Stage 2 Audit :

Note : Please ensure that at least one internal audit cycle and a management review have been conducted prior to the Stage 1 audit.

Thank you for your co-operation in completing the questionnaire. Please ensure that all information requested have been
provided to expedite the processing.
For EMS certification (ISO 14001), please provide additional information as required in Appendix I.
For OHSMS certification (OHSAS 18001 and MS 1722), please provide additional information as required in Appendix II

FOR OFFICE USE ONLY :

Approved to proceed with contract review and issuance of quotation :

Yes

No

If No, please provide justification for declining:

Approved by (Section Head) :

SQAS/MSC/FOR/01-01
Issue 2 Rev. 1

Date :

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MANAGEMENT SYSTEM CERTIFICATION DEPARTMENT

QUESTIONNAIRE

APPENDIX I FOR EMS ONLY

1.

ENVIRONMENTAL ISSUES OF THE ACTIVITIES AND PROCESSES ON SITE

a)

Please specify the types of emissions/ releases/ discharges from the activities, product or services at the site based on
its interaction with the environmental media.
Land

Water :
Air

b)

Please specify the type of treatment or mitigating facilities available at site e.g. wastewater treatment plant, scrubber,
dust collector, incinerator, oil trap, etc.

c)

Please specify types pollutants or class of pollutants discharged i.e. types of scheduled waste. Standard (a) or (b) for
water, or air (according to EQA or other related legislation/ regulation)

2.

ENVIRONMENTAL, LEGISLATIVE AND REGULATORY REQUIREMENTS

a)

Please list the legislative and regulatory requirements affecting your activities. (Federal/ state/ local authority
legislations/ regulations)

b)

Please indicate any licenses / approvals held. (Federal/ state/ local authority)

c)

Please describe briefly the content of any contravention license or waver from the relevant authority (if applicable)

d)

Please indicate any subscription to Industry Code of Practice/ International Charter or Multilateral Environmental
Agreements etc. undertaken by your organization or its headquarters.

SQAS/MSC/FOR/01-01
Issue 2 Rev. 1

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MANAGEMENT SYSTEM CERTIFICATION DEPARTMENT

QUESTIONNAIRE

APPENDIX II FOR OHSMS ONLY

1.

HAZARDS
Please tick the 5 main types of hazards associated with the company activities.
Fire/ explosion

Noise and vibrations

Slips, trips and falls

Climate and lighting

Machinery and equipment

Biological hazards

Electricity & radiation

Ergonomic hazards

Hazardous substances

Hygiene and welfare

Confined spaces

Stress
Falling / flying objects

Is your company categorized as major hazard installation and fall under the CIMAH (Control of Industrial Major Accident
Hazard) Regulations
Yes

2.

No

OCCUPATIONAL HEALTH AND SAFETY LEGISLATIVE AND REGULATORY REQUIREMENTS

Please list the Occupational Health and Safety legislative and regulatory requirements affecting your activities.

Occupational Safety and Health Act 1994 and its regulations

Factory and Machinery Act 1967 and its regulations
Fire Services Act 1988
Atomic Licensing Board Act 1986
Uniform Building By Law Act 1984
Poison Act
Electricity Supply Act 1990

SQAS/MSC/FOR/01-01
Issue 2 Rev. 1

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