TÜV Rheinland - General

Number of buildings at main site:

Number of Sites:

Company Website (URL):

2. Main Contact Person:

First Name:*

Last Name:*

Email Address:*

Business Phone:

3. Type of Certification (Combinations of certificates)

If Other, please list them here:

Please describe the nature of the product or services provided:

Please provide a brief description of the scope, identifying the business functions / processes that are in (& out) of scope, and any dependencies

Industry Description:

Please select your type of certification:

Gap Analysis

Initial Certification

Change to Certification (e.g. additional sites or change in scope)

Transfer of Certification

Standard:

Previous Certification Body:

Expiration Date (mm-dd-yyyy):

Processes are mostly:

Is your organization responsible for product or service design and development?

What are the outsourced processes / functions within the scope of your management system?

4. Employee Information

Total Number of Employees:

Primary Audit Language(s):

5. Multisite Certification Information

(Complete only if there is more than one location to be certified.)

Would you like to have multiple locations certified?

In case you would like to have multiple locations certified, can you confirm the following points?

This site/all sites have a legal or contractual link with the central function.

The organization has a single management system.

The organization has identified a central function.

The central function is part of the organization and is not subcontracted to an external organization.

The central function has organizational authority.

(to define, establish & maintain the single management system)

The organization’s single management system is subject to a centralized management review.

The sites are subject to the organization’s internal audit program.

The central function is responsible for:

Ensuring that data is collected and analyzed from all sites and can demonstrate its authority and ability to initiate organizational change as required in regard, but not limited, to:

i. system documentation and system changes

ii. management review

iv. evaluation of corrective actions

v. internal audit planning and evaluation of the results

vi. statutory and regulatory requirements pertaining to the applicable standard(s)

Is the Central Function Virtual or located at a particular site (Identify site):

Main Site Logistics and Information

Main site info if company name and address is different than above.

Local Name:

Physical Address:

Headcount:

Site Scope:

(to be printed on the certificate)

Local Name Site 1:

Physical Address Site 1:

Headcount Site 1:

Site Scope Site 1:

(to be printed on the certificate)

Local Name Site 2:

Physical Address Site 2:

Headcount Site 2:

Site Scope Site 2:

Local Name Site 3:

Physical Address Site 3:

Headcount Site 3:

Site Scope Site 3:

Local Name Site 4:

Physical Address Site 4:

Headcount Site 4:

Site Scope Site 4:

Local Name Site 5:

Physical Address Site 5:

Headcount Site 5:

Site Scope Site 5:

Expected timeline for initial activities:

Next 1-3 months

Next 3-6 months

More than 6 months

Has your company received any management system consultation services and training?

If yes, by whom?

Certification Information

1. Company information (Head Office)

2. Main Contact Person:

3. Type of Certification (Combinations of certificates)

4. Employee Information

5. Multisite Certification Information

Main Site Logistics and Information

Site 1

Site 2

Site 3

Site 4

Site 5

6. Final Thoughts