ISO3834焊接企业申请表.doc

国际授权（中国）焊接企业资格认证委员会网址： 电话传真8401 email: Welding Manufacturer Application Form焊接企业认证申请表(ISO3834-2 ISO3834-3 ISO3834-4)1 GENERAL INFORMATION 基本信息Name of the Company or Unit to be assessed: 申请企业名称：Address of the Company or Unit to be assessed: 申请企业地址： Owner:Tel:Fax:E- mail:企业法人：电话：传真：电子邮箱：Project Manager:Tel:Fax:E- mail:认证负责人：电话：传真：电子邮箱：Type of Application:申请类型： first application 初审 renewal, current certificate expires (date) 复审, 原认证有效期至: following circumstances have changed 原认证条件发生改变:Certification Purpose: 认证目的： Requirements of customers 客户要求 list of customers 客户列表: Requirement of Market 市场要求 Requirement of Standard 标准要求 Requirement of Supervision and Management body监督与管理机构要求 Self requirement 自身要求2 CERTIFICATIONS ISSUED BY OTHER ORGANISATIONS/BODIES 其它组织/机构颁发的证书，如ISO9001、ISO14000、ISO18000等If yes specify the following: 如果有，请填写以下内容：Type of Certification认证类别Certifying Body认证机构Date of issue颁发日期Date of expiry有效日期3 INFORMATION TO SUPPORT APPLICATION FOR ASSESSMENT 申请企业相关信息3.1 Information for the IIW MCS国际焊接学会企业认证项目相关信息Description of the manufacturers organisation structure with details of the part of the organisation involved in the welding related activities. Functions and number of persons shall be indicated. 企业参与焊接生产相关活动的组织机构描述，列出其职责及参与的人数。Function部门职责Total number of persons 人员总数Number of persons involved in IIW MCS activities (*) 参与IIW MCS活动的人数 (*) The activities must be those related to the welding and allied processes. 活动是指与焊接及其相关工艺有关的活动3.2 Welding personnel： 焊接人员3.2.1 Responsible Welding coordinator(s) 主管焊接责任人员：Name 姓名Date of birth 出生日期Range of responsibility 责任范围I）Welding training *) 焊接技术培训Since 培训时间Examined on 考试日期 Degree 学历 IWE 国际焊接工程师 IWT 国际焊接技术员 IWS 国际焊接技师 IWP 国际焊接技士 IWIP 国际焊接质检人员 EN473无损检测人员 Welding instructors 焊工教师Others 其他资质II）Curriculum viitae(tabulated on separate sheet) 工作简历（填加附件）：3.2.2 Deputy welding coordinator 焊接责任人员代表：Name 姓名Date of birth 出生日期Range of responsibility 责任范围I）Welding training *) 焊接技术培训Since 培训时间Examined on 考试日期 Degree 学历 IWE 国际焊接工程师 IWT 国际焊接技术员 IWS 国际焊接技师 IWP 国际焊接技士 IWIP 国际焊接质检人员 EN473无损检测人员 Welding instructors 焊工教师Others 其他资质II）Curriculum viitae(tabulated on separate sheet) 工作简历（填加附件）：3.2.3 Additional welding coordinators（if anyone else, please copy and fill in the tables as above） 其他焊接责任人(如有其他焊接人员，请复制并填写以上表格)：3.2.4 Welder list(see attachment) 焊工列表（请提供附件）3.2.5Visual inspectors and NDT inspection staff 外观检测人员及无损检测人员Name 姓名Qualification according to EN 473 and Level具有EN473资质及级别Inspection authority发证机构Name 姓名Qualification according to IWIP and Level具有国际焊接质检人员资质及级别Inspection authority发证机构Name 姓名Qualification according to other standards and Level具有其他检验资质及级别Inspection authority发证机构3.3 General information 基本信息3.3.1Type of manufactured product(s) 产品类型3.3.2 List of product standards and/or other specifications used 列出使用的产品标准和/或其他规程3.3.3 Welding processes and parent materials welded焊接工艺和母材Welding processes 焊接工艺(ISO 4063)Parent material groups 母材组别(ISO/TR 15608) 3.3.4Company facilities生产设施I）Size of fabrication shop(s) Total approx m2生产车间场地面积总计： II）Size of welding shop(s) Total approx m2焊接车间场地面积总计：III）Welding machines/Equipment:焊接设备/设施Table A. Equipment for the inspection and testing of welds表A. 焊缝检测设备及工具Quantity数量Kind of equipment种类Manufacturer制造商Model / parameter型号/性能Table B. Other facilities, machines and systems required for the welding equipment (e.g. for heat treatment)表B.其它与焊接相关的设备、机器及装置（如热处理设备）Quantity数量Kind of equipment种类Model / parameter型号/性能3.3.5 Activities generally subcontracted 基本分包活动4 FORMAL INTERFACES WITH THE ANBCC and CONFIRMATION ABOUT INFORMATION ABOVE WITH SIGNATURES与ANBCC联系方式及上述申请信息的确认Name联系人： Address:地址Tel: Fax : E-mail: 电话： 传真： 电子邮箱：Date