SGS 90012015 Questionaria

SYSTEMS CERTIFICATION QUESTIONNAIRE
Please return to SGS India Pvt. Ltd.
Upon receipt of the completed questionnaire, SGS Certification & Business Enhancement (CBE) India will
arrange for a submission of proposal.
1. Company Profile (all fields to be filled):
Company Name : AL-SAMI AGRO PRODUCTS PVT LTD
Full Address : R.S NO 109, RAMANNAPALAM ( VILLAGE) ,SHANKAVARAM ( MANDAL),
KAKINADA DIST :- , ANDHRA PRADESH,INDIA.
Billing Address :
(If different from above)
Contact Person : MR.PRASAD BEHARA Position : DGM
Phone Number : Fax Number :
Mobile Number : 9652707863 Email Id : qc.agro.agp@gmail.com
Company Website : www.Alsami.in

Legal Status : □ Limited □√ Private Ltd. □ Public Evidence of Legal Entity:
(applicable)
Ltd.
□ Others: _____________________________
Details of Personnel whose work activities support the scope of certification may be provided below:
Non-Permanent/Part-Time
Permanent/Full-Time Personnel
Department Name TOTAL
Personnel (Contracted, Sub-Contracted, Temporary &
Seasonal)
Top Management : Md. Abdullah
Design / Research &
:
Development
Production :
Quality Control/
: Prasad behara .G
Assurance
Stores/Warehouse :
Purchase :
Maintenance :
Marketing :
Loading/Unloading :
Others (Plz. Specify) :
TOTAL :
No. of Shifts and its

Personnel Strength
: □√ General:____ □ One:____ □ Two:____ □ Three:____ Total:_____
(Note: Department Wise breakup and Shift Wise breakup must match)
How large is the site to be audited? (m2/ ft2) :
SGS India Private Ltd. Page 1 of 5 QU1/ Issue: 12/ Effective Date: 12.7.2018
Details of Repetitive Task/Activities:
Brief description of the process /
Activity/ Process Title No .of Employees involved
activity to justify it is repetitive
MANUFACTURE AND EXPORTS OF
Production of frozen boneless CHILLED /FROZEN , HALAL
250
buffalo meat and offals BONELSS BUFFALO MEAT &
OFFALS
Details of employees if any working off-site (Sales Personnel, Drivers, Service Engineers, etc):
1.
2.
2. Certification Requirements:
a. Pls.  the appropriate box(es)
Standard(s) Accreditation(s)
□√ ISO 9001:2015 □√ UKAS □ SAS □ NABCB □ Others (Pls. Specify:_________)

□ ISO 14001:2015 □ UKAS □ SAS □ Others (Pls. Specify:_________)
□ OHSAS 18001:2007 □ SAS □ Others (Pls. Specify:_________)
□ ISO 45001:2018 □ UKAS
□ Integrated Management □ UKAS □ SAS □ Others (Pls. Specify:_________)
Systems(IMS)* -
To be filled in case of Integrated Management System (Please  the appropriate box(es)): If you want an
Integrated Management System (IMS) audit to be conducted, please indicate the level to which an organization
uses one single management system to manage multiple aspects of organizational performance to meet the
requirements of more than one management system standard.
 Is there a single, Internal Audit

Program covering all elements of the
□Yes  Is there a single, IMS
Management Team responsible
□Yes
IMS? □No for its implementation and □No
maintenance and able to
respond to question about the
 Is there a single, Management Review
the entire IMS?
□Yes entire system?
□No
 Is there a single, commonly managed
document control system covering the
□Yes
entire IMS? □No
b. Is the Company currently registered with SGS / other certification body? If yes, please tick the
appropriate box(es). Please attach previous audit report and copy of certificate (other Certification
body).
Standard(s) Accreditation Certification Body
□√ ISO 9001 - UKAS

________ _ SGS PVT LTD ____________________________________
□ ISO 14001 - ___________ __________________________________________________
□ OHSAS 18001 - ___________

_________
________________________________________________________
_
□ Others - ___________ __________________________________________________
c. Scope of Certification:
Please give the Scope of Registration*. Also provide the details about the products, process & activities
involved against the defined scope.
Receiving of live animals, antemortem.halal slaughtering ,chilling, deboning, fresh packing , frozen
packing , cold store& dispatch of frozen meat and offals.
* IMPORTANT: The information provided will be used to define your scope of registration and will appear on
your certificate.
d. Types of Products, Processes / actual activities involved may be listed (or) Process flow to be attached
along with this document:
MANUFACTURE AND EXPORTS OF CHILLED/FROZEN ,HALAL BONELESS BUFFALO MEAT AND
OFFALS
e. Whether all shifts carry out same Process/ Product □√ Yes □ No

If No, Please list out shift wise activities:
Shift-G:
Shift-A/1:
Shift-B/2:
Shift-C/3:
f. Level of Process/Service Automation □ High □ Low

For ISO 9001:
(1) Pls. state the ISO requirements not applicable to achieve conformity of Products and Services:
____________________________________________________________________________________________
(2) Pls. List applicable legislations (Product/Service Related):
___________________________________________________________________________________
___________________________________________________________________________________
For ISO 14001:
(1) Environmental aspects have been identified: Yes □ No □

(2) Plz provide No.of significant environmental aspects/impacts:________________________________
For OHSAS 18001:
(1) Health and Safety Risks have been identified: Yes □ No □

(2) Plz provide No.of significant Health and Safety Risks and Hazards:___________________________
For ISO 45001:
(3) Health and Safety Risks have been identified: Yes □ No □

(4) Plz provide No.of significant Health and Safety Risks and Hazards:___________________________
g. Surveillance Frequency
(as required)
: □ 6 Monthly □ 9 Monthly □ √ Annual
h. In case of Multi-Site Certification, please fill ANNEXURE-1
3. General:
a. When do you anticipate being ready for the audit?
______AUGUST_________________________________________
b. In case of Seasonal operations, plz provide operation period (Month): From ____________ To___________
c. Do you use a management system consultancy? If yes, please provide the name, address, and phone
number of the consultant (person and company)__________________________________________________
d. Pls. give the details about the outsourced activities by organization, if any:___________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
e. Pls. list primary and other language spoken by organization:_______________________________________
f. How did you hear about SGS? Please be as specific as possible:___________________________________
Name of the Authorized Representative: PRASAD BEHARA .G
Position/Designation: DGM
Date :11-7-2022 Sign :
---------------------------------------------------------------- SGS Office Use

---------------------------------------------------------------------
Based on the above information, the Application/Questionnaire is □ √Accept □ Decline

If Decline, Reason: ……………………………………………………………………………………………………………..
Date of Communication: …………………………………….
ANNEXURE-1
(To be filled in case of Multi-site Management System)
Please describe the activities at the site(s) and the corresponding address (es). Pls. attach separate
sheet if necessary:
Site Type Address Size of Staff Strength Activities/Scope Complex Distance
(HO / Factory Site (Shifts with break up of Site* from
/ Temp. Site) (m2/ ft2) in each shift) nearest
(G+1st+2nd+3rd) Airport (in KM)
* Complex: As per statutory/regulatory body approval i.e. Red Category – High / Green Category – Medium /
Orange Category – Low or Limited.
NOTE:
If more than one location/ site, do you prefer □ Individual certificate for each location/ site
(All locations/sites under one certificate must be :
operated under a common management system) □ All locations/ sites covered by one certificate

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SYSTEMS CERTIFICATION QUESTIONNAIRE

Please return to SGS India Pvt. Ltd.

Contact Person : MR.PRASAD BEHARA Position : DGM

Phone Number : Fax Number :

Mobile Number : 9652707863 Email Id : qc.agro.agp@gmail.com

Company Website : www.Alsami.in

No. of Shifts and its

How large is the site to be audited? (m2/ ft2) :

□√ ISO 9001:2015 □√ UKAS □ SAS □ NABCB □ Others (Pls. Specify:_________)

 Is there a single, Internal Audit

Standard(s) Accreditation Certification Body

□√ ISO 9001 - UKAS

□ ISO 14001 - ___________ __________________________________________________

□ OHSAS 18001 - ___________

□ Others - ___________ __________________________________________________

e. Whether all shifts carry out same Process/ Product □√ Yes □ No

f. Level of Process/Service Automation □ High □ Low

(2) Pls. List applicable legislations (Product/Service Related):

(1) Environmental aspects have been identified: Yes □ No □

For OHSAS 18001:

(1) Health and Safety Risks have been identified: Yes □ No □

For ISO 45001:

(3) Health and Safety Risks have been identified: Yes □ No □

e. Pls. list primary and other language spoken by organization:_______________________________________

f. How did you hear about SGS? Please be as specific as possible:___________________________________

Name of the Authorized Representative: PRASAD BEHARA .G

Date :11-7-2022 Sign :

---------------------------------------------------------------- SGS Office Use

Based on the above information, the Application/Questionnaire is □ √Accept □ Decline

Date of Communication: …………………………………….

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□ ISO 14001 - _ ________________________________________

□ Others - _ ________________________________________