Certification Application Form

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COMPANY DETAIL (Please complete all in full - indicate if not applicable)

Company Name: *

Trading Name:

Company Registration Number: *

VAT Registration Number: *

Office Phone Number: *

Website / URL:

Company Representative: *

First

Last

Mobile Number: *

Email: *

COMPANY ADDRESSES

Physical Address (Main Manufacturing Site): *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Is the physical address the same as the postal address?

Postal Address:

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

PERSON RESPONSIBLE FOR PAYMENTS

Name: *

First

Last

Phone Number: *

Email: *

QUALITY MANAGEMENT SYSTEM (QMS)

The section below list some requirements applicable to a QMS. In this section you must indicate if you have this established in the business and if it is implemented in the business. If your answer is "YES" tick the box, otherwise leave it blank. If you do not have an implemented QMS, inform us and CMA CS can assist with the establishment and implementation of a system.

Is a Quality Policy available and communicated in the organisation?

Established
Implemented

Do you have a Company Organogram and is it up to date?

Established
Implemented

Are responsibilities and authorities in the organisation defined and documented?

Established
Implemented

Process flow chart(s) referencing documented procedures, test methods, work instructions, inspection and test points (including subcontracted processes)

Established
Implemented

Documented manufacturing procedures including controls

Established
Implemented

Is a Management Representative appointed?

Established
Implemented

Does a procedure for Document Control exist?

Established
Implemented

Is there a Procedure for Handeling Complaints?

Established
Implemented

Does the oganisation have a preventative and corrective action procedure?

Established
Implemented

Does a procedure exist for Management System (MS) reviews, improving effectiveness?

Established
Implemented

Internal audits and reviews procedure?

Established
Implemented

I there a procedure for the control of non-conforming product?

Established
Implemented

Is a procedure in place for the control of test and measuring equipment?

Established
Implemented

Are personnel records kept indicating approved competencies?

Established
Implemented

Are all record related to the MS available and relevant?

Established
Implemented

ADDITIONAL INFORMATION (Please complete as full as possible):

Does your product carry any Regulatory Requirements relating to the applicable specification?

List all in-house testing capabilities carried out relating to the requirements of your product specification.

Is any testing routinely outsources? List the institution and specific tests.

Are any manufacturing Process outsourced? If so, please list.

List any trade name(s) or Trade mark(s) which will be used in conjunction with the CMA CS Certification Mark.

Indicate the applicable option with regards to the Ownership of the Trade Name or Trade Mark.

Own the Trade Name or Trade Mark.
Using the Trade Name or Trade Mark under license or authority

CERTIFICATION APPLICATION DETAILS:

Please select the type of certification you would like to apply for.

Product Certification
System Certification (ISO 9001)
Cement Certification

Select the SANS specification applicable to the product, for this certification application:

SANS 470 - Concrete poles for telephone, power, and lighting purposes
SANS 508 - Concrete retaining blocks
SANS 541 - Precast concrete paving slabs
SANS 542 - Concrete roofing tiles
SANS 676 - Reinforced concrete pressure pipes
SANS 677 - Concrete non-pressure pipes
SANS 927 - Precast concrete kerbs, edgings, and channels
SANS 986 - Precast reinforced concrete culverts
SANS 1058 - Concrete paving blocks
SANS 1215 - Concrete masonry units
SANS 1294 - Precast concrete manhole sections and components
SANS 1372 - Prefabricated concrete components for fences
SANS 1504 - Pre-stressed concrete lintels
SANS 1879 - Precast concrete suspended slabs

Please supply the name(s) of the CEO or Managing Director(s) *

First

Last

Please supply the name(s) of the CEO or Managing Director(s) (copy)

First

Last

Please supply the name(s) of the CEO or Managing Director(s) (copy)

First

Last

Please supply the name(s) of the CEO or Managing Director(s) (copy)

First

Last

Excluding the main business address listed earlier in the application form, are there any other sites or branches for this business (Either permanent or temporary)

Please list the other site or branch addresses by typing it out in the space below. Please supply both the physical and postal addresses as applicable to each additional site or branch.

Are there any External Consultants involved with the organisation's QMS? *

Consulting Business Name: *

Consultants Name *

First

Last

Phone Number: (copy) *

Email: (copy) *

Please state the current scope of the QMS or record the scope required. *

Select the SANS specification applicable to the product, for this certification application: (copy)

SANS 50197 - Cement Part 1: Composition, specifications and conformity criteria for common cements
SANS 50413 - Masonry cement Part 1: Composition, specifications and conformity criteria

In the section below please list the different product types your application is applicable to:

DECLARATION:

By submitting this application to CMA Certification Services, the applicant declares that he/they is/are fully aware of and intends to comply with the provisions of the relevant SANS Specification/s, CMA Certification Services agreement, Rules regarding the use of the CMA Certification Services' Permit/Mark and the CMA Certification Services Evaluation process. By submitting this application to CMA Certification Services the applicant declares that he/they is/are properly authorized to make this application. By submitting this application to CMA Certification Services the applicant undertakes to inform the Certification Manager of CMA Certification Services of any change to the specified contact details and company status by email, without delay, should any changes occur during the application process.

Name of the person submitting the application: *

First

Last

Designation in the company: *

Date / Time

Date

Time

Product, System and Cement Certification Application

COMPANY DETAIL (Please complete all in full - indicate if not applicable)

COMPANY ADDRESSES

PERSON RESPONSIBLE FOR PAYMENTS

QUALITY MANAGEMENT SYSTEM (QMS)

ADDITIONAL INFORMATION (Please complete as full as possible):

CERTIFICATION APPLICATION DETAILS:

DECLARATION: