SHENA - Third Party Inspection Agency for Lifting Equipment Form

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Application to act as a Third-Party Inspection Agency (TPIA) for Lifting Equipment

APPLICANT BASIC INFORMATION (WHO SHOULD BE RESPONSIBLE OF MAINTAINING QUALITY ASSURANCE MANUAL)

This Applicant Will Be The Focal Person For Any Matters Related To Approval To Act As A THIRD-PARTY INSPECTION AGENCY For Lifting Equipment

Type of Application*

New Application* Renewal Application*

Applicant's Name*

Position / Designation*

Contact No.*

E-mail Address*

THIRD PARTY INSPECTION AGENCY BASIC INFORMATION

Name of Company*

Registered / Mailing Address*

Office Contact No.*

Email Address*

MANAGING DIRECTOR DETAILS

Name of Managing Director*

Email Address of Managing Director*

Contact No. of Managing Director*

DETAILS OF KEY INSPECTORS

Full Name	Passport / Identity Card No. (Colour)	Latest Curriculum Vitae	Highest Academic Qualification	Relevant Professional Certificates	Letter of Employment

COMPANY PROJECT EXPERIENCE AND DOCUMENTATION

Documents to be uploaded

Upload document(s)

List of Project Experience for the past 5 years (including evidence)*

Sample copies of test reports, inspection reports and certificates, and technical reports.*

Guidelines / Process of issuance inspection Certification*

Checklist forms used for conducting thorough examination, containing acceptance and rejection criteria as per relevant international standards*

List of work instruction, inspection methods and procedures for inspection to be performed*

Company liability Insurance (i.e evidence of liability in the event of negligence by the inspectors)*

SUPPORTING DOCUMENTS & REQUIREMENTS

A. COMPANY PROFILE

Company Registration Certificate*

B. COMPANY INFORMATION

Business Profile including details of services provided*

Company Organisation Chart*

Company Occupational Safety and Health (OSH) Policy*

Letter of Application to Register as TPIA (signed by CEO/MD)*

C. COMPANY MANAGEMENT SYSTEM AND ACCREDITATION

ISO/IEC 17020*

ISO 9001

Lifting Equipment Engineering Association (LEEA)

Accreditation or Certification granted to the company (with details on the scope, certificate number and validity)*

D. COMPANY FACILITIES

List and photos of facilities equipped with equipment and calibrated instruments appropriate for the type and range of inspections (e.g. load cells, test weight, sheave gauges, etc)*

E. EMERGENCY PROCEDURES

Emergency Evacuation Layout Plan*

Emergency Communication Plan*

Photographs of Emergency Equipment*

List of Fire Marshal / First Aider (with certificates)*

I declare that all particulars and information provided in this application and the documents attached hereto are true to the best of my knowledge and belief, and I understand that the Safety, Health and Environment National Authority (SHENA) reserves the right to reject this application if, at any stage, the information provided is false and incorrect. Should verification be required on any information provided in this application, I hereby authorise SHENA to carry out the necessary investigations.

Declaration of Applicant

I agree

Please check the box below to proceed