Eco-Reinforcement Application Form Certification Scheme For Responsible Sourcing of Reinforcing Steel Products Doc No: ECOR03 Revision 0 No: Date: 30/6/10 Page: Page 1 of 5 Please complete all aspects of this form and return it with any additional information requested to: Derek Hughes, Eco-Reinforcement Secretariat, BRE Global, Garston, Watford WD25 9XX Note: This document is owned by Eco-Reinforcement Ltd and forms part of the certification scheme against the Eco-Reinforcement scheme. The Eco-Reinforcement scheme is owned and managed by EcoReinforcement Ltd. Company Details Company Registered Name Company Trading Name (if different) Company Trading Address Postcode Type of company Please tick as appropriate Limited Company PLC Partnership Contact Name & Position Telephone Fax E-mail Name of Managing Director or Partners Company Registration Number Address of Head office or Registered office (if different from above) Uncontrolled copy if printed. Valid on day of printing only. Printed on:27 January 2011 © Eco-Reinforcement Ltd 2010 Eco-Reinforcement Application Form Certification Scheme For Responsible Sourcing of Reinforcing Steel Products Doc No: ECOR03 Revision 0 No: Date: 30/6/10 Page: Page 2 of 5 Scope of Certification Application Scope of application Entire Company Specific site(s) Please list below the products and relevant manufacturing facilities to be included under the assessment. If required, please continue on additional sheets: Product/Product Group to be assessed Uncontrolled copy if printed. Valid on day of printing only. Address(es) of manufacturing facility(ies) to be assessed Printed on:27 January 2011 © Eco-Reinforcement Ltd 2010 Eco-Reinforcement Application Form Certification Scheme For Responsible Sourcing of Reinforcing Steel Products Doc No: ECOR03 Revision 0 No: Date: 30/6/10 Page: Page 3 of 5 Supply Chain Details Please provide a diagram explaining the size and scope of your product(s) supply chain from raw material to end of life, including locations of suppliers, percentages of different constituent materials etc: If you have indicated that a product to be assessed falls within a product group, please provide justification (for example, similarities in constituent material composition, supply chain, production process etc): Uncontrolled copy if printed. Valid on day of printing only. Printed on:27 January 2011 © Eco-Reinforcement Ltd 2010 Doc No: ECOR03 Revision 0 No: Date: 30/6/10 Eco-Reinforcement Application Form Certification Scheme For Responsible Sourcing of Reinforcing Steel Products Page: Page 4 of 5 Assessment Levels Please tick the boxes below for each clause of the Eco-Reinforcement standard to indicate what level you will be aiming to achieve during the assessment process. This will allow BRE Global to more accurately cost your proposal and will also act as a checklist to ensure that all compulsory requirements will be met: Eco-Reinforcement Clause Level Organisation Aiming to Achieve 3.2.1 Responsible Sourcing Policy 3.2.2 Legal Compliance Compulsory 3.2.3 Quality Management System 3.2.4 Supplier Management System 3.3.1 Material Traceability Through the Supply Chain 3.3.2 Environmental Management Systems in the Supply Chain 3.3.3 Health and Safety Management Systems in the Supply Chain 3.4.2 Greenhouse Gas Emissions Compulsory 1 Compulsory Compulsory Compulsory 1 2 (Compulsory for fabricators) 3 Compulsory 1 2 Compulsory 1 2 3 Compulsory 1 Compulsory 3 5 7 3.4.3 Resource Use Compulsory 1 3 5 7 3.4.4 Waste Management Compulsory 1 Compulsory 2 3 4 3.4.5 Water Extraction 2 3 4 3.4.6 Life Cycle Assessment 1 (Compulsory for mills) 2 3.4.7 Transport Impacts 1 2 3 4 3.4.8 Employment and Skills Compulsory 1 2 3 4 3.4.9 Local Communities Compulsory 1 2 3 4 Uncontrolled copy if printed. Valid on day of printing only. 4 Printed on:27 January 2011 5 © Eco-Reinforcement Ltd 2010 Eco-Reinforcement Application Form Certification Scheme For Responsible Sourcing of Reinforcing Steel Products Doc No: ECOR03 Revision 0 No: Date: 30/6/10 Page: Page 5 of 5 Application Fees Please include a cheque for the relevant application fee with this application form. If applying for more than 100 sites and/or 30 product ranges, please contact BRE Global for a bespoke fee. Please tick below to confirm the fee level provided: Up to 5 sites and/or 5 product ranges - £350 Up to 25 sites and/or 10 product ranges - £700 Up to 50 sites and/or 15 product ranges - £950 Up to 75 sites and/or 25 product ranges - £1150 Up to 100 sites and/or 30 product ranges - £1300 IMPORTANT NOTE – In addition to BRE Global’s certification application fee, an Eco-Reinforcement Ltd application fee and annual subscription fee also applies. Please see www.eco-reinforcement.org for more details. VAT – All fees given are exclusive of VAT which will be charged at the prevailing rate. Company Declaration Authorised representative of Company: I hereby confirm on behalf of…………………………….. (the Company), that the information contained in this document is correct, any changes in circumstances will be notified to BRE Global in writing, and we accept and agree to abide by the following documents: a) b) c) d) e) f) g) Eco-Reinforcement Standard for the Responsible Sourcing of Reinforcing Steel Products Scheme Document SD 195 Complaints & Appeals document PN 100 Terms & Conditions' document PN 101 Use of the BRE Certification Mark PN103 Fee Sheet FS 053 Change of details, document PN 159 Name: Position: Signature: Date Uncontrolled copy if printed. Valid on day of printing only. Printed on:27 January 2011 © Eco-Reinforcement Ltd 2010