*

Note: For EnMS certification the number of personnel shall be who materially impact to EnMS and includes Top Management, MR, Energy Management Team, Person responsible for major changes affecting energy performance, Person responsible for major changes affecting EnMS, person(s) responsible for developing, implementing or maintaining energy performance, improvements including objectives, targets and action plans, person(s) responsible for significant energy uses

*

Exclusion ( If any)
Clause	Justification

*ADDITIONAL INFORMATION
How many sites is your company managing at the same time
A register of Significance Environment aspect?	Yes No
An Environmental Management Manual?	Yes No
An Internal Environmental Audit Program?	Yes No
Has the Internal Audit Programme been Implemented?	Yes No

Hazard’s Identified?	Yes No
Detail any critical occupational health & safety risks identified?

*ADDITIONAL INFORMATION
Potential hazards and other factors	Range indicators for determining scores	Score
Dangerous Goods	1. There are some dangerous goods (but not licensable quantities). 2. There are licensable quantities of dangerous goods.	Yes No Yes No
Vehicle/pedestrian interaction (including fork-lifts)	1. There is vehicle traffic that has the potential to interact with employees or other persons but this interaction is very limited due to the low numbers of vehicles involved and limited potential pedestrian impact. 2. There are a number of forklifts or other vehicle movements around employee work areas, and/or pedestrians are able to enter vehicle work zones.	Yes No Yes No
Powered plant (including building plant rooms)	1. Powered plant is used occasionally 2. Powered plant is used regularly or daily	Yes No Yes No
Other plant (including scaffolding) or mechanical hazards	1. Other plant is used occasionally 2. Other plant is used regularly or daily	Yes No Yes No
Manual handling (includes Occupational Overuse Syndrome)	1.There is handling, storage, transport or use of hazardous substances 2.There is handling, storage, transport or use of hazardous substances on a daily basis by a number of persons	Yes No Yes No
Atmospheric contaminants other than hazardous substances (excludes confined spaces)	1. There has been or could be the need to test atmospheric contaminants to confirm they are below hazardous levels 2. There are known airborne contaminants in the atmosphere requiring breathing apparatus to be worn on a regular basis (may be in limited parts of the worksite).	Yes No Yes No
Use of ionising or non-ionising Radiation	1. There are low radiation sources 2. There are high radiation sources	Yes No Yes No
Confined Space	1. There is a confined space requiring entry 2.There are a variety of confined spaces requiring entry and/or a number of teams operating in confined spaces.	Yes No Yes No
Slips, trips and falls	1. There are slip, trip or fall hazards 2. There are a range of activities that expose people to slip, trip and fall hazards	Yes No Yes No
Noise	1. There are nuisance noise levels that do not exceed the maximum legislated noise level 2. There are noise levels that exceed the maximum legislated noise level	Yes No Yes No
Thermal environment	Score = 0 or 5 5: There is exposure to extreme thermal discomfort
Below ground work environment	1. There is occasional below ground work 2. There is regular or daily below ground work	Yes No Yes No
Storage and/or use of explosives	1. There are explosives on site 2. There are explosives being used	Yes No Yes No
Electrical hazards	1:Use of electrical equipment 2:Occasional need for personnel to work on electrical equipment 3: Regular or daily need for personnel to work on electrical equipment	Yes No Yes No Yes No
Pressurised environment	There is work in a pressurized environment	Yes No
Threats of bullying, violence or occupational assault	1.Exposure to internal bullying or violence 2.: Exposure to external bullying or violence 12: Both conditions apply	Yes No Yes No

*ADDITIONAL INFORMATION
HACCP implementation or study conducted?	Yes No
No. Of HACCP Plan	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
No. Of sites	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
No. of Process Lines	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Processing	Seasonal Continuous

Is the category “design and development” included in the activities to be certified?	Yes No
Is there any process that affects product conformity outsourced?	Yes No
Exclusions if any?
Any legal obligation?
Attach The Full Technical Specification of the product and application	Yes No

Do you have confidentiality information that would be excluded during onsite audit	Yes No
Additional Information Required (Tick one in each box) Critical business sectors are sector that may affect critical public services that will cause risk to health, security, economy, image and governmental ability to function that may have a very large negative impact to country
* Business and organization Complexity
The number of employees department wise
Number of user
Number of Sites
Number of server
Number of WS+PC+Laptop
Number of Application Development and Maintenance staff
Types of Business and regulatory Requirement	1. Organisation work in non critical business sector and non regulated sector 2. Organisation has customer in critical business sector. 3. Organisation works in critical business sector.
Process and Task	1. Standard Process with standard and repetitive task i.e lots of persons doing work under the organization’s control carrying out the same tasks, few product or services 2. Standard but not repetitive process with high number of products or services 3. Complex Process, High number of products and services, many business units included in scope of certification
Level of establishment of the Management System	1. ISMS is already well established and/or other management system are in place. 2. Some elements of other Management system are implemented, others not specific risk applies 3. No other Management system implemented at all, ISMS is new and not established.
Any Industry specific standards applicable, If yes, please provide details	Yes No
Any specific Legal / Regulatory / Statutory Act / Standard applicable. If yes, please provide details	Yes No
IT Environment Complexity
IT Infrastructure Complexity	1. Few or highly standardized IT platforms, servers, operating system, database, networks etc 2. Several different IT platforms, servers, operating system, database, networks etc 3. Many different IT platforms, servers, operating system, database, networks etc
Dependency on outsourcing and suppliers including cloud services	1. Little or no dependency on outsourcing 2. Some dependency on outsourcing or suppliers, related to some but not all important business activities. 3. High dependencies on outsourcing or supplier, large impact on important business activities.
Information System Development	1. Non or very limited in house system/application development 2. Some in house or outsourced system/application development for some important business purpose. 3. Extension in house or outsourced system/application development for important business purpose.
Risk Treatment Plan	Yes No
Statement of Applicability w.r.t. ISO 27001	Yes No
Procedures required by the Standard	Yes No
Records required by the Standard	Yes No
ISMS MRM	Yes No
Internal Audit Program	Yes No
No. of Customer/Projects covered under the scope	Yes No
Any service(s) outsourced	Yes No
Any other information Client would like to provide and which is not covered above:

Annual Energy Consumption (TJ)
No Of Energy Sources :
Number of significant energy uses (SEUs):

ISO 9001:2008	ISO 14001:2004
OHSAS 18001:2007	ISO 22000:2005
ISO 27001:2005	CE
HACCP	GMP
ISO 20000-1:2011	ISO 13485:2016
ISO 22301:2012	ISO 27001:2013
IMS	ROHS
ISO 50001:2011	ETI
FSSC	ISO 9001:2015
ISO 14001:2015	GDP
ISO 10004	ISO 27001:2013 & ISO 20000-1:2011
ISO 29990:2010	PS 9000:2011
ISO 26000:2010	ISO 45001:2018
10002 : 2004	ISO 22000:2018
ISO 50001:2018	ISO 27017:2015
ISO 27018:2014	ISO 41001:2018
ISO 18788:2015	HSE-MS
TL 9000:2017	ISO 8000-61:2016
ISO 21500:2012	General Data Protection Regulation
ISO 29993:2017	ISO 12207:2017
ISO 10427-1:2001	ISO 10427-2:2004
ISO 10427-3:2003	ISO 20000-1:2018
CMMI	ISO 31000:2018
ISO 21001:2018	ISO 10002:2018
ISO 37001:2016	FSSC 22000 V5.1
ISO 22241-1:2006	IS0 15378:2017
ISO 21500:2021	ISO 14064:2019
ISO/IEC 27701:2019	ISO 55001:2014
ISO 41001:2018	ISO 27001:2022
ISO 20400:2017	GHP
ISO 7153-1:2016	ISO 13402:1995