Application Form for Re-Accreditation

Application Form for Re-Accreditation

SCHEME FOR ACCREDITATION OF EIA CONSULTANT ORGANIZATIONS

Application Form – Re-Accreditation

1. Name and Address of EIA Consultant Organization

2. Name of the Head of the Organization with designation and contact details

3. Name & contact details of Contact person

Name

Address

Tel. No. Mob.

4. Legal Status of the organization (please mark (√) the appropriate status)

Public / Private / Government ______
Company / Partnership / Proprietorship / Registered Society ______
Research / Academic Institute ______
Industry Association ______

e. Others (please specify and attach necessary evidence) ______

Has it changed since Initial Accreditation, if so, please give details

5. Date of Registration/ Incorporation (attach copy of certificate of incorporation / registration)

DD / MM / YY

6. Status of Sectors & Functional Areas

S. No. / Sectors / Functional Areas /
Approved in IA, SA1 or subsequently / Now Applied / Approved in IA, SA1 or subsequently / Now Applied /
Sector / Cat. / Ref. AC MoM / Sector / FA / Cat. / Ref. AC MoM / FA /
1
2
3
4
5
6
7
8
9
10
11
12

7. Services provided by organization

a. Before Initial Accreditation

b. After Initial Accreditation (new field ventured in)

8. Date of Initial Assessment Date Month Year

9. Date of Surveillance Assessment Date Month Year

10. EIA activities started from Month…………………Year……………

11. Number of Employees

Ø Total ……….

Ø For EIA / Environmental activities ……….

12. Annual Income of the organization in Indian Rupees (attach balance sheet and IT returns for last 3 years from the date of this application)

Income / FY 2010-11 / FY 2011-12 / FY 2012-13
Total Income (INR)
EIA related Income (INR)
Other environmental services (INR)

13. Organization structure

a. Broad overall organization set up and detailed organizational structure for the wing/ division involved in EIA preparation including deployment of personnel

b. For multi-location organizations, role and functions of the various units with their organizational strength and address

14. Please state the sl. nos. and the sectors (as per Annexure II of NABET Scheme) for which re-accreditation is being sought.

Sl.No. / Sl. No. as per NABET Scheme / Name of Sector
1
2
3

15. Compliance to following conditions of Accreditation

S.No. / Description / Whether action taken
Yes/No / If yes, attach reference letter/email/ document /
1 / Submission of closure actions for Major NCs/ NC/ Obs./ Alerts issued in Surveillance Assessment as per NABET format
2 / Timely information to NABET of changes in approved experts and their timely replacement
3 / Submission of 6 monthly reports
4 / Inclusion of names and signatures of EC, FAEs and the CEO of the organization in the EIAs completed after Initial Accreditation/ SA (Pl specify, as applicable)
5 / Timely payments to NABET

16. Experts/ candidates included in this application

a. Experts approved in IA, SA or subsequent assessments

Sl. / Name / IH/
Emp / Sectors/ Functional Areas approved / Cat / AC MOM Ref. / Sectors/ Functional Areas now applied, if changed* / Whether relevant Annexures attached, as applicable
(Yes/ No) /
Ann.
IV / Ann. IV A / Ann.
IV B / Ann. V /
Approved Experts /
EIA Coordinator/s
Functional Area Expert/s

*Maximum 5 sectors and 4 functional areas for one expert

b. New candidates now proposed

S.No. / Name / In-house/ Emp. / Sector/s or Area/s as per Scheme / Whether relevant Annexures attached, as applicable
(Yes/ No) /
Ann. IV / Ann. IV A / Ann.
IV B / Ann. V /
New Experts /
EIA Coordinator/s
1
2
Functional Area Expert/s
1
2

Abbreviation for the Functional Areas*

S.No. / Functional Area / Abbrv. / S.No. / Functional Area / Abbrv. /
1 / Land Use / LU / 7 / Socio Economy / SE
2 / Air Pollution Control / AP / 8 / Hydrology and Ground Water / HG
3 / Air Quality Modeling / AQ / 9 / Geology / GEO
4 / Water Pollution Control / WP / 10 / Soil Conservation / SC
5 / Ecology & Bio Diversity / EB / 11 / Risks & Hazard / RH
6 / Noise/ Vibration / NV / 12 / Solid & Haz. Waste / SHW (MSW/
ISW/
HW)

* Please see the scheme document (section 3.2) for the subject coverage of each of the above functional areas

Note: All experts (fresh or approved earlier) will be assessed for re-accreditation of the Organization

c. Please submit details of earlier assessments of experts included in this application as per attached format VIA6

17. Laboratories arrangement

a. Whether laboratories utilized after Surveillance Assessment for field monitoring to collect baseline data on physical environment are NABL Accredited/ MoEF recognized – Yes/ No

b. Details of laboratories utilized after SA

S.No. / Name of Laboratory with Address / In-house/ External / MoEF recognized/
NABL accredited / Whether relevant documents attached* (Yes/ No)
Certificate of Accreditation/ Gazette Notif. / Scope of Accreditation / Copy of MoU with Lab incl. Scope of Work
1
2
3
4
5

*For MoEF recognized laboratories, pl confirm if the scope includes all 5 parameters namely water-waste water, ambient air, stack emission, noise and soil.

c. For internal NABL accredited/ MoEF recognized laboratories, protocols for selection of sampling locations, collection, preservation, transportation, testing and analysis of samples and calibration of equipment/ instruments/ glass wares to be furnished.

d. For external NABL accredited/ MoEF recognized laboratories, in addition to the 17 c. above, protocols of the applicant for ensuring quality and integrity of the work carried out by the external laboratory to be furnished.

e. Complete details of all laboratories utilized during the year (from SA to till date) to be provided as per Annexure VIA3 of this document.

18. Enclose a copy of current Quality Management System manual fulfilling the requirements of Appendix 2 of Scheme. Also confirm if NC/Obs. issued during SA on QMS have been addressed including closure action on each of these.

19. Enclose a list of EIAs carried out since SA till date of application for re-accreditation as per Annexure VIA 1 of the Scheme (Pl include both completed and on-going projects)

20. Please furnish following details related to the overall performance of the organization during the year

Capacity building for ECs/FAEs/ lab technicians in terms of (i) training programmes attended, (ii) upgrading the educational qualification, (iii) others
Improvements implemented in systems and procedures

21. Please find enclosed the Demand Draft / Cheque (Delhi only) no. ………………. for Rs. …………./ dated……………………..drawn on ………… in favor of Quality Council of India, payable at New Delhi towards the application fee (Fee for processing application of Surveillance Assessment – as per Explanatory Notes dated Oct. 19, 2012)

22. Application is to be submitted in Soft Copy only – through email followed by 2 CDs.

23. Declaration

We have carefully read all NABET guidelines for accreditation and surveillance of EIA Consultant Organization. The conformity of eligibility of the experts proposed, to the requirements of the Scheme, has been verified by us at our end and all relevant documents have been furnished. We confirm that the information provided in the application in support of the application is correct to the best of our knowledge and belief.

We authorize NABET to make any enquiry as deemed fit as part of the reviewing process. We understand that in case any information is found to be incorrect, it may result in rejection of this application and/or disqualification. We authorize NABET to utilize the information provided in this application for legal, research, training, sharing with MoEF and IPC members and/or for any other purpose as may be deemed fit by NABET.

We commit to notify NABET immediately of any changes in the status where information regarding such changes, if declared may affect the consideration for accreditation/surveillance of the organization.

Signatures

Name (Authorized Signatory)

Designation

Organization

Date

Checklist of Enclosures

S.No. / Aspect / Whether attached
(Yes/ No) / Reference Document/ Page No. in Application
1 / Copy of registration certificate/ document certifying establishment, as applicable
2 / Balance sheet and IT returns for last 3 years (from date of this application)
3 / Details of organizational set up and organizational structure for EIA division
4 / Roles, functions, strengths and address for multi-location organizations, as applicable
5 / Response to MNC, NC, Obs., Alerts issued during SA, as applicable
6 / Information to NABET about changes in experts and their replacements
7 / Whether 6 monthly report submitted
8 / Copy of declaration in EIA showing names and signatures of experts in the EIA/s (submit for 1 report as a sample)
9 / Status of timely payments to NABET
10 / Experience details of all candidates/ experts as per Annexure IV, IVA, IVB, V (including NOC), as applicable
11 / For candidates approved earlier, in addition to IV/ IV A/ IV B, experience details from the date of first approval as per Annexure VIA 4 and VIA 5 is also to be submitted
12 / Report on training on work is to be submitted for approved Associate FAE as per NABET format
13 / Details of earlier assessments of experts as per Annexure VI A6
14 / Certificate of Accreditation/ copy of Gazette Notification for labs utilized
15 / Scope of accreditation of NABL labs utilized
16 / Copy of MoUs and scope of work for external labs utilized
17 / Protocols for Internal Lab as per point 17. c of Application Form
18 / Protocols for External Lab as per point 17. c & d of Application Form
19 / Details of laboratory utilized as per Annexure VIA3
20 / Copy of current QMS Manual
21 / Details of EIA carried out since SA as per Annexure VI A1
22 / Application Fee, as applicable
23 / Whether 2 CDs containing the complete details of the application have been submitted

Relevant Formats (Enclosed)

1. Annexure II - Project Sectors

2. Annexure IV - Resume Format

3. Annexure IV A - Sectoral experience of EIA Coordinators

4. Annexure IV B - Specific experience of FAEs

5. Annexure V Rev. 1 - Declaration of Empanelled Experts

6. Annexure VI A1 - List of EIAs prepared during the year

7. Annexure VI A3 - Details of laboratories utilized during the year

8. Annexure VI A6 - Status of Experts

Annexure –II

Project Sectors

Please tick the desired project sector/s for NABET accreditation

S. No. / Sectors / Tick /
1 / Mining of minerals including Opencast / Underground mining
2 / Offshore and onshore oil and gas exploration, development & production
3 / River Valley, Hydel, Drainage and Irrigation projects
4 / Thermal Power Plants
5 / Nuclear power projects and processing of nuclear fuel
6 / Coal washeries
7 / Mineral beneficiation including pelletisation
8 / Metallurgical industries (ferrous & non ferrous) – both primary and secondary
9 / Cement plants
10 / Petroleum refining industry
11 / Coke oven plants
12 / Asbestos milling and asbestos based products
13 / Chlor-alkali industry
14 / Soda ash Industry
15 / Leather/skin/hide processing industry
16 / Chemical fertilizers
17 / Pesticides industry and pesticide specific intermediates (excluding formulations)
18 / Petro-chemical complexes (industries based on processing of petroleum fractions & natural gas and/or reforming to aromatics)
19 / Textile – cotton and manmade fibers
20 / Petrochemical based processing (processes other than cracking & reformation and not covered under the complexes)
21 / Synthetic organic chemicals industry (dyes & dye intermediates; bulk drugs and intermediates excluding drug formulations; synthetic rubbers; basic organic chemicals, other synthetic organic chemicals and chemical intermediates)
22 / Distilleries
23 / Integrated paint industry
24 / Pulp & paper industry excluding manufacturing of paper from wastepaper and manufacture of paper from ready pulp without bleaching
25 / Sugar Industry
26 / Deleted
27 / Oil & gas transportation pipeline (crude and refinery/ petrochemical products), passing through national parks/ sanctuaries/coral reefs /ecologically sensitive areas including LNG terminal
28 / Isolated storage & handling of Hazardous chemicals (As per threshold planning quantity indicated in column 3 of schedule 2 & 3 of MSIHC Rules 1989 amended 2000)
29 / Air ports
30 / All ship breaking yards including ship breaking units
31 / Industrial estates/ parks/ complexes/areas, export processing Zones(EPZs), Special Economic Zones(SEZs), Biotech Parks, Leather Complexes
32 / Common hazardous waste treatment, storage and disposal facilities (TSDFs)
33 / Ports, harbours, jetties, marine terminals, break waters and dredging
34 / Highways, railways, transport terminals, mass rapid transport systems
35 / Aerial ropeways
36 / Common Effluent Treatment Plants (CETPs)
37 / Common Municipal Solid Waste Management Facility (CMSWMF)
38 / Building and large construction projects including shopping malls, multiplexes, commercial complexes, housing estates, hospitals, institutions
39 / Townships and Area development projects
40 / Additional Sectors:
i. Automobile and Auto Components
ii. Electroplating and Metal Coating
iii. Electrical and Electronics including component industry
iv. Glass and Ceramic Industry
v. Food Processing

Annexure IV

Resume Format

(For EIA Coordinator / Functional Area Expert/ AFAE)

Mr./Ms./Mrs. /Dr.

______

(First Name) (Middle Name) (Last Name)

1. Role in the Organization: Full Time Employee Empanelled Expert