ACCREDITATION COMMISSION FOR CONFORMITY ASSESSMENT BODIES
ACCREDITATION SCHEME MANUAL
Document Title:
ACCAB Accreditation Application Form For
Calibration Laboratories
Document Number: ACCAB-ASM-14.0-F
CONTROLLED COPY
Revision
Number
Revision
Date
Paragraph
Number
ACCAB-ASM-14.0-F
Description of Revision
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Note:
1. The applicant should read and understand ACCAB’s Accreditation Scheme Manual especially the Requirements
for Granting and Maintaining Accreditation and the Current Fee Structure before submitting the application in
the prescribed format.
2. It is expected that the applicant Calibration Laboratories have a specific & assured plan of action for obtaining
the ACCAB accreditation and nominate a senior & accountable person to co-ordinate all activities related to the
accreditation process.
3. The person nominated should be familiar with the laboratories documented quality system and applicable legal
& statutory requirement.
4. Please type or print clearly and attach extra sheets if needed.
5. This form may be obtained and submitted electronically.
6. An application form for accreditation cannot be accepted unless it is completed fully and accompanied with the
requisite application fee.
7. In case of application for the Extension or change in scope, please highlight the relevant information.
8. Duly filled application form, required documents and requisite fess must be sent to The Chief Executive Officer
of ACCAB.
Accreditation Standard:
ISO/IEC 17025:2005
Initial Assessment
Extension of Scope
Reassessment
Transfer
Change in Scope
Part - I
GENERAL INFORMATION
Name of the Applicant Laboratory:
Main Address
(Permanent Facility) :
Location of Additional Sites/Locations
To Be Assessed (Includes Site Facility &
Mobile Laboratory (If Applicable):
Primary Nominated Person:
Mobile:
Position:
Email:
Person Responsible in absence of the
Mobile:
Primary Nominated Person:
Position:
Email:
Telephone No:
Fax No:
Website:
Email:
Government Department
A Statutory Body
A Private Limited Company
Legal
An Unlimited Company
A Public Listed Company
Limited Liability Partnership
Status:
A Sole-Proprietor Organization
Trust
Any Other
Name of the Parent Organization
(If part of an organization) :
Telephone No.:
Fax No:
Email:
Open to Others
Partly Open to Others
Type of Laboratory by Service:
An In-house Facility
Filed(s) / Area(s) of Testing the Accreditation Applied for (please tick the appropriate box):
Electrical quantities
Optical quantities
Magnetic
quantities
Ionizing radiation
Classifications for
Time & frequency
Temperature, humidity and
Calibration Laboratories
Dimensional quantities
thermo physical properties
(Please refer Guide ASMGD-3.0-C for further
Mechanical quantities
Chemical analysis, reference
details)
Acoustical quantities
materials
Volumetric quantities
Any Other
Scope of Accreditation:
Please complete the following table accurately as possible and include:
1. The Calibrations undertaken at Permanent Laboratory (PL) and or Site (SL) to be clearly indicated;
2. Calibration and Measurement Capability are to be expressed as Uncertainties () for confidence
probability at 95% for Calibration Laboratories;
3. Test method and standards shall be mentioned along with the year of publication of the standard;
4. Please use separate sheet if required.
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No.
Parameter/ Measured Quantity/
Device Under Calibration
Standard Equipment
& Method Used
Range of
Calibration
Calibration
and
Measurement
Capability ()
It is an Independent, Impartial and Non-Governmental Body
Responsiveness & Non Bureaucratic Attitude
Technical Approach to the Accreditation
Market Reputation
Cost Effectiveness
Any Other(Pl. Specify)
Reason for seeking ACCAB
Accreditation:
Consultant Details
(if services utilized):
Number of employees:
Professional/Technical:
Administrative:
Part –II ATTACHMENT CHECKLIST
Sr.
No.
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2
3
4
5
6
7
8
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Documents Required
Attached
- Yes/No
Document
No./Reference
Confirmed by
ACCAB
Date:
By:
Evidence of Laboratory is a legal entity
Quality Manual
Reference/List to Procedures, Lower Level
Documents & Records maintained by Laboratory
Organization chart with key positions clearly
identified
List of Equipments / Reference Material used with
details of Traceability.
Details of the Senior Management Such as
Laboratory Manager, Quality Manager,
Administration Manager or by any other
designations.
List of Staff & Proposed Authorized Signatories.
Current list of subcontractors (If applicable)
Copy of the service liability/general liability
insurance/any other insurance, if available.
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Sr.
No.
Record of the latest Internal Audit Report
Record of the latest management review
Laboratory Mark/Logo copyright ownership
evidence (If applicable)
Scope of accreditation with Calibration Methods,
Range of Calibration and MU to be assessed as
detailed in the Application Form
Details of Proficiency Testing/Inter Laboratory
Comparison
Product/
Material
Details of Test(s)
Date of
testing
Nodal
Laboratory /PT
Provider
(Accreditation
Body Country)
Performance
in terms of Z
score
Corrective
Action taken
(if any)
Copy of the most recent Accreditation report, if any
15
Requisite application fee
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Any Other
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Please give detailed justification, if you have not attached any particular document with the time line of its
submission to ACCAB.
Part – III ESSENTIAL DECLARATIONS BY THE APPLICANT CALIBRATION LABORATORY
Sr.
Description
No.
We have read and understood the ACCAB accreditation requirements and shall continually fulfill the
requirements of accreditation set by ACCAB for the areas where accreditation is applied for. We have
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documented and implemented the quality management system as per ISO/IEC 17025:2005.
We offer our unconditional support to the mission and objectives of the ACCAB, and shall ensure that we
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shall always act in accordance with that.
We confirm that there is no current legal processes or allegations concerning the compliance of the
applicable legal and statutory requirements and should we become aware at any time following
accreditation being granted that legal proceedings have been initiated or other allegations concerning the
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legal compliance arise, we shall notify the ACCAB as soon as it is practicable and within a maximum of
seven Days, and shall advise the ACCAB of the outcome of any such proceedings and the statement shall
be signed by the top management;
We understand and accept that the ACCAB provides no guarantees to the applicant LABORATORIES that
their application for accreditation shall be successful. In such cases the ACCAB reserves the right to forfeit
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the application fee.
We confirm that we have informed ACCAB of any matter that may be deemed significant when
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adjudicating the application should it come to light at a later date.
We shall host, make necessary arrangements and cooperate with the ACCAB/Peer Body Assessors and
shall provide all the necessary assistance, including access to the our facilities, documents, records,
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authorized personnel, relevant areas for witnessing the tests being performed, in any accreditation,
surveillance, special or re-accreditation audits.
We have necessary resources to pay ACCAB accreditation fee in accordance with the current ACCAB
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Schedule of Fees.
We shall not make any claims to be accredited for those services for which accreditation has not been
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granted, nor issue any ACCAB accredited tests/examination/calibration reports/certificates prior to our
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accreditation.
We shall not act in any manner as to bring ACCAB into disrepute, nor make any public statement regarding
our accreditation that ACCAB may consider misleading or unauthorized.
We confirm that we are aware that ACCAB does not accept liability for mistakes that accredited
LABORATORIES may make in terms of their accreditation nor does ACCAB accepts liability for any
mistakes that may possibly occur on the certificates or reports issued by ACCAB accredited
LABORATORIES. Further we confirm that liability of ACCAB is limited to the fees charged by ACCAB
for the accreditation application.
Our Laboratory is:
Small Laboratory (Up to 100 Samples/Day)
Medium Laboratory (101-400 Samples / Day)
Large Laboratory (above 400 Samples / Day)
The information provided by us in this application is correct.
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SIGNATURE OF LABORATORY HEAD/DIRECTOR:
Name:
Name:
ACCAB-ASM-14.0-F
Position:
Position:
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Date:
Date:
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