GSI SLV Bilgi Merkezi

DVS ZERT / Proses-Ürün Belgelendirme Başvuru Formu (Fb07rev14)

Customer number

(Will be filled in by DVS ZERT GmbH)

Inquiry for an offer
The application which is not legally binding serves to elaborate an offer and is free of charge.

Order for certification
In so far as an offer has not yet been submitted, the legally binding order serves to elaborate an estimate. The general terms of business will be recognised.

Applicant/client

Organisation / manufacturer

Road

Postcode / place

Contact

Telephone

Fax

e-mail

Internet address

Main products

Turnover tax ID

Initial certification

Recertification

Monitoring

Area of application (please mark the applicable box)

Welding certificate according to

EN 1090-2

EN 1090-3

Other product standards according to the Industrial Code for Construction Products - BauPVO (please specify):

ISO 3834-2

ISO 3834-3

ISO 3834-4

ISO 9001

Scope I, SCC*

Scope I, SCC**

Scope I, SCCp

Scope II, SCP

* Restricted certificate, ** unrestricted certificate

The certificate is to be issued in the following languages:

Other

The organisation/manufacturer declares its agreement that the provided data will be acquired by EDP and that the information will be included in a directory after the certificate(s) has (have) been granted.

In the case of certificates according to EN ISO 3834 / EN 1090 / EN 15085, this will also include the personal data of the welding coordinators (surnames, first names, qualifications and dates of birth). The consent of the people is hereby regarded as granted.

Page 1 of 10 pages

General questions about the application/order

What proof of operational qualifications exists?

Issued by:

FPC certification, EN 1090-1

Welding certificate, EN 1090-2 / EN 1090-3

Certificate, EN 15085-2

Certificate, ISO 3834

Certificate, ISO 9001

Certificate, SCC

Other:

Personnel

Note: The number of employees relates to the people who are affected by the arrangements in the management system. For example, it is also necessary to take account of employees according to the Personnel Leasing Act (AÜG) in this respect. Part-time employees and AÜG employees must be assessed according to their actual working time (e.g. two half-day employees like one full-time employee). It is not necessary to take account of any employees bound by contracts for work and services.

Number of employees in total:

Of these, active in

Administration:

Research / development:

Design:

Fabrication:

Assembly:

Quality control:

Employees according to AÜG

Does the organisation maintain branches / operating facilities / production facilities?

(Information only if this is to be included in the certification procedure)

Yes (please specify the number):

Please notify us of the company names and addresses of the branches / operating facilities / production facilities (if necessary, a list as an annex).

(Not applicable to organisations without any branches)

Please enclose a breakdown of the personnel with the assignment to the branches / operating facilities / production facilities (if necessary, a list as an annex).

(Not applicable to organisations without any branches)

In what language is the audit to be carried out?

German

Other, please specify:

What is your objective?

Desired date:

A preliminary audit

A certification audit / an initial inspection

Page 2 of 10 pages

Annex 1: Questions about the certification according to EN 1090-1

and/or other product standards for which the application has been made according to the Industrial Code for Construction Products (BauPVO)

What special processes are applied:

Dimensioning

Internal

Subcontracting

DIN EN 1993

DIN EN 1994

DIN EN 1999

Cutting to size / initial processing

Internal

Subcontracting

Thermal cutting

Cold forming

Hot forming

Punching / perforation / drilling

Welding

Internal

Subcontracting

Mainly utilised welding and/or allied processes

Classification numbers according to DIN EN ISO 4063	Degree of mechanisation	Qualification of the procedure according to

Utilised base materials (thickness range) according to Tables 3 and 4 in DIN EN 1090 2 or according to Tables 1 to 3 in DIN EN 1090 3 as well as filler materials

Base materials	Thickness range	Filler materials

Non-destructive testing:

Internal

Subcontracting

Page 3 of 10 pages

Flame straightening

Internal

Subcontracting

Heat treatment

Internal

Subcontracting

Joining with mechanical joining materials:

Internal

Subcontracting

Screws not pretensioned according to plan

Screws pretensioned according to plan

Friction grip joints

Fit joints

Miscellaneous:

Torque procedure

Combined pretensioning procedure

HRC tightening procedure

Procedure with direct force indicators

Tightening by hand

Miscellaneous tightening procedures

Corrosion protection

Internal

Subcontracting

Coating

Piece galvanisation

Thermal spraying

Duplex coating

Powder coating

Miscellaneous:

Assembly (building site):

Internal

Subcontracting

Page 4 of 10 pages

Responsible FPC manager

Name:

Qualification¹⁾:

Telephone:

e-mail:

Responsible welding coordinator

Name:

Qualification¹⁾:

IWE

IWT

IWS

Telephone:

e-mail:

Person responsible for dimensioning

Name:

Qualification¹⁾:

Telephone:

e-mail:

Person responsible for corrosion protection

Name:

Qualification¹⁾:

Telephone:

e-mail:

Person responsible for mechanical joining / assembly

Name:

Qualification¹⁾:

Telephone:

e-mail:

1) Designation of the occupation and proof of the qualifications (copies of certificates) as well as the occupational activities until now (as tables) should be enclosed.

Page 5 of 10 pages

Annex 2: Questions about the certification according to EN 15085 2

Application:

For the first time

Repeated, expiry of the validity duration on:

Because of a change in the following prerequisites:

Do or did you have certification according to EN 15085 2 from another certification body?

Yes (please specify the certification body):

Certification level for which the application has been made:

CL 1

CL 2

CL 3

With design

Without design

With purchasing

Without purchasing (welded components)

CL 4:

Design of components on the certification level:

Purchasing and assembly of components on the certification level:

Purchasing and reselling of components on the certification level:

(Please only fill in the applicable points on the audit check list)

Weld quality class for which the application has been made:

Including repair according to DIN 27201 6

Responsible welding coordinator

Name:

Qualification¹⁾:

IWE

IWT

IWS

Telephone:

e-mail:

Area of responsibility:

Occupational training ¹⁾:

Welding technology training ¹⁾:

Should the responsible welding coordinator be classified as "external"?

Yes

Are any other plants also looked after externally by the external welding coordinator?

Yes, please specify the number:

(please enclose certificates)

2) Designation of the occupation and proof of the qualifications (copies of certificates) as well as the occupational activities until now (as tables) should be enclosed.

Page 6 of 10 pages

Equally authorised deputy

Name:

Qualification¹⁾:

IWE

IWT

IWS

Telephone:

e-mail:

Area of responsibility:

Occupational training ¹⁾:

Welding technology training ¹⁾:

Should the deputy welding coordinator be classified as "external"?

Yes

Are any other plants also looked after externally by the deputy welding coordinator?

Yes, please specify the number:

(please enclose certificates)

Additional deputy

Name:

Qualification¹⁾:

IWE

IWT

IWS

Telephone:

e-mail:

Area of responsibility:

Occupational training ¹⁾:

Welding technology training ¹⁾:

Should the above additional deputy welding coordinators be classified as "external"?

Yes

Are any other plants also looked after externally by the above welding coordinators?

Yes, please specify the number:

(please enclose certificates)

1) Designation of the occupation and proof of the qualifications (copies of certificates) as well as the occupational activities until now (as tables) should be enclosed.

Page 7 of 10 pages

Scope of validity / area of application for which the application has been made

The proof is planned for the manufacture of the following assemblies/components:

Welding processes, materials, dimensions and remarks

Welding process according to DIN EN ISO 4063	Material group according to CEN ISO/TR 15608	Dimensions	Remarks

Remarks

Page 8 of 10 pages

Part 3: Questions about the certification according to DIN EN ISO 3834 ff.

What fields are to be certified? (Question not applicable to organisations without any branches)

Only the headquarters

The whole organisation including the branch(es)

Manufactured products (if possible, please enclose a company brochure)

Production type

Single-item fabrication

Series fabrication

Maximum product weights and dimensions

Product weight

Dimensions

Utilised base materials (thickness range) and filler materials

Base materials	Thickness range	Filler materials

Mainly utilised welding and/or allied processes

Classification numbers according to DIN EN ISO 4063	Degree of mechanisation	Qualification of the procedure according to

Page 9 of 10 pages

Are any heat treatments carried out?

Yes, internally

Yes, subcontracting

What activities relevant to welding technology do you always subcontract?

Personnel

Type	Number	Qualification/testing basis
Certified welders
Certified tack welders
Certified operators
Welding coordinators

Responsible welding coordinator

Name:

Qualification¹⁾:

IWE

IWT

IWS

Telephone:

e-mail:

1) Designation of the occupation and proof of the qualifications (copies of certificates) as well as the occupational activities until now (as tables) should be enclosed.

Page 10 of 10 pages

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