Application Form For Proficiency Testing Providers (PTP)
Application Form For Proficiency Testing Providers (PTP)
Application Form For Proficiency Testing Providers (PTP)
3 Annexure A: Guidance for submitting and preparing documents for the Application for 11
Proficiency Testing Provider Accreditation
2. Incomplete application and insufficient number of copies submitted may lead to rejection of application.
In case the space provided is insufficient, please use additional pages clearly indicating to which
section they relate to.
3. The applicant shall undertake to carry out its proficiency testing activities in such a way as to meet the
requirement of ISO/IEC 17043:2010, NABL specific criteria, other relevant additional requirements of
NABL and the regulatory authorities, as applicable at all times. Applicants are advised to ensure that
the latest versions of all documents including NABL documents are available with them.
4. The application fee and other necessary charges related to accreditation process is given in NABL
document NABL 100 ‘General Information Brochure’ under NABL Finance and NABL Fee Structure’.
NABL 100 is available on NABL website.
5. PTP are advised to familiarize themselves with NABL 100 ‘General Information Brochure’, NABL 201
‘Procedure Addressing Changes in Accredited Conformity Assessment Body’s Operations’, NABL 216
‘Procedures for Dealing with Adverse Decisions’ and NABL 131 ‘Terms and Conditions for Obtaining
and Maintaining Accreditation’ before filling up this form.
6. The applicant PT Provider shall provide photocopies of the following appropriate document in support
of the legal status claimed:
7. The applicant PT Provider shall intimate NABL about any change in the information provided in this
application such personnel, location etc. within 15 days from the date of changes.
8. NABL expects applicant PT Provider(s) that are to be accredited by NABL to provide their
documentation, access to their as well as subcontractors areas, equipment, records and personnel for
purpose of assessment and resolution of complaints.
9. The PT Provider shall also inform NABL in advance about any reservation regarding appointment of
Lead Assessor/ Assessor for the assessment.
10. The applicant PT Provider shall be given due notice of any intended changes relating to NABL
accreditation criteria and will also be given such time, as in the opinion of NABL is reasonable to carry
out the necessary adjustments to its procedure(s). The PT Provider shall inform NABL when such
adjustments have been completed.
12. The PT Provider shall submit NABL 131 duly signed by the Chief Executive or his/ her Authorised
Representative to NABL Secretariat along with this application form. By signing NABL 131 the PT
Provider agrees to comply at all times with Terms and Conditions of NABL.
Note: NABL-131 shall be signed by Chief executive of the organization. In case it is signed by any
other person, an authority letter/copy of resolution from board of directors of limited
organizations/trust/society authorizing the person to sign NABL-131 shall be available. For partnership
firms, the resolution by all partners in favour of the signatory shall be made available .
13. The PT Provider shall extend cooperation to NABL or its representative in:
a. Undertaking any check to verify capability of the PT Provider.
b. the PT Provider shall unambiguously provide names of all authorised signatories/Proficiency
Testing Co-ordinator who are responsible for activities like preparation of sample (testing of
homogeneity and stability) transportation and preservation of sample, use of statistical tools, issue
of PT report.
c. Access to relevant areas of the PT Provider or subcontractor for witnessing the activities being
performed.
d. examination of all relevant documentation and records.
e. interaction with all relevant personnel.
14. The PT Provider shall take all necessary actions and discharge all non-conformities raised
during the assessment within the stipulated time. The same shall be verified to the satisfaction of
NABL. The final decision on accreditation shall rest with NABL.
15. The application shall be kept confidential (until required by law) by NABL and information
obtained during the processing of application, assessment visit and grant of accreditation shall be
safeguarded and dealt with impartiality.
16. Any conflict of interests shall be clearly defined with organization chart.
17. PT Provider shall have initiated or completed at least one Proficiency Testing Scheme
round as per relevant international standard (eg. ILAC G13, ISO/IEC 17043, IUPAC Harmonized
Protocol for Analytical Chemistry, etc) before submitting the application form.
18. In case of PT programs for calibration laboratory, the Reference standard used for
assigning the value of artifact (PT item) shall be calibrated against a standard which is directly
traceable to National Metrological Institute (NMI).
19. PT Provider shall have conducted at least one Internal audit and Management Review
meeting prior to submitting the application form.
20. Please attach relevant documents with details required as per Annexure A
***
Extension of Scope
If accredited by NABL, Please provide accreditation certificate no. & accreditation validity (if applicable) and
CAB ID: PC-1030 Valid upto 04/11/2020
1.2 Name of Parent Organisation M/s. SCS ENVIRO SERVICES PVT. LTD.
(If part of an larger organisation)
Telephone No.: +91-9414080354 Fax No. __________________ e-mail : [email protected]
1.4 (a) Other accreditation for e.g.: ISO/IEC 17025, ISO 15189, ISO/IEC 17020, ISO Guide 34:
_________________________________________________________________________________
1.5 Goods and Service Tax (GST) Number along with PAN/TAN Number
GSTN – 08AATCS6792D2ZN PAN No.-AATCS6792D
1.6 Indicate exactly how the name of the PT Provider and the address is to be printed on the certificate
Testing
Calibration
Medical
Inspection
3.1 .1 Field of Testing for which accreditation is sought (includes sampling also)
Biological Mechanical
Chemical Non-Destructive
Electrical Photometry
Electronic Radiological
Fluid-Flow
Forensic
Electro-Technical
Mechanical
Fluid Flow
Thermal
Optical
Radiological
Medical Devices
* Subcontracting activities can include formal arrangement for production, testing, measurement, sampling, storage and distribution of
PT materials/samples or measurement artifacts and data processing as in ISO/IEC 17043 :2010 section 5.5 ref 5.5)
4.0 Organisation
4.1 Senior Management (Name, Designation, Telephone, Fax, e-mail)
4.1.1 Chief Executive of the PT Provider __________________________________________________________
4.1.2 Person(s) responsible for the Proficiency Testing Activities (PT Co-ordinator)*__________________________
4.2 Employees
4.2.3 Details of staff (including contracted, part time, etc) having responsibility about any aspect of Proficiency
Testing Scheme (please refer NABL 181)
Sl. Name & Qualification with Experience in years Relevant Training Role & Responsibility in the
No Designation of Specialization related to present work specific PT scheme
person
Sl. Name & Qualification with Experience in years Authorize for Relevant Training Specimen Signature
No. Designation of Specialization related to present which field
person work
Sl. Name of Qualification Experience in years Relevant Training Affiliation Area of Responsibility
No. Person with related to present
Specialization work
4.2.6 Information regarding any individual or organisation that has provided consultancy for preparing towards NABL
Accreditation __________________________________________________________________________
4.4.1. Indicate in an organisation chart the operating departments of the proficiency testing activities for
which accreditation is being sought (please append)
4.4.2 Indicate how the proficiency department is related to external organizations and/or to its own parent
organisation (where applicable)
Sl. Name of Model/ Receipt date & Range and Date of last Calibration Traceability**
No. equipment type/Sl. No./ date placed in accuracy calibration due on *
year of service
make
5.2 List of reference materials/reference standards (where applicable) available for use
6.2 Whether all requirements of ISO/ IEC 17043:2010 covering all activities of Proficiency Testing
Provider have been audited at least once in last one year: Yes No
7.1 Number of schemes & proficiency test items (Matrix/Group/Field) applied for accreditation
**All payments made through Cheques or Demand Draft shall be made in favor of ‘Quality Council of India' payable at
Gurgaon.
We declare that
8.1 We are familiar with the terms and conditions of maintaining accreditation (NABL 131), which is
enclosed and will abide by them.
8.2 We agree to comply fully with ISO/IEC 17043:2010 for the accreditation of PT provider.
8.3 We agree to comply with accreditation procedures, pay all costs for pre-assessment,
assessment, verification visit (if any), surveillance and reassessment irrespective of the result.
8.4 We agree to co-operate with the assessment team appointed by NABL for examination of all
relevant documents by them and their visits to those parts of the PT Provider and subcontractor
that are part of the scope of accreditation.
8.5 We shall maintain confidentiality of customer information and shall not disclose the identity of the
participant to the third party without the prior permission of participant concerned.
8.6 We agree to maintain integrity for samples distributed to customers/participants and take effective
measures to prevent any possible collusion and falsification of results.
8.7 No adverse action has been initiated / taken against the PTP in the past. (If yes, please provide
the details with present status ………………………………………………………..)
Guidance for preparing and submitting documents for the Accreditation for Proficiency
Testing Provider
Purpose and Scope: This part is intended to give PT Provider(s) understanding for addressing
major issues in the application process.
Table 1: Checklist
7 Completed organizational chart (including staff name, job titles & reporting
relationship
8 Declaration of Independence in case of identified Potential Conflict of Interest
9* Staff has signed declaration for maintaining confidentiality
10 Copy of at least one original version of proficiency testing report for each
proficiency testing field
11 Documentation for subcontracting (if applicable):
list of areas for subcontracting
list of subcontractors with field of activity
evidence of competence (e.g. copy of accreditation certificate, audit
reports).
12 Written contract with the subcontractor along with Completed sub-contractor
information sheet (if applicable)
13 Documentation on Advisory Committee/Steering group (if applicable):
list of Advisory Committee/Steering group with fields of activity
lists of members with information on the background of persons
(e.g. affiliation to companies, organizations)
terms of reference of the Advisory Committee/Steering group
(*These documents have to be kept ready during review at on-site assessment. Other documents should be
submitted along with the Application form NABL-180. ** Artifacts circulated in calibration PT programs shall have
direct traceability to NMI)
The Authorized Representative confirms the completeness and correctness of all the above mentioned documents by
signature. The listed documents shall be up-dated for each assessment.