SHENA

Application to act as an Approved Third-party Inspection Agency (TPIA) for Lifting Equipment

APPLICANT BASIC INFORMATION (who should be responsible of maintaining Quality Assurance Manual)

This Applicant Will Be The Focal Person For Any Matters Related To Approval To Act As A THIRD-PARTY INSPECTION AGENCY For Lifting Equipment

Applicant's Name

Position / Designation

Quality Assurance

Technical Manager

Operation Manager

Contact No.

E-mail Address

Third Party Inspection Agency Basic Information

Name of Company

Type of Organisation

Yes

N/A

Others

Type of work applying for

Registered / Mailing Address

Address of Head Office

Contact No.

Email Address

Managing Director Details

Name of Managing Director

Contact No.

Details of Partners, Directors and Key Inspection Personnel

Full Name	Passport / Identity Card No. (Colour)	Date of Birth (DD/MM/YYYY)	Qualification		Work Experience
Full Name	Passport / Identity Card No. (Colour)	Date of Birth (DD/MM/YYYY)	Academic	Professional	Name of Company	Duration

Experience on Projects and Services provided over last three (3) years

Project / Equipment Inspected / Contract Awarded	Date of Project / Contract Awarded / When the Inspection was carried out	Codes / Standard Use	Country where the Inspection was made	Client

Supporting Documents & Requirements

A. Business Profile

Documents to be uploaded

Upload document(s)

Description of Company

Company Organisation Chart

Company Registration Certificates)

Details of Partners/Directors

Company HSE Policy and Goals

Types of works and services (please indicate the Codes and legislation used)

B. Accreditation & Certificate Awarded

Accreditation or Certification granted to the organisation with full details such as Scope of the Accreditation, Certificate No. and Expiration of Certificate.

Note: ISO/ IEC 17020:2012 (Conformity Assessment Requirements for the operation of various types of bodies performing inspection) is mandatory, ISO9001 (quality management system) and LEEA (lifting equipment engineering association) accreditations are preferred.

ISO/IEC 17020

ISO 9001

LEEA

Copies of the approval certificates, testimonials or letters from relevant government authorities.

Sample copies of Test reports; Inspection reports and certificates; Any technical reports.

Guidelines / Process of issuance inspection Certifications e.g. legislation, code, standards

C. Supporting Documents for Inspectors

Curriculum Vitaes of Inspectors

Copy of Relevant Safety and Health Training Certificates e.g. IOSH, NEBOSH, any local safety and health training (if any)

D. Procedures, Facilities and Equipment

List and photographs of facilities properly equipped with the equipment and calibrated instruments appropriate for the type and range of inspections undertaken by TPIA e.g. load cells, test weight, sheave gauges, dial gauges indicators.

List of checklist forms used by inspectors to carry out a thorough examination, containing all the requirements of acceptance and rejection criteria as per relevant international standard e.g. BSEN, EN, ISO, ASME, etc.

List of work instruction, inspection methods and procedures for inspection to be performed.

E. Emergency Procedures

Emergency Evacuation Layout Plan

Emergency Communication Plan

Photographs of Emergency Equipment (e.g. Fire Extinguisher [with inspection tag], Fire Alarm, Fire Hose Reel [if applicable], First Aid Box, etc.)

List of Fire Marshal / First Aider (with certificates)

Insurance Cover (for premises)

Copy of Company HSE Induction

I, declare that all particulars and information provided in this application and the documents attached hereto are true to the best of my knowledge and belief, and I understand that the Safety, Health and Environment National Authority (SHENA) reserves the right to reject this application if, at any stage, the information provided is false and incorrect. Should verification be required on any information provided in this application, I hereby authorise SHENA to carry out the necessary investigations.

Declaration of Complainant

Yes

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