Annex to Declaration-Request for multi-sites organizations

Annex to Declaration-Request for multi-sites organizations.

Organization Name _____________________________________________________________

Please, indicate the information on the sites performing identical
production activities

No.	Criterion	Organization data	Notes
1	Number of the sites (branches) in total / among them are entered in the certification scope / number of the sites engaged in identical production activity[1]	_____/______/_____
2	Legal entity	One for organization / several
3	Sites are located	within one region (region of the Russian Federation/ within one country/ in different countries
4	Number of personnel (central office) without regard to the personnel working at the sites
5	Methods and procedures used by the sites are:	same / different
6	In view of sites the management system is controlled: (main parameters: document control, internal audit program, management review, management of customers claims, treatment of complaints, incidents, accidents, directions of supervising bodies, various legislative requirements, changes in environmental aspects and associated impacts on the environment, evaluation of corrective and preventive actions)	centrally within one plan / not centrally
Additional information (only for certification of environmental management systems and occupational health and safety systems)
7	Complexity of environmental factors at the sites	different / same
8	Level of occupational risk at the sites	different / same
9	Significant differences in applicable legal requirements for the sites	available /not available
10	Potential and actual impacts of various kinds of activities on the environment and/or safety and health	identical/ not identical
11	Production equipment used for the same purposes	same / different

2. Applicant commitments:

1. The applicant guarantees that the information presented in this Annex is correct.

2. The applicant confirms awareness of certification conditions for multi-site organizations and has no objection against using in the course of certification the procedure of site sampling
(the procedure for certification of multiple sites organizations is placed on RR official web site: http://*****/doc/004.00-105.pdf).

Manager of

Organization ____________ ______________ ___________ «_____» _______20

(position) (surname, initials) (signature) (date)

Place of stamp

[1] If there are several groups of multiple sites, each of which joins the sites with the same activity, then the number of the sites is indicated for
each group with the explanations in the column “Notes”.