上海英格尔管理体系认证申请表再认证征询表

ICASICAS2368801202335Tel:+862151114700Fax:+862154253713FP1488BFP1488B1of2上海英格尔治理体系 □认证申请表 □再认证征询表ShanghaiIngeerManagementSystem □CertificationApplicationForm□Re-certificationconsultingthetable1. 申请方根本信息Basicinformationofapplicant申请组织名称〔中英文〕Nameofapplying

中文：Chineseorganization 英文：(Chinese and EnglishEnglish)注册地址〔中英文〕The registered

中文：Chineseaddress of 英文：applying Englishorganization申请组织现场审核地址中文：〔中英文〕 ChineseThe reviewaddressonsiteof 英文：applying Englishorganization申请组织通讯地址addressaddressapplyingorganizationof总经理ManagerTel.手机Cellphone联系人ContactpersonTel.手机Cellphone

：Postcode联系人职位The position ofcontactperson法人代表LegalRepresentative认证标准Certificationstandards

中文：

Fax企业全部制形式Theownershipform Corporation认可标志Accreditationlogo

UKASCNAS 其它(other)

电子信箱Mail网址WebsiteAuditLanguageRequirements认证范围 ChineseCertificationScope 英文：English多场所与多场所人多场所与多场所人总部距离生产部门员人数Multi-sitProductiThee andonnumberdistancdepartmofe fromentmulti-sittheestaffheadquarters的员工人数 其中：治理人员Thenumber ofemployeesrelatedtothescopeofcertificationofapplication是否含设计 是NoIs the design YesNo

及设计人员Of which:managersanddesigners是否为多场所The

是请填写《多场所征询单》含建筑、监理、物业等有临时场所的企Yes Please fill out the “multi-site consultationwith asingle,“, including other businesses with interimcontained？

否 multi-site?

premisesofconstruction,supervision,realestate否No是否倒班/流水线Switch/Pipeline?是否有外包Outsourcing?主要产品Majorproducts主要产品工艺流程The techniquesprocess of mainproducts法律法规要求

〔每条流水线〕的作息时间、人数和主要作业流程，如空间不够请另付。YesPleaseindicatetheresttimeofeachclass(eachline),thenumberandmajoroperatingprocedures.Ifthespaceisinsufficient,pleasepluss.否No是其他(请具体说明状况)Yes, Paste brand, The entire process of product realization, Single-processprocedures,Other(Pleasespecifythesituation)否No主要原材料Main rawmaterialsMaincustomerbase是否涉及许可经营 是许可证类型：Main standardstoproducts治理体系文件是否完全体系是否运行了至少三电子化治理Was个月并完成一个周期是Managem是DidsystemrunatYesentYesleastthreemonths否system否and complete cycle?NofullyelectronicdocumentmanagementNo

theyrelatedtolicense?

Yes LicenseType否No申请人〔签字或盖章： 日期：Applicant(signatureorseal): Date:

询问师Did system hireconsulting firmsor consultingconsultantintheestablishingprocess期望认证时间：Look forward the time certification

YesPleasespecify否Yes厂房为自建厂房还是租用厂房/请说明自建厂房所或租用厂房的建设时间 Workshopfortheself-builtplantorrentedplant/Pleaseindicateplantorthetimeoftheconstructionoftheleasedplant企业是否发生过环境事故Didtheenterpriseoccur 假设有，请具体说明：an accident for Ifso,pleaseprovidedetails:environment申请方主要产品、名称、用途、年产量〔此栏不够可加附页：

工业园区、农村等〕Theareaofplantorleasedland(suchas:industrialpark,rural,etc.)Mainproducts,names,uses,annualproductionofapplicant(thiscolumnisnotenough,pleaseattachs):主要产品及名称Mainproducts,names

年产量 备注Annualproduction Notes产品生产或效劳供给的过程中可能产生的主要污染物〔此栏不够，请另加附页：相关环境污染排放物总量排放方式〔位置、去向〕RelevantenvironmentPollutionEmissionsTotalDischargemethod(location,destination)thetotal空气Air水Water固体Solid噪音Noise其它OtherInthecourseofproductorserviceprovider,the相关环境污染排放物总量排放方式〔位置、去向〕RelevantenvironmentPollutionEmissionsTotalDischargemethod(location,destination)thetotal空气Air水Water固体Solid噪音Noise其它Other.如有外地分支机构及多个现场〔包括临时现场，如施工工程，请填写如下内容：(如此栏不够可另外附页)Ifforeignbranchesandanumberofon-siteexit(includingtemporaryon-site,suchasconstruction名称Name地址Address联系人Contactperson员工人数NumbersofemployeesTelFax主要业务活动描述Descriptionofmainbusinessactivitiesprojects),please名称Name地址Address联系人Contactperson员工人数NumbersofemployeesTelFax主要业务活动描述Descriptionofmainbusinessactivities如有不能完全包涵在环境治理体系范围内的有穿插的效劳或活动，请声明：Ifpartsofcrosscuttingservicesoractivitiesareincludedwithinthescopeofenvironmentalmanagementsystems,pleasestate.请随申请表供给以下资料：Pleaseprovidethefollowinginformationwiththeapplicationform企业法人营业执照复印件；Thecopyofenterpriselegalpersonbusinesslicense主要环境因素清单；Thelistofmajorenvironmentalfactors行业上有强制性要求的资质证书和生产许可证复印件；InIndustry,therearemandatoryrequirementsforthequalificationcertificateandproductionlicensecopy Ifapplicable,the“environmentalimpactreport“or“EnvironmentalImpactReportForm“or“EnvironmentalImpactRegistrationForm“;企业在环境治理体系运行中所遵守和执行的法律、法规文件清单；Enterprisesoperatelaws,regulations,listofdocumentsofthecompliance