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Environemtal/Safety Management Systems Quote Request
DEKRA Certification, Inc.
Filter Type:
Thank you for considering DEKRA Certification, Inc. as your Registrar. To best serve you and provide you with the most accurate quotation for certification services, please complete the questionnaire below. If you need assistance to complete this form, please do not hesitate to call at 800-768-5362.
 
Any information you provide to DEKRA will remain strictly confidential.
Type of Request
How did you find DEKRA?
 I'm seeking a new Enviro/or Safety Certification
 I'm currently certified for Enviro/or Safety
Please check the standard(s) you wish to be registered to
 ISO 14001:2004  OHSAS 18001
 ISO 9001:2008 AS 9100C TL 9000
 TS 16949 ESD 20.20 ISO/IEC 20000
 ISO/IEC 27001 AS 9003
Section I - Company Information
Legal Company Name
Main Location Address
P.O. Box (if applicable)
City, State, Zip Code, Country
Primary Contact Name, Position
Telephone Number & Extension
Email Address
 Yes
 No
DEKRA has our permission to send us promotional updates and marketing information via email. DEKRA agrees to maintain this email address for private use only and will not sell the address for outside marketing use.
Section II - Additional Company Information
Is your company part of a larger organization?
 Yes No
If yes, what is the name of that organization?


Please list the facilities you wish to include in your certification:
Note: If entering more than 1 site, please leave the information for the final site in the original data fields.  Do not press "Add Site" for the final site.
Site Name
City, State, Country
Number of Shift Employees (i.e. production)
Number of Non-Shift Employees
Site Name Location Shift NonShift
Section III - Quality System Information
Please give a brief description of your company's products or services:
Is/are the facility(s) to be certified involved in design?
 Yes  No
SIC Code
IAF Code
Please list any outsourced processes that will be included in the scope of the certification:
Please describe any relevant legal obligations in relation to your company's quality management sytem:
Have you used a consultant to assist you with the development and/or implementation of your management system? If yes, please provide name of the consulting company or individual:
Has your organization had previous experience with DEKRA or another division with DEKRA?
 Yes  No
If Yes, please explain:
Please check any standard(s) your company is CURRENTLY certifed to:
 ISO 14001:2004  OHSAS 18001
 ISO 9001:2008 AS 9100C TL 9000
 TS 16949 ESD 20.20 ISO/IEC 20000
 ISO/IEC 27001 AS 9003
Who is your current registrar, if any?
If you are currently registered, please give the date and type (i.e. surveillance, etc,) of your next audit event.
Section IV - Environmental/Safety Management System Information and Integration with a Quality Management System
Do you presently have a fully documented environmental or safety management system?
 Yes  No
If No, please explain:
If Yes, is it implemented?
Have the environmental aspects, impacts and the associated objectives and targets been fully identified and documented?
 Yes  No
If Yes, list those aspects identified as significant:
Has a site-wide hazards identification and risk assessment been performed?
 Yes  No
If you are applying for ISO 14001, please list all environmentally related permits in effact at the included site(s):
If you are applying for OHSAS 18001, please list all Occupational Health and Safety related permits in effact at the included site(s):
Please check any of the following special environmental and/or safety considerations or circumstances are found on or apply to the site(s) you want in the scope of your registration:
 Underground warterways or lakes/rivers Abandoned buildings/equipment Wildlife
 Hazardous material or waste storage Contact with radiation emitting source Hearing protection is required on a regular basis
 Waste/or water treatment facility Bulk storage History of environmental excursions
 Ongoing remediation/monitoring Recycling program or practice for the product life
Do you have an integrated Environmental or Safety Management System and Quality Management System?
 100% Integrated 75% Integrated 50% Integrated
 25% Integrated No Integration
If Yes, list the significant or major hazards and risks, if any:
Are your systems/procedures for training, corrective action, audits, management review and document control the same for the relevant new certification and your Quality Management System?
 Yes  No
Please explain
Have you completed a full cycle of Internal Audits?
 Yes  No
Have you completed a full cycle of Management Reviews?
 Yes  No
When will your documentation be ready for review?
What is your target date for certification?
Section V - The DEKRA Auditing Process
The DEKRA audit process consits of three phases:
 
Phase I Certification Audit: including audit program preparation and a readiness review highlighting key management system and energy performance information and documentation.  This may be performed on-site or off-site.
 
Phase II Certification Audit: on-site process audits
 
Phase III Surveillance Adits: annual maintenance audits
Section VI - Optional Pre-Assessment Audit
Check here if you would like, before the Phase I audit, a pre-assessment (i.e. gap) audit. Gap audit results do not count toward certification. Deficiencies are documented on fact sheets which are issued at the end of the audit.
 Yes, I would like a Pre-Assessment audit

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