Are you currently certified?

  X No Yes (specify audit criteria) Registrar:

Scope of certification:
     

Is Design applicable? (quality related standards No Yes

only)
Are some processes outsourced? No Yes, please specify

Audit Frequency 12-month Other, 9- or 6-month Target Audit Dates:      

SECTION 3: GENERAL FEATURES OF THE ORGANIZATION

Identify the key legal/regulatory requirements relevant to the scope of the certification (i.e. national Environmental or Health & Safety, regulations), and list permits
granted from regulatory agencies.
Please identify any open issues related to serious incidents and/or breaches of regulatory requiements that pertain to the scope of certification:

Are site specific clearances required (e.g., security clearance)? No Yes

If Yes: please provide specific details:
Section 3B: OHSAS 18001 Audit Criteria (Significant Hazard/Risk Areas) Section 3C: ISO 14001 Audit Criteria (Significant Environmental Aspects)
Electrical: Emissions to Air, including Noise:

Traffic Movement Release to land and water (storm sewers, surface water, sanitary sewer, ground water):

Hazardous Substances: Waste management (hazardous, non-hazardous, special: batteries, bulbs):

Machinery Safety: Use of raw materials and natural resources (distribution, transportation, energy/water
use):

Access Hazards (confined spaces; working at height): Other local environmental issues (including end of life of product):

Other, specify: Physical attributes of property (describe major buildings, structures & equipment that
may have significant interaction with the environment):

Provide Accident and Illness Rates (last year's annual rate and current YTD): Other, specify:

Submit list of signficant hazards (risk assessments): Submit list of significant environmental aspects: