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    طاروس وداس
    The document is a request form for certification of inspection institutions, bodies, and companies. It provides information to help the certification committee evaluate applicants seeking accreditation. The form requests general information such as the name and address of the inspection company, its organization and management structure, whether it has ISO 9001:2000 quality management certification, details of its insurance coverage, areas of operation, and lists of permanent and associate inspectors with their qualifications. Providing these details enables the committee to assess the inspection body's status more efficiently.

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    The document is a request form for certification of inspection institutions, bodies, and companies. It provides information to help the certification committee evaluate applicants seeking accreditation. The form requests general information such as the name and address of the inspection company, its organization and management structure, whether it has ISO 9001:2000 quality management certification, details of its insurance coverage, areas of operation, and lists of permanent and associate inspectors with their qualifications. Providing these details enables the committee to assess the inspection body's status more efficiently.

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    The document is a request form for certification of inspection institutions, bodies, and companies. It provides information to help the certification committee evaluate applicants seeking accreditation. The form requests general information such as the name and address of the inspection company, its organization and management structure, whether it has ISO 9001:2000 quality management certification, details of its insurance coverage, areas of operation, and lists of permanent and associate inspectors with their qualifications. Providing these details enables the committee to assess the inspection body's status more efficiently.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    131 views4 pages

    Form PDF

    Uploaded by

    طاروس وداس
    The document is a request form for certification of inspection institutions, bodies, and companies. It provides information to help the certification committee evaluate applicants seeking accreditation. The form requests general information such as the name and address of the inspection company, its organization and management structure, whether it has ISO 9001:2000 quality management certification, details of its insurance coverage, areas of operation, and lists of permanent and associate inspectors with their qualifications. Providing these details enables the committee to assess the inspection body's status more efficiently.

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    ‫ﺍﻝﻤﺭﻜﺯ ﺍﻝﻭﻁﻨﻲ ﻝﻠﻤﻭﺍﺼﻔﺎﺕ ﻭﺍﻝﻤﻌﺎﻴﻴﺭ ﺍﻝﻘﻴﺎﺴﻴﺔ‬

    ‫ﻨﻤﻭﺫﺝ ﺭﻗﻡ )‪( LNCSM-FM-750-31‬‬ ‫ﺭﻗــــﻡ‬


    ‫ﺍﻝﻨﻤﻭﺫﺝ‬
    ‫ﺭﻗﻡ ﺍﻝﻁﻠﺏ‬
    ‫‪4/ 1‬‬ ‫ﺭﻗــــﻡ‬
    ‫ﺍﻝﺼﻔﺤﺔ‬
    ‫ﻨﻤﻭﺫﺝ ﻁﻠﺏ ﺍﻋﺘﻤﺎﺩ‬
    ‫ﻤﺅﺴﺴﺎﺕ ﻭﻫﻴﺌﺎﺕ ﻭﺸﺭﻜﺎﺕ ﺍﻝﺘﻔﺘﻴﺵ‬
    ‫ﺘﺴﺎﻫﻡ ﻫﺫﻩ ﺍﻝﻤﻌﻠﻭﻤﺎﺕ ﻓﻲ ﺘﻭﻓﻴﺭ ﺍﻝﻭﻗﺕ ﻭﺘﻤﻜﻴﻥ ﻝﺠﻨﺔ ﺍﻋﺘﻤﺎﺩ ﻤﺅﺴـﺴﺎﺕ ﻭﻫﻴﺌـﺎﺕ ﻭﺸـﺭﻜﺎﺕ‬
    ‫ﺍﻝﺘﻔﺘﻴﺵ ﻤﻥ ﺘﻘﻴﻴﻡ ﻭﻀﻊ ﻫﻴﺌﺔ ﺍﻝﺘﻔﺘﻴﺵ ﺍﻝﻤﺘﻘﺩﻤﺔ ﻝﻠﺤﺼﻭل ﻋﻠﻲ ﺍﻻﻋﺘﻤﺎﺩ‪.‬‬
    ‫ﻤﻌﻠﻭﻤﺎﺕ ﻋﺎﻤﺔ‪:‬‬
    ‫‪ .1‬ﺍﺴﻡ ﻭﻋﻨﻭﺍﻥ ﺸﺭﻜﺔ ﺍﻝﺘﻔﺘﻴﺵ‬

    ‫ﺍﺴﻡ ﺍﻝﺠﻬـــﺔ‬

    ‫ﺍﻝﻌﻨــــﻭﺍﻥ‬

    ‫ﻫـــــﺎﺘﻑ‬

    ‫ﺒﺭﻴﺩ ﻤﺼــﻭﺭ‬

    ‫ﺒﺭﻴﺩ ﺍﻷﻝﻜﺘﺭﻭﻨـﻰ‬

    ‫ﺠﻨﺴﻴﺔ ﺍﻝﺸﺭﻜــﺔ‬

    ‫ﻤﺠﺎﻻﺕ ﺍﻝﺘﻔﺘﻴﺵ‬

    ‫‪ -2‬ﺍﻝﺘﻨﻅﻴﻡ ﻭﺍﻹﺩﺍﺭﺓ‪:‬‬

    ‫ﺍﻝﻨﻅﺎﻡ ﺍﻷﺴﺎﺴـــﻲ‬

    ‫ﺍﺴﻡ ﺍﻝﻤﻤﺜل ﺍﻝﻘﺎﻨﻭﻨـﻲ‬

    ‫ﺍﺴﻡ ﻤﻤﺜل ﺍﻹﺩﺍﺭﺓ‬

    ‫ﺍﺴﻡ ﺍﻝﻤﺩﻴﺭ ﺍﻝﻔﻨـــﻲ‬


    ‫ﻤﺭﻓﻕ ﺼﻭﺭﺓ ﻤﻥ ﺇﺩﻥ ﻤﺯﺍﻭﻝﺔ ﺍﻝﻨﺸﺎﻁ‪ ،‬ﺍﻝﻤﺭﻜﺯ ﺍﻝﻤﺎﻝﻲ‪ ،‬ﺍﻝﻬﻴﻜل ﺍﻝﺘﻨﻅﻴﻤﻲ‪.‬‬

    ‫‪/ /‬‬ ‫
    ر ا ‪:‬‬ ‫
     ر ) (‬ ‫
    ر اار ‪2006/8/22 :‬‬
    ‫ﺍﻝﺼﻔﺤﺔ ‪4 / 2‬‬

    ‫‪ -3‬ﻫل ﻴﻭﺠﺩ ﻝﺩﻯ ﺍﻝﺠﻬﺔ ﺸﻬﺎﺩﺓ ﻤﻁﺎﺒﻘﺔ ﻝﻤﺘﻁﻠﺒﺎﺕ ﺍﻝﻤﻭﺍﺼـﻔﺔ ﺍﻝﺩﻭﻝﻴـﺔ ﻨﻅـﺎﻡ ﺇﺩﺍﺭﺓ‬
    ‫ﻻ‬ ‫ﻨﻌﻡ‬ ‫ﺍﻝﺠﻭﺩﺓ ) ‪ (ISO9001:2000‬؟‬

    ‫‪ -1-3‬ﻓﻲ ﺤﺎﻝﺔ ﻨﻌﻡ‪:‬‬

    ‫ﺸﻬــﺎﺩﺓ ﺍﻝﻤﻁﺎﺒﻘــــــﺔ‬

    ‫ﺍﻝﺠﻬـــــﺔ ﺍﻝﻤﺎﻨﺤــــﺔ‬

    ‫ﺍﻋﺘﻤﺎﺩ ﺍﻝﺠﻬـــﺔ ﺍﻝﻤﺎﻨﺤــﺔ‬

    ‫ﺼﻼﺤﻴــــﺔ ﺍﻝﺸﻬـــﺎﺩﺓ‬
    ‫ﻤﺭﻓﻕ ﺸﻬﺎﺩﺓ ﺍﻝﻤﻁﺎﺒﻘﺔ ﻝﻤﺘﻁﻠﺒﺎﺕ ﺍﻝﻤﻭﺍﺼﻔﺔ ﺍﻝﻘﻴﺎﺴﻴﺔ ﺍﻝﺩﻭﻝﻴﺔ ﻨﻅﺎﻡ ﺇﺩﺍﺭﺓ ﺍﻝﺠﻭﺩﺓ )‪.(ISO 9001:2000‬‬

    ‫‪ -2-3‬ﻓﻲ ﺤﺎﻝﺔ ﻻ‪:‬‬


    ‫ﻴﻁﻠﺏ ﺘﻘﺩﻴﻡ ﻤﻌﻠﻭﻤﺎﺕ ﻋﻠﻰ ﻨﻅﺎﻡ ﺇﺩﺍﺭﺓ ﺍﻝﺠﻭﺩﺓ ﺍﻝﻤﻌﻤﻭل ﺒﻪ ﺒﺎﻝﺸﺭﻜﺔ‪.‬‬
    ‫……………………………………………………………………………………………………‬
    ‫……………………………………………………………………………………………………‬
    ‫……………………………………………………………………………………………………‬
    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‪.‬‬

    ‫‪ -4‬ﺍﻝﺘﺄﻤﻴﻥ ‪:‬‬
    ‫ﻻ‬ ‫ﻨﻌﻡ‬ ‫ﻫل ﻴﻭﺠﺩ ﻝﺩﻯ ﺍﻝﺠﻬﺔ ﻭﺜﻴﻘﺔ ﺘﺄﻤﻴﻥ ﻋﻠﻰ ﺍﻝﻤﺴﺌﻭﻝﻴﺔ ﺍﻝﻤﻬﻨﻴﺔ ؟‬

    ‫‪:
     -1-4‬‬

    ‫ﻗﻴﻤﺔ ﺍﻝﺘﺄﻤﻴــــﻥ‬

    ‫ﺍﻝﺠﻬﺔ ﺍﻝﻤﺅﻤﻥ ﻝﺩﻴﻬﺎ‬


    ‫ﻤﺭﻓﻕ ﺼﻭﺭﺓ ﻤﻥ ﻭﺜﻴﻘﺔ ﺘﺄﻤﻴﻥ ﻋﻥ ﺍﻝﻤﺴﺅﻭﻝﻴﺔ ﺍﻝﻤﻬﻨﻴﺔ ﺘﻐﻁﻰ ﻓﻴﻪ ‪ 2‬ﻤﻠﻴﻭﻥ ﺩﻴﻨﺎﺭ ﻝﻴﺒﻲ‪.‬‬
    ‫‪ -5‬ﻤﺠﺎﻻﺕ ﺍﻝﻌﻤل‪:‬‬
    ‫……………………………………………………………………………………………………‬
    ‫……………………………………………………………………………………………………‬
    ‫……………………………………………………………………………………………………‬
    ‫……………………………………………………………………………………………………‬

    ‫‪/ /‬‬ ‫
    ر ا ‪:‬‬ ‫
     ر ) (‬ ‫
    ر اار ‪2006/8/22 :‬‬
    ‫ﺍﻝﺼﻔﺤﺔ ‪4 /3‬‬
    ‫‪ -6‬ﺍﻝﻌﺎﻤﻠﻭﻥ ‪:‬‬
    ‫ﺘﺭﻓﻕ ﻗﺎﺌﻤﺔ ﺒﺄﺴﻤﺎﺀ ﺍﻝﻤﻔﺘﺸﻴﻥ ﺍﻝﺩﺍﺌﻤﻴﻥ ﻭﺍﻝﻤﺘﻌﺎﻭﻨﻴﻥ ﻭﺍﻝﺴﻴﺭﺓ ﺍﻝﻌﻠﻤﻴﺔ ﻝﻜل ﻤﻔﺘﺵ ﺘـﺸﻤل ﺍﻝﺘﺨـﺼﺹ ﺍﻝﻤﺅﻫـل‪،‬‬
    ‫ﺍﻝﺨﺒﺭﺓ‪ ،‬ﺍﻝﺨﺒﺭﺓ ﻓﻲ ﻤﺠﺎل ﺍﻝﺘﻔﺘﻴﺵ‪.‬‬

    ‫‪ -7‬ﺍﻝﻌﻴﻨﺎﺕ ‪:‬‬
    ‫ﻻ‬ ‫ﻨﻌﻡ‬ ‫ﻫل ﺘﻭﺠﺩ ﺇﺠﺭﺍﺀﺍﺕ ﻻﺨﺫ ﻭﺘﺩﺍﻭل ﻭﺤﻔﻅ ﺍﻝﻌﻴﻨﺎﺕ؟‬

    ‫ﻓﻲ ﺤﺎﻝﺔ ) ﻨﻌﻡ ( ﺃﺫﻜﺭ ﺍﻹﺠﺭﺍﺀﺍﺕ؟‬


    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‪.‬‬

    ‫‪ -8‬ﻤﻘﺩﻤﻲ ﺍﻝﺨﺩﻤﺔ‪:‬‬
    ‫ﺍﻻﺨﺘﻴﺎﺭ ﻭﺍﻝﺘﻘﻴﻴﻡ‬

    ‫ﻤﻌﺎﻴﻴﺭ ﺘﻘﻴﻴــﻡ ﺍﻝﻤﺨﺘﺒــــــﺭﺍﺕ‬

    ‫ﻤﻌﺎﻴﻴﺭ ﺘﻘﻴﻴﻡ ﻫﻴﺌﺎﺕ ﺍﻝﺘﻔﺘﻴﺵ ﻤﻥ ﺍﻝﺒﺎﻁـﻥ‬

    ‫ﻤﻌﺎﻴﻴﺭ ﺘﻘﻴﻴﻡ ﺍﻝﻤﻔﺘﺸﻴﻥ ﺍﻝﻤﺘﻌﺎﻭﻨﻴــــﻥ‬

    ‫‪-9‬ﺍﻝﺸﻜﺎﻭﻯ‪:‬‬

    ‫ﺴﺠــــــﻼﺕ ﺍﻝﺸﻜــﺎﻭﻯ‬

    ‫ﺇﺠﺭﺍﺀﺍﺕ ﺍﻝﺘﻌﺎﻤل ﻤﻊ ﺍﻝﺸﻜـﺎﻭﻯ‬

    ‫‪/ /‬‬ ‫
    ر ا ‪:‬‬ ‫
     ر ) (‬ ‫
    ر اار ‪2006/8/22 :‬‬
    ‫ﺍﻝﺼﻔﺤﺔ ‪4 / 4‬‬
    ‫‪-10‬ﺍﻝﺴﺭﻴﺔ‪:‬‬
    ‫ﻤﺎ ﻫﻲ ﺍﻹﺠﺭﺍﺀﺍﺕ ﺍﻝﻤﻌﻤﻭل ﺒﻬﺎ ﻝﻠﻤﺤﺎﻓﻅﺔ ﻋﻠﻰ ﺴﺭﻴﺔ ﺍﻝﻤﻌﻠﻭﻤﺎﺕ؟‬
    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‪.‬‬

    ‫‪ -11‬ﻫل ﺘﻘﺒل ﺒﺄﻥ ﻴﻜﻭﻥ ﻫﻨﺎﻙ ﻤﺭﺍﺠﻌﺔ ﺩﻭﺭﻴﺔ ﻤﺨﻁﻁﺔ ﺃﻭ ﻏﻴﺭ ﻤﺨﻁﻁﺔ ﻤﻥ ﻗﺒل ﻝﺠﻨﺔ ﺍﻋﺘﻤﺎﺩ‬
    ‫ﻻ‬ ‫ﻨﻌﻡ‬ ‫ﻤﺅﺴﺴﺎﺕ ﻭﻫﻴﺌﺎﺕ ﻭﺸﺭﻜﺎﺕ ﺍﻝﺘﻔﺘﻴﺵ؟‬

    ‫ﻓﻲ ﺤﺎﻝﺔ ) ﻻ ( ﺃﺫﻜﺭ ﺍﻷﺴﺒﺎﺏ؟‬


    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‬

    ‫……………………………………………………………………………………………………‪.‬‬

    ‫‪ -12‬ﺍﻝﺘﺼﺩﻴﻕ‪:‬‬
    ‫‪.‬آ‪*+ ,‬ن ا (' ت ا اردة  ه!ا ا ذج 
    و
    ‬

    ‫ﺍﻝﺘﻭﻗﻴـــﻊ‬ ‫ﺃﺴﻡ ﺍﻝﻤﻭﻅﻑ ﺍﻝﻤﺨﻭل‬

    ‫‪..................‬‬ ‫‪......................‬‬

    ‫ﺍﻝﺘﺎﺭﻴـــﺦ‬ ‫ﺍﻝﻭﻅﻴﻔــــــﺔ‬

    ‫‪ 200 / /‬ﻡ‬ ‫‪......................‬‬

    ‫ﺘﻡ ﺘﻌﺒﺌﺔ ﺍﻝﻨﻤﻭﺫﺝ ﺒﻭﺍﺴﻁﺔ ‪:‬‬


    ‫(‬ ‫ﺍﻝﺘﻭﻗﻴﻊ‪) :‬‬ ‫ﺍﻻﺴﻡ ‪................... :‬‬

    ‫‪/ /‬‬ ‫
    ر ا ‪:‬‬ ‫
     ر ) (‬ ‫
    ر اار ‪2006/8/22 :‬‬

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