/ 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 / Department / Graduation year
University degree (VII)
Masters degree
PhD

3.2 Knowledge of foreign languages

Language

/

Active

/

Passive

3.3 Computers skills

Yes

/

No

MS Office
e-communication

4. WORKING EXPERIENCE

4.1. Previous working experience

Organization / Work position / Field of work / from-to

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
(МКСENISO/IEC17021)
Certification bodies for persons assessors training
(МКСENISO/IEC 17024)
Certification bodies for products assessors training
(МКСEN 45011)
Inspection bodies assessors training
(МКСENISO/IEC 17020)
other :

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 calibration / Classification according to quantity
(rang the fieldsfrom 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)

6.2TESTING 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 certification / Classification according to ЕА/NACE cod
(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) / d)
e) / e)

6.4CERTIFICATION BODIES FOR PRODUCTS

Field of expertise (product, process, service) / Classification according to certification scheme
(normative document, legislativeand/orstandards)
(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 834/2007European Council**
Law on organic agriculture production of RM**
b)construction products**
concrete
tar / b)Standard....**
Standard EN 206-1**
c) / c)
d) / d)
e) / e)

6.5CERTIFICATION BODIES FOR PERSONS

Field of expertise(persons or group of persons) / Normative documents (technicalstandards)
(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) / d)
e) / e)

6.6INSPECTION BODIES

Field of expertise (product, process, installation) / Normative documents (legislativeandtechnical 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.

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 inrelation to thefield for whichyou are applying(scientificpapers,reference/ confirmationfrom thesuperiorabout yourdailyduties,specialty,narrower fieldof 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 expertto 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 datais kept confidential, usedinaccordancewith theStatementof the candidateforassessor/assessor/expert, giveninitem8 ofthisdocument.

Издание /Issue 2
Верзија /Version2 / ОБ03-09
OBO3-09 / Страна/Page: 1/5