Intertek BES6001 Application Form

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1 Intertek BES6001 Application Form Please complete all aspects of this form and return it with any additional information requested to: or Company Details Company Registered Names Company Trading Name (if different) Company Trading Address Postcode Type of Company Please tick as appropriate Limited Company PLC Partnership Contact Name & Position Telephone Fax Name of Managing Director or Partners Company Registration Number Address of Head office or Registered office (if different from above) BES6001 Application Form 1

2 Scope of Certification Application Scope of application Entire Company Specific site(s) BES 6001 Framework Standard Standard to be assessed to: BES Sector Standard Name of Sector Standard: BES Guidance Document Name of Guidance Document: Please list below the products and relevant manufacturing facilities to be included under the assessment. If required, please continue on additional sheets: Product/Product Group to be assessed Address(es) of manufacturing facility(ies) to be assessed BES6001 Application Form 2

3 Supply Chain Details Please provide a diagram explaining the size and scope of your product(s) supply chain from raw material to end of life, including locations of suppliers, percentages of different constituent materials etc. BES6001 Application Form 3

4 Supply Chain Details If you have indicated that a product to be assessed falls within a product group, please provide justification (for example, similarities in constituent material composition, supply chain, production process etc.): BES6001 Application Form 4

5 Assessment Level Please tick the boxes below for each clause of the BES 6001 standard to indicate what certification level you are hoping to achieve during the assessment process. Having the Standard available as a basis for this activity will be useful; it is downloadable from the Green Book Live website. This analysis will act as a checklist to help you better understand where you are with respect to BES 6001 requirements and help ensure that your organisation can meet all compulsory clauses. The target level is purely indicative. It will have no impact on the certification process or on the final score which you achieve. BES 6001 Clause Responsible Sourcing Policy Level organisation is aiming to achieve Compulsory Legal Compliance Compulsory Quality Management System Supplier Management System Material Traceability Through the Supply Chain Environmental Mgt. Systems in the Supply Chain Health and Safety Mgt. Systems in the Supply Chain Greenhouse Gas Emissions Compulsory 1 2 Compulsory 1 Compulsory Compulsory Compulsory Compulsory Energy Use Resource Use Compulsory Extra Credit Waste Prevention and Waste Management Compulsory Extra Credit Water Abstraction Compulsory Extra Credit Life Cycle Assessment (LCA) Compulsory BES6001 Application Form 5

6 Assessment Level Ecotoxicity Transport Impacts Compulsory 1 3 Extra Credit Employment and Skills Compulsory Local Communities Compulsory Business Ethics 1 Company Declaration Authorised representative of company: I hereby confirm on behalf of (the Company), that the information contained in this document is correct, any changes in circumstances will be notified to Intertek in writing and we accept and agree to abide by the following documents: a) BES6001 Framework Standard for the Responsible Sourcing of Construction Products b) Scheme Document (RS002) c) Terms & Conditions' document (RS003) Name: Position: Signature: Date: BES6001 Application Form 6