NAC Forms
Accreditation Application Form
(FR-057)
(ISO/IEC 17024 Accreditation Application Form for a Personnel Certification Body)
Initial accreditation
Extension of accreditation scope
The change of accreditation scope
The re-accreditation
We hereby demand and accept that our application will be processed, evaluated and reviewed against the requirements of ISO/IEC 17024 as well as, “APAC Guidance on the horizontal requirements for the accreditation of confomity assessment bodies for notification purposes” and relevant APAC documentation (Regulations and/or directives)
Information of the certification body
Name-Identity
Address
State/City
Postal Code
Country
Telephone (incl.area code)
Fax
E-mail
Website
Tax office
Tax no
Information of head of the certification body
Name and Surname
Telephone
Mobile Telephone
E-mail
Information of contact person of the certification body
Name and Surname
Telephone
Mobile Telephone
E-mail
Legal status of the testing laboratory
Information of owner of the certification body
Name and Surname
Address
Legal representatives of the owners
1 - Site of certification body
Address
State / City
Code
2 - Site of certification body
Address
Code
State / City
3 - Site of certification body
Address
Code
State / City
4 - Site of certification body
Address
Code
State / City
Does the certification body have other places/branches in which it operates key activities (including abroad)?
Yes
No
If your answer is yes, please fill out the page which is given at Annex-C
Note
Key activities, in general, include: policy formulation, process and/or procedure development and, as appropriate, contract review, planning conformity assessments, review, approval and decision on the results of conformity assessments.
Total number of certification body emloyees
How long has your organization been in existence?
How long has your organization been offering personnel certification?
Since which date the management system in accordance with ISO/IEC 17024 has been applied (Issue date of quality manual)?
How many active certificates are in your database?
0-50
51-100
101-300
301-500
501-1000
1001-3000
3001-5000
Over than 5000
How many applications are received each year?
0-50
51-100
101-200
201-500
501-1000
1001-3000
3001-5000
More than 5000
How many applicants are examined each year?
0-50
51-100
101-200
201-500
501-1000
1001-3000
3001-5000
More than 5000
How many applicants is certficied each year?
0-50
51-200
201-500
501-1000
1001-3000
3001-5000
More than 5000
Is your program open to international applicants who are trained/educated outside USA?
Yes
No
If yes, does your organization have any reciprocity agreements in place?
Yes
No
Is your certification program necessary for personnel to obtain employment in your industry?
Yes
No
Does your organization outsource components of your personnel certification program?
Yes
No
Where is your assessment/examination given? Check all that apply
In certification body
Industry setting
Educational Institution
Other, Please specify:
Remarks:
How often is the examination given, if applicable?
On demand
one time per year
two times per year
three times per year
four times per year
greater than four times per year
Please give the information about the scopes within certification schemes for which accreditation is applied at Annex-A.
Please give the information about the scopes within certification schemes for which accreditation for notification purposes is applied at Annex-B.
(As the applicant Personnel Certification Body we hereby declare that the NAC Accreditation Procedures and NAC Rules are understood by us and all invoiced costs consistent with NAC Service Fees Guide (K-001) will be paid by our Personnel Certification Body)
Place
Date
Autorized Person’s Name-Surname
Reminder
1- Conformity Assessment Body Representing Person Declaration for Accreditation Services Form(FR-034 and FR-001 “Accreditation Contract” (2 copies) shall be filled, signed by authorized person and attached to this application form.
2-If necessary for applied scheme, The information about authorization or approval of the applied scheme given by the scheme owner (For Example;The copy of the contract signed with IPC,EOQ,..etc.
3-(After receiving the application form and annexes, your application will be uploaded to NAC Information System. After this stage, applicant Personnel Certification Body should upload requested documents to NAC Information System.)
ANNEX-A The Personnel Certification Scopes subjected to accreditation
#
Standard/Normative document used as the basis of certification.
Name of certification scopes
Remarks
Assesment Type
1
2
3
4
5
6
7
8
9
10
Is the certification body requesting a flexible scope ?
Yes
No
Note: The organization requesting accreditation in flexible scope should have at least 2 years of accreditation experience. Other requirements are defined in the Guidelines on Accreditation of Personnel Certification Bodies K-004.
ANNEX-B Accreditation for Notified Personnel Certification Body
#
(Product family, product/intended use/product range)
(Procedure/Modules)
(Annexes or articles of the directives)
1
2
3
4
5
6
7
8
9
10
(Places/Branches in Which It Operates Key Activities)
Name-Identity of the Places/Branches in Which It Operates Key Activities)
Address
Code
State/City
Phone (incl.area code)
Fax
E-mail
Number of site’s employee
Head of the site certification body
Contact Person
Phone (incl.area code)
Fax
E-mail
Mobile Phone
Key activities operated
Policy formulation and approval
Development and approval of processes and procedures necessary for the operation of the certification of persons systems, including requirements for selection and appointment of examiners
Review of applications and of contractual arrangements associated with the assessment and certification of persons
Development, evaluation and maintenance of the examination(s) and of recertification
Decision on certification of persons, including signing or authorization of certificates
Development and approval of policies, processes and procedures for the resolution of appeals and complaints received from applicants, candidates, certified persons and their employers and other parties about the certification process and criteria
Final decision on appeals and complaints
Key activities operated : Other
