Professional Documents
Culture Documents
Doc No BQSR/CERT/F01
Issue No 002 Rev. 00
AApplication Form Rev Dt. 001.10.2020
Detail an
Legisla
standard
ny Applicable
ation and/or
ds you work to
No. of wworking shift/
No. of Empployee
Detaills
of
Employyee
Permanent
Employee
t
Work
from
Home
/S
Contracted
Subcontracted
Employee
d
Part
Time
Employee
At
temporary
site
Doing
repetitive
work
Total
Workiing shift -1
13 27 40
Workiing shift -2
None None None
Total
13 27 40
Do you ru
please g
breakdow
work carri
un shifts? If so
give employee
wn and types of
ied out for each
shift
f
h
If yo
tem
(Non
please
num
ou operate on
mporary sites
-permanent),
e detail typical
mber of sites
EA Codde if Known Doc
L
cumentation
Language
When do y
ready
asse
you expect to b
for stage-1
essment?
be When
to b
As
do you expect
be ready for
Stage-2
ssessment?
t
Have y
external
have y
exper
Managem
you used an
consultant or
you got any
rience with
ment Systems?
(If a coonsultant has beeen used please pprovide the Detaiils.)
How did y
B
you hear about
BQSR?
t Network
Produc
Execut
ction /
ion
02
QC(Tecchnical) 01
Design
Maintennance02
Stores 01
Total 13
where approppriate)
Please providde accident stattistics for last twwo years and cuurrent year to d
ate.
Type Current yyear: Previouss year: 2yearss ago:
Major aaccidents/legal aaction 0 NA NA
Over seven daays absences beecause of an inccident 0 NA NA
Danngerous occurreences 0 NA NA
Accidentss/Incidents � miinor not requirinng hospital treaatment 0 NA NA
No of p rocess lines?
Any prior audits? .Yes .No
If yes thhen Spec
Any muultisite - no
Any seaasonality issuess - no
Number of se rvers
Number of woorkstations
Number of ap plication
development and maintenancce
staff
Date of Appplication :
10 Septt, 2022
Signaturee of
Representative: