Title
Application for Accreditation
Reference
DA-00
Revision
06
Date
2014-12-05
Preparation
Approval
Authorization of issue
Application date
The Management System
Head Officer
The Directors of
Department
The General Director
2014-12-22
1.
NOTES FOR COMPLETION
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1.1.
STRUCTURE OF THE APPLICATION
The ACCREDIA application for accreditation consists of a general part and of the specific annexes for the
accreditation scheme requested.
To access ACCREDIA’s application for accreditation, Bodies performing conformity assessment activities
(CABs)1, shall complete both the general form and the one specifically for the scheme requested.
In order to do this the applicant is requested to flag the appropriate box for the application of accreditation as
follows:
 DA-00 General application for accreditation;
 DA-01 Application for accreditation for Certification Bodies ( ISO/IEC 17021, ISO/EN 17065, ISO/IEC
17024, etc..);
 DA-02 Application for accreditation for Testing Laboratories, Testing Laboratories for Food Safety and
Medical Laboratories (ISO /IEC 17025,);
 DA-03 Application for accreditation for Inspection Bodies (ISO/IEC 17020);
 DA-04 Application for accreditation for Certification and Inspection Bodies for purposes of subsequent
notification/s (ISO/IEC 17065, ISO/IEC 17020);
 DA-05 Application for accreditation for Calibration Laboratories and Producers of Reference Materials
(RMP) (ISO/IEC 17025 and/or ISO Guide 34);
 DA-06 Application for accreditation for organizations managing inter-laboratory testing schemes (ISO
17043);
 DA-07 Application for accreditation for Bodies verifying the emission of GHG;
 DA-08 Application for accreditation for Medical Laboratories (ISO 15189).
Both the forms shall be completed either by hand or in electronic format and be signed by the legal
representative of the Body or by a person authorized by the legal representative and it shall carry the stamp
of the CAB.
Applications may be sent in paper format to the postal addresses of the departments or by e-mail to the
department secretariat – this second solution is preferable.
In order for it to be accepted, the application must be completed in its entirety and accompanied by all the
necessary documentation requested.
Any failure to fully complete the form requires a formal explanation.
N.B.
a) (only for laboratories and PTPs): in the case of any changes in name/s or address as given in point 2 of
DA-02, DA-05 and 06, it is necessary to re-send DA-00 and, respectively, DA-02, DA-05 and DA-06
including all the updated data;
b) (only for Calibration Laboratories): in case of renewal, extension or reduction, it is necessary to re-send
DA-00 and DA-05.
1.2.
NORMATIVE REQUIREMENTS
1 “CAB” means Certification, Inspection, Verification Bodies, Testing, Calibration and Medical Labs, organizers of inter-laboratory
assessments (PTPs) and Notified Bodies.
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The verification of conformity of a CAB to the requirements of the standard and to the ACCREDIA
regulations is performed using the modalities in accordance with the general, specific and technical
regulations of accreditation which are applicable to every type of CAB, and are available on ACCREDIA’s
website, www.accredia.it and also at ACCREDIA’s departments.
2.
GENERAL DATA OF THE CAB
2.1.
NAME AND CONTACT DETAILS
2.1.1. Acronym and name of the CAB (please give the full name as used on the CAB’s formal and legal
documents)
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Address of the registered Head Office
STREET NAME
POSTAL CODE
2
TOWN/CITY
PHONE
FAX
E-MAIL
PEC
Fiscal Code (if different from VAT number)
WEBSITE
VAT number
Address of the registered office (*) (if different from above)
STREET NAME
POSTAL CODE
TOWN/CITY
PHONE
FAX
E-MAIL
PEC
Fiscal Code (if different from VAT number)
WEBSITE
VAT number
(*): the table must be duplicated for each operative location if it is a multi-site laboratory.
Addresses of branch offices (including those which are involved, completely or partially, in activities which
come within the scope of the requested accreditation and adequately highlighted.)
STREET NAME
2 The details concerning the address, phone number, fax, email and website are published in the databank of ACCREDIA’s website
once accreditation has been granted.
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POSTAL CODE
TOWN/CITY
PHONE
FAX
E-MAIL
WEBSITE
Fiscal Code (if different from VAT number)
VAT number
2.1.2.
Name of the CAB and addresses to give on the certificate of accreditation (among those
given above; where applicable, please specify the division, department or unit which is the
object of accreditation.)
………………………………………………………………………………...……………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………………….
2.1.3.
Address for invoicing
STREET NAME
POSTAL CODE
TOWN/CITY
PHONE
FAX
E-MAIL
Fiscal Code (if different from VAT number)
2.1.4
VAT number
Communications with ACCREDIA
Give an email address for the receipt of all communications from ACCREDIA.
E-MAIL
2.2 DATE OF SET-UP OF CAB
……………………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………….
2.2.1 Legal status of CAB (please attach any relevant document attesting the legal identity of the CAB
along with the identification of its legal representative):
[ ] Private organization
[ ] Public entity
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[ ] Different category from above. (Specify the precise legal nature of the CAB: public, private, consortium
etc.):
…………………………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………
2.2.2 CAB shareholders (applicable for Certification and Inspection Bodies also for the purposes of
notification).
Give the names of physical and legal persons and their shares (of the CAB of or corporate enterprises if they
are CAB shareholders.)
…………………………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………
2.2.3 Does the CAB belong to a group?  yes  no
If yes, give details of the group:
NAME
STREET NAME
POSTAL CODE
TOWN/CITY
PHONE
TELEFAX
E-MAIL
WEBSITE
2.3
ATTESTATIONS and VERIFICATIONS
2.3.1
Has the CAB has obtained other accreditations, designations, authorizations, notifications or
recognitions in the last 4 years?  yes  no
If “yes” what were they? (indicate the Body – national or foreign – the public or private entity which
issued the declaration.)
…………………………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………
2.3.2
Other
Indicate the date and the Body, public or private, which conducted the assessment activity at the CAB in the
last four years:
a)
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
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b)
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
c)
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
2.4. GEOGRAPHICAL AREAS IN WHICH THE CAB OPERATES AND IF IT HAS ANY
OPERATIVE BRANCHES ABROAD
Name of operative branch abroad (write the
Geographical area (Italy/abroad – if operative status)
abroad write the name of the country)
Main activity
3.
ORGANIZATION
3.1
Name, qualification2, function and contact details (phone, fax, e-mail) of the legal
representative of the CAB:
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
.
3.2
Name, qualification2, function and contact details (phone, fax, e-mail) of the CAB’s Officer in
charge:
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
3.3
Name, qualification2 (including study details), function of the CAB’s Management System
Officer:
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
3.4
Name, qualification2, function and contact details (phone, fax, e-mail) of the person in charge
of contacts with ACCREDIA
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
4.
CAB PERSONNEL
4.1
Total number of CAB dependent personnel
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……………………………………………………………………………………………………………………………
Full-time employees
Other types of contract
4.2
University
graduates
University
graduates
High school graduates
High school graduates
Others
Others
Total number of CAB personnel involved in assessment activities coming within the scope of
accreditation (technical, administrative, commercial, quality, testing etc.).
……………………………………………………………………………………………………………………………
5.
OTHER ACTIVITIES
Describe the activities undertaken by the CAB, apart from conformity assessment activities, for which
accreditation is sought, such as training, publications and so forth, indicating the type of client for which the
activities are destined (if necessary an attachment may be used.)
……………………………………………………………………………………………………....................................
............................................................................................................................................................................
............................................................................................................................................................................
...........................................................................................................................................................................
6.
AVAILABILITY FOR ASSESSMENT
Indicate the date when the CAB is available for assessment: ……………………………………………………
Is the assessment urgent?
yes [ ]
no [ ]
If yes, give reasons:
……………………………………………………………………………………………………....................................
............................................................................................................................................................................
............................................................................................................................................................................
............................................................................................................................................................................
2
indicate the study title
7.
DECLARATION
I hereby declare that I have read, understood and fully accept the requirements of the applicable ACCREDIA
documents, including the pricelist.
I also hereby declare that I have read and that I accept and shall sign the Contractual Agreement of
Accreditation CO-00 without requesting any modifications.
I also declare, in accordance with Law Decree 196/03 “Protection of persons with regard to the treatment of
personal data”, that I accept the treatment of data contained in the present document for the process of
accreditation performed by ACCREDIA and that the information given above may be used by ACCREDIA for
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accreditation, administrative, international recognition activities in both the voluntary and mandatory sectors,
in accordance with the EA, IAF and ILAC agreements. Such information may be communicated and made
available to the competent authorities whenever so requested. In such cases ACCREDIA shall notify the
organization in question, with the modalities and timeframe given by the authorities.
………………………………………………………………………………………………………………………………
Rev. number:
……………………….
Date:…………………………..
Stamp of the CAB…………………………………..
Signature of the Officer in charge (Director of the Body or Head Officer of the Testing or Calibration
Laboratory)………………………………………….
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Title Application for Accreditation Reference DA