INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA Application for assessor/expert in the accreditation system * 1. PERSONAL DATA Name and Surname : Personal ID Number: Address : Phone : Fax : E-mail : 2. WORK POSITION Organization : Address : Phone: Fax : E-mail : Position/work position: Field of work : 3. EDUCATION 3.1 Education Education Educational institution Graduation year Department University degree (VII) Masters degree PhD 3.2 Knowledge of foreign languages Language Active Passive Yes No 3.3 Computers skills MS Office e-communication 4. WORKING EXPERIENCE 4.1. Previous working experience Organization Work position Field of work from-to * The application data is kept confidential, used in accordance with the Statement of the candidate for assessor /assessor/ expert, given in item 8 of this document. Издание /Issue 2 Верзија /Version 2 ОБ03-09 OBO3-09 Страна/Page: 1/5 INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA Application for assessor/expert in the accreditation system * 4.2 Experience in field of managing quality systems, calibration, testing, certification, inspection, accreditation Organization Work position Field of work from-to 4.3 Experience in field of audit and/ or assessment Field of audit and/ or assessment Annual number of audits and/or assessments Last audit and/or assessment (year) 5. ATTENDED TRAININGS IN AREA OF QUALITY MANAGEMENT SYSTEMS / ACCREDITATION SYSTEM/ OTHER RELEVANT QUALIFICATIONS Training/Seminar/ Course Delivered by Certificate Duration (year / number of days) Laboratory assessors training (МКС EN ISO/IEC 17025) Certification bodies for management systems assessors training (МКС EN ISO/IEC 17021) Certification bodies for persons assessors training (МКС EN ISO/IEC 17024) Certification bodies for products assessors training (МКС EN 45011) Inspection bodies assessors training (МКС EN ISO/IEC 17020) other : * The application data is kept confidential, used in accordance with the Statement of the candidate for assessor /assessor/ expert, given in item 8 of this document. Издание /Issue 2 Верзија /Version 2 ОБ03-09 OBO3-09 Страна/Page: 2/5 INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA Application for assessor/expert in the accreditation system * 6. LIST THE ACCREDITATION AREA AND TECHNICAL FIELD IN WICH BY YOUR EDUCATIONAL BACKGROUND, ATTENDED TRAININGS AND GAINED EXPERIENCE YOU DEEM YOURSELF COMPETENT: 6.1 CALIBRATION LABORATORIES (according to the document R 15 or more detailed) Classification according to areas of Classification according to quantity calibration (rang the fields from greatest to least experience such as to assign the greatest experience to section a)) а) Dimensional quantities** а) length** b) Mechanical quantities** b) force, ** mass ** pressure** c) c) d) d) e) e) 6.2 TESTING LABORATORIES (according to the document R 15 or more detailed) Classification according to testing fields Classification according to types of products/materials for testing (rang the fields from greatest to least experience such as to assign the greatest experience to section a) а)chemistry** а)foodstuffs** water** b)microbiology** b) foodstuffs** water** c) c) d) d) e) e) 6.3 CERTIFICATION BODIES FOR MENAGEMENT SYSTEMS (according to the document R 15 or more detailed) Classification according to standard for Classification according to ЕА/NACE cod certification (rang the fields from greatest to least experience such as to assign the greatest experience to section a) а) ISO 9001** а)ЕА 1/NACE ........** b) ISO 14001** b) c) ISO 22000** c) d) e) d) e) * The application data is kept confidential, used in accordance with the Statement of the candidate for assessor /assessor/ expert, given in item 8 of this document. Издание /Issue 2 Верзија /Version 2 ОБ03-09 OBO3-09 Страна/Page: 3/5 INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA Application for assessor/expert in the accreditation system * 6.4 CERTIFICATION BODIES FOR PRODUCTS Field of expertise (product, process, service) Classification according to certification scheme (normative document, legislative and/or standards) (rang the a fields from greatest to least experience such as to assign the greatest experience to section a) а) organic products** а) Regulation (ЕС) No 834/2007 European Council** Law on organic agriculture production of RM** b) construction products** b) Standard....** concrete Standard EN 206-1** tar c) c) d) e) d) e) 6.5 CERTIFICATION BODIES FOR PERSONS Field of expertise (persons or group of Normative documents (technical standards) persons) (rang the fields from greatest to least experience such as to assign the greatest experience to section a) а) Welders** а) EN 287-1** b) NDT examiners** b) Standard....** c) c) d) e) d) e) 6.6 INSPECTION BODIES Field of expertise (product, process, Normative documents (legislative and installation) technical standards) (rang the fields from greatest to least experience such as to assign the greatest experience to section a) а)Pressure equipment** а)Directive ......** Regulation....** Standard.....** b)Lifts** b) Directive ......** Regulation....** Standard.....** c) c) d) d) e) e) ** The filled fields in the tables above, under item 6, are given for example, during the filling of form remove them and replace them with your data. * The application data is kept confidential, used in accordance with the Statement of the candidate for assessor /assessor/ expert, given in item 8 of this document. Издание /Issue 2 Верзија /Version 2 ОБ03-09 OBO3-09 Страна/Page: 4/5 INSTITUTE FOR ACCREDITATION OF THE REPUBLIC OF MACEDONIA Application for assessor/expert in the accreditation system * 7. ADDITIONAL DOCUMENTS REQUIRED Attached to these form please enclose the following: copies of education certificates (Diploma, Masters certificate, PhD certificate, Specialized education credentials/certificates, etc.) foreign languages certificates (if any) certificate proving educational background in the field of quality management systems certificate proving educational background in the field of accreditation system (if any) rang certificate in the foreign accreditation body (applicable only for foreign assessors/experts) CV references in relation to the field for which you are applying (scientific papers, reference / confirmation from the superior about your daily duties, specialty, narrower field of work, etc.). Note: Assessors are obliged to up date their personal records by fulfilling and submitting an OB 03-09 form Application for assessor/expert in the accreditation system once a year and if there be any changes to submit adequate evidences (for example training certificate, new employment, etc…). If there be no changes assessors must inform the Personnel evaluation Committee in written (by e-mail), too. 8. STATEMENT OF THE CANDIDATE FOR ASSESSOR/ASSESSOR/EXPERT I confirm the accuracy of data provided and I commit to regularly submit all modifications referring to provided data, primarily to data concerning qualifications, and its modifications (additional qualifications, or termination of existing qualifications) I declare that according to IARM’s document stating the requirements to be satisfied by the assessors and experts in the IARMS’s accreditation system, I will duly inform you about all modifications made, in written, as to enable timely and consistent update of the latest personal data and their utilization. According to the Law on Protection of Personal Data (Official Gazette of R.M. No. 7/2005, 103/2008 and 124/2010) I authorise usage and publication of my personal data for IARM’s needs as well as their release to foreign Accreditation Bodies on demand. Place and date: Signature of the candidate for assessor: 9. EMPLOYER’S APPROVAL FOR ASSESSOR’S PARTICIPATION IN THE ACCREDITATION SYSTEM (where appropriate and needed) I give my approval for Name and surname of the candidate for assessor/ the assessor/the expert to participate in the working activities of the IARM – Institute for Accreditation of Republic of Macedonia as an assessor/expert in the accreditation procedure. Place and date: Name and surname of official: Stamp here. * The application data is kept confidential, used in accordance with the Statement of the candidate for assessor /assessor/ expert, given in item 8 of this document. Издание /Issue 2 Верзија /Version 2 ОБ03-09 OBO3-09 Страна/Page: 5/5
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