وزارة التجارة والصناعة Ministry of Trade and Industry المجلس الوطنــــي للعتمــاد Egyptian Accreditation Council إيجـاك EGAC
CAB Ref. no.
Application for EGAC Accreditation (Certification Body)
Part 1 : Information about Organization
1.1 Customer Details (please type or use BLOCK CAPITALS) Organization:…………………………………………………………………………………………….… Address:………………………………………………………………………………………………...…... ……………………………………………………………………………………………………………… …………………………………….……………………….…………………..…………………………… Tel:……………………………………………………..Fax:…………………………………...... …… E-mail:……………………………………………………………………………………...... ……….
1.2 Contact Person (name of contact - plus address details if different from above) Name:……………………………………………………………………………………………………… Title : ……………………………………………………………………………………………………… Position :…………………………………………………………………………………………………… Address (if different from above) : ………………………………………………………………………… …………………………………….……………………….………………….. …………………………………………………………….……………………….………………….. ………………………………… Tel:……………………………………………...………..Fax: ………………………………...... ……… E-mail:………………………………………………………………………………………………..…….
1.3 Name and address of parent organization (if different from main contact address) Organization.…..…………………………………………………………………………………………… Address.…………………………………………………………………………………………………….. ……………………………………………………………………………………………………………… Post code …………………………………………………………..…………………………….………… Tel:………………………………………………...... ……..Fax:……………………………...... ………… E-mail:………………………………………………………………………………………………………
1.4 Address where invoice to be sent ( if different from the address of the organization on page 1) .:Address
كورنيش العادى – برج رياض العادى 1- القاهرة – مصر Kornish El-Maadi, Riad El-Maadi Tower 1, Cairo, Egypt Tel.: (202) 25275220/5/6/7 F03WI04G تليفون : Fax: (202) 25275224 7.1 / Mar 2018 (202) 7/6/5/25275220 Page 1 of 6 فاكس : 25275224 (202) الصفحة الرسمية لخريطة الستثمار الصناعي في مصر: Industrial Investment Map: http://invegypt.com وزارة التجارة والصناعة Ministry of Trade and Industry المجلس الوطنــــي للعتمــاد Egyptian Accreditation Council إيجـاك EGAC
………………………………………………………………………………… ...…...……………… ………………………………………………………………………………… ..……………………………………………… ……………………………………………………………………...Postcode…..………………… Tel:………………………………………………………………….Fax:…………………………. E-mail:………………………………………………………………………………………………
1.5 Information about ownership (Legal status of your organization): please tick the right box Owned by an individual Part of an academic institution Owned by a private company/ partnership Part of learned/technical institution Owned by a public body /nationalized industry Owned by public limited company Other (Please describe) ……………………………………………………………………………..…
1.6 Does the applicant CB operate from other locations than the HO location Yes No Locations of the applicant organization :Street :Code City :Street :Code City :Street :Code City :Street :Code City Please attach the organizational structure that shows these locations. 1.7 Description of the main activities of the organization seeking accreditation. ……………………………………………………………………………………………………………… .…..……… ……………………………………………………………………………………………………………… .…..……… ……………………………………………………………………………………………………………… .…..……… ……………………………………………………………………………………………………………… .…..………………..……… ……………………………………………………………………………………………………………… .…..……… ………………………………………………………………………………………………………………
كورنيش العادى – برج رياض العادى 1- القاهرة – مصر Kornish El-Maadi, Riad El-Maadi Tower 1, Cairo, Egypt Tel.: (202) 25275220/5/6/7 F03WI04G تليفون : Fax: (202) 25275224 7.1 / Mar 2018 (202) 7/6/5/25275220 Page 2 of 6 فاكس : 25275224 (202) الصفحة الرسمية لخريطة الستثمار الصناعي في مصر: Industrial Investment Map: http://invegypt.com وزارة التجارة والصناعة Ministry of Trade and Industry المجلس الوطنــــي للعتمــاد Egyptian Accreditation Council إيجـاك EGAC
.…………………..……… Total no. of employees………………………………………………………………………………….…... Number of employees involved in area(s) seeking accreditation…………………………………………… Attach an organization chart indicating the structure of the areas to be accredited and their relation to the rest of the organization.
1.8 indicate exactly how the name of the organization appear on the accreditation certificate. In English…………………………………………………………………………………………………… In Arabic : ……………………………………………………………………………………………..……
1.9 Internal Audit and Management Review. Last internal audit report ………………..…………………………………………………………..……… Whether all requirements of ISO/IEC 17065, ISO/IEC 17021 covering all activities of Organization have been audited at least once in last one year …………………………………………………..……………... Last management review report …………………………………………………………………..……......
Part 2 – Information on Senior Staff Please list the names, technical qualifications and relevant experience of the following staff: 2.1 Name and position (Director level) of person authorizing this application Name: ……..……………………………………………………………………………………….………. Position:……………………………………………Title:…………………………………………..……… 2.2 Technical Manager : Name:…….……………………………………………………………………………………..………… Technical Qualifications:…………………………………………………………………………….……... Relevant Experience: ………………………………………………………………………………….…… Position within the organization:…………………………………………………………………………… No. of Staff in area:………………………………………………………………………………………… 2.3 Quality Manager Name:…….……………………………………………………………………………………..………… Qualifications:……………………………………………………………………………………..……… Relevant Experience: ………………………………………………………………………………….…… Position within the organization ………..……………………………………………………………..…… No. of Staff in area:…………………………………………………………………………………………
Part 3 - Scope of accreditation & Geographical scope: 3.1 The relevant international standard that the CB is to be accredited against. This application is for accreditation against the standard indicated (ticked) below: Note:
كورنيش العادى – برج رياض العادى 1- القاهرة – مصر Kornish El-Maadi, Riad El-Maadi Tower 1, Cairo, Egypt Tel.: (202) 25275220/5/6/7 F03WI04G تليفون : Fax: (202) 25275224 7.1 / Mar 2018 (202) 7/6/5/25275220 Page 3 of 6 فاكس : 25275224 (202) الصفحة الرسمية لخريطة الستثمار الصناعي في مصر: Industrial Investment Map: http://invegypt.com وزارة التجارة والصناعة Ministry of Trade and Industry المجلس الوطنــــي للعتمــاد Egyptian Accreditation Council إيجـاك EGAC
Kindly state the scope of accreditation for QMS, EMS, OHSAS according to EA Codes; ex: 1, 3, 5, etc. Regarding Food safety management system; state the scope according to ISO/TS 22003 codes; ex: A, B, F, etc. For the 'Geographical Areas' column please state your intended working geographical areas (countries).
ISO/IEC 17065 ISO/IEC 17021 Other (Please state) ………………………………………………………………………………
Identify the management system certification scheme(s) for which accreditation is sought: Scope Geographical Areas Standard (according to IAF Codes & ISO/TS 22003) (countries) Quality Management Systems (QMS) ISO 9001 Environmental Management Systems (EMS). ISO 14001 Occupational Health & Safety Management Systems OHSAS 18001 Food Safety Management Systems (FSMS). ISO 22000 Other state… Scope Main Product Categories Geographical Areas Standard Technical Technical Covered by the (countries) Areas Areas Technical Areas Medical Device Quality Management Systems (ISO 13485)
Scope Geographical Areas Standard According to technical area (countries) energy management systems certification to ISO 50001:2011
Geographical Areas Standard Scope (countries) Information Security Management Systems ((ISMS
كورنيش العادى – برج رياض العادى 1- القاهرة – مصر Kornish El-Maadi, Riad El-Maadi Tower 1, Cairo, Egypt Tel.: (202) 25275220/5/6/7 F03WI04G تليفون : Fax: (202) 25275224 7.1 / Mar 2018 (202) 7/6/5/25275220 Page 4 of 6 فاكس : 25275224 (202) الصفحة الرسمية لخريطة الستثمار الصناعي في مصر: Industrial Investment Map: http://invegypt.com وزارة التجارة والصناعة Ministry of Trade and Industry المجلس الوطنــــي للعتمــاد Egyptian Accreditation Council إيجـاك EGAC
ISO/IEC 27001:2013 Other state…
3.2 For Extensions to scope only: (Please tick option): - I wish this application to be processed now (which may require an extra visit by EGAC) - I wish this application to be processed with my next surveillance / reassessment visit. I understand and accept that an assessment fee will normally be charged for an extension of scope as per EGAC regulation R03G. Part 4 – local regulation:
Please mention the current regulation / law that related to your organization activities according to the following table: Item(s) related to the applied Name of the regulation / law Issue date scope of accreditation
* Please submit a copy of that regulation / decree / law.
Part 5 – Other approvals (including EGAC accreditation) Please detail current approvals held by your Organization
Name & address of Scope of Period of accreditation/certification Accreditation / certification accreditation / certification body Start date Expiry date
Part 6- Declaration
I declare that I am authorized, on behalf of the organization, to submit this application, and that the information contained herein is both correct and accurate to the best of my knowledge and belief. 6.1 In accordance with ISO/IEC 17065 and/or ISO/IEC 17021for the organization named above,
كورنيش العادى – برج رياض العادى 1- القاهرة – مصر Kornish El-Maadi, Riad El-Maadi Tower 1, Cairo, Egypt Tel.: (202) 25275220/5/6/7 F03WI04G تليفون : Fax: (202) 25275224 7.1 / Mar 2018 (202) 7/6/5/25275220 Page 5 of 6 فاكس : 25275224 (202) الصفحة الرسمية لخريطة الستثمار الصناعي في مصر: Industrial Investment Map: http://invegypt.com وزارة التجارة والصناعة Ministry of Trade and Industry المجلس الوطنــــي للعتمــاد Egyptian Accreditation Council إيجـاك EGAC
We apply for : - The initial accreditation. - The extension of accreditation. - The reaccreditation 6.2 Upon accreditation the organization agrees to comply with EGAC requirements. 6.3 Enclosed is a copy of the quality manual including the organogram, relevant policies & procedures and the application fees. 6.4 Enclosed is a list of all certificates issued by my organization within scope of accreditation. 6.5 Enclosed is information of the number of: auditors for each scope, number transfers accepted, the number of overdue audits, and the number auditor-days delivered, 6.6 Enclosed is Detailed CV of applicant personnel seeking recognition as Nominated Representative. 6.7 We understand the manner by which the accreditation system operates and functions. 6.8 We agree to cooperate with the visiting assessment team appointed by EGAC for examination of all relevant documents and their visits to those parts of our certification body, which are part of the scope of the accreditation. 6.9 We agree to comply with the accreditation procedures, pay all the costs for pre-assessment (if any), full assessment, witness visits, surveillance and reaccreditation irrespective of the result of the assessment.
Signed:…………………………………………………. Print name: …………………………………………… Position :………………………………………………. Date :……………………………………………………
كورنيش العادى – برج رياض العادى 1- القاهرة – مصر Kornish El-Maadi, Riad El-Maadi Tower 1, Cairo, Egypt Tel.: (202) 25275220/5/6/7 F03WI04G تليفون : Fax: (202) 25275224 7.1 / Mar 2018 (202) 7/6/5/25275220 Page 6 of 6 فاكس : 25275224 (202) الصفحة الرسمية لخريطة الستثمار الصناعي في مصر: Industrial Investment Map: http://invegypt.com