ISO 14001 Certification Questionnaire
 
Please complete this questionnaire for ISO 14001 certification. On receipt of the completed Questionnaire, AJA Malaysia will prepare and submit for your approval a proposal detailing assessment or transfer costs and timescales.

  1. Company Name
    E-mail
    Company Address
    Telephone
Fax
    Management Representative (Contact)
    Position
    Name of Managing Director

 
  2. Is your Company registered as ISO 14001? Yes No
 
If "Yes", are you interested in the possibility of "changeover" to AJA as part of an integrated management approach? Yes No
   
If "Yes", please give:
  a) the name of the certification body & accreditation mark
  b) the 9000 worded scope
  c) the part of the Standard (ISO 9001/9002 etc.)

 
  3. Has contact been made with AJA personnel previously? Yes No
   


If "Yes", please state name of person contacted and the date of meeting or conversation.

 


 
4.


Please describe the products, production processes and/or services of your organization.


 
  5. Does the company have an Environmental System Manual/Procedures? Yes No
 

 

6.

 

If "Yes", please give:

  What is the approximate number of pages in the Company's Environmental System Manual and Procedures excluding copies of forms?  
     
  7. Company Size
  a) How many sites/factories are included in this enquiry?
  b) How many employees on each site/factory? Site 1
  Site 2
      Site 3

 
  8. Was a Preparatory Environmental Review performed? Yes No
   
If Yes, was the expertise provided from (tick the appropriate box)
  a) Own site staff  
  b) Consultancy  
  c) Corporate / Head Office staff  

Are there any activities covered in your scope, carried out away from the registration address(es). e.g depots, warehouses, sites or offices which are intended to be included in the single registration?

   Yes

No


If there are, please describe activities giving addresses


  9.

Was your environmental policy written after the preparatory environmental review?
Yes No

 
  10.
Usage of Resources and Raw Materials

      
  Electricity High Med Low
  Water High Med Low
  Gas High Med Low
  Metals High Med Low
  Minerals High Med Low
  Plastics or Rubber High Med Low
  Paints or Solvents High Med Low
  Wood High Med Low
  Paper High Med Low
  Chemicals High Med Low
  Oil / Coal High Med Low

 
  11.

Products / Services
Have you conducted a Life Cycle Analysis on your product? Yes No

 
  12. Environmental Awareness - Please indicate the level of knowledge of environmental issues possessed by the following categories of your personnel:
   
  Senior Management & Middle Management and Supervisory High Med Low
  Technical and Commercial & Operators High Med Low

 
  13. General Regulatory Aspects - Please indicate if National Environmental legislation exists in the following general areas:
 
 

Water Pollution

 Yes

No
  Air Pollution Yes No
  Hazardous Waste Disposal Yes No
  Noise Levels Yes No
  Land Contamination Yes No
  Nuisance - Odor etc. Yes No

 
  14.
In addition to or instead of National Legislation, are there any local Environmental Regulations existing for the general categories listed above?   Yes No
   


If "Yes", please give brief description of coverage of such local Regulations - Town/City/Province - Air/Water/Land etc.


 
  15.
Has your Company ever been the subject of Prosecution or Formal Complaint on any Environmental Issue? (Information given is treated in the strictest confidence and has no influence on Certification)   Yes No
   


If "Yes", please briefly describe the circumstances.


 
  16. Monitoring and Measurements
   
  a) Are you, or is anyone on your behalf, measuring any emissions to atmosphere?   Yes No
  b) Are you, or is anyone on your behalf, measuring for any plant effluent?   Yes No
  c) Are you, or is anyone on your behalf, measuring for Noise Levels around your site?   Yes No

 
  17. Waste
   
  a) Do you produce and dispose of Hazardous wastes?   Yes No
   

If "Yes", please briefly describe the type sand contents.

 
  18. Building and site location aspects.
   
  a) Please indicate the general description of your site's location.   Industrial
Residential
Agricultural
  b) Are you located within 1 km of public waterway?   Yes No
  c) Are you located within 1 km of any school or hospital?   Yes No

 
  19.

Please briefly describe where you heard of AJA Malaysia Certification Services - Newspaper / Trade reference / Personal Contact etc.

 
Please select the country to email to, then Click on Submit to mail this form to us.Our staff are standing by to process your questionnaire.