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LASF02 Application for Accreditation
PAB application/reaccreditation/special assessment form for laboratory accreditation
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Philippine Accreditation Bureau
Laboratory Accreditation Form
Application for Accreditation
Accreditation (IA)
SA Required:
1.
Document ID
Issue Number
Revision Number
Effectivity Date
Page
Reaccreditation (RA)
Addition of Signatory (ies)
Change of Accommodation/Location
LA/SF02
01
00
01 September 2018
Page 1 of 5
Special Assessment (SA)
Extension of Scope (s) (includes change/additional method)
Reactivation of accreditation
Applicant
(Exact name of the CAB as it is to appear on the
Certificate of Accreditation)
2.
Address
(Physical Location of Laboratory/Facility)
Telephone:
3.
Contacts
4.
Facsimile:
Applicant Ownership
E-mail:
(Individual, Private, Corporate, etc.)
5.
Authorized Representative
(Name and title of the person who will be PAB primary
point of contact for all matters relating to this application. If
address, phone and fax details are not as above then
please provide them as an attachment)
6.
Name:
Title/ Position:
Field(s)
(Chemical, Biological, Electrical, Mechanical, Calibration,
Medical, Inspection Body, Software Testing)
7.
Where did you learn about us?
8.
PAB Promotional Activities
Regulatory Requirement
Customer Requirement
Others: ________________
Assessment Preparation
(Please list any external Consultants/Trainers who have
assisted with your assessment preparations.)
9.
Operation Time
(Please indicate if there is safety orientation to undertake)
10. Authorization of Application
(This authorization shall be made by appropriate senior management)
We undertake to allow PAB assessors access to our premises, operations, facilities and procedures for the purpose of assessment
and subsequent surveillance and reassessment activity. We undertake to pay all reasonable fees and expenses associated with
these assessments.
We agree to comply with the requirements for accreditation and to provide any information needed for the assessment of the
laboratory.
Signature over Printed Name/Date
(Authorized Representative)
1.
2.
Has the Conformity Assessment Body conducted its Internal Audit?
If yes, when specify date: _________________________________
Yes
No
Has the Conformity Assessment Body conducted its Management Review?
If yes, when specify date: _________________________________
Yes
No
Notes:
A. Check LA/SF01 for additional application requirements.
B. For Scope of Accreditation:
Use Annex A for Testing (including Medical) and Calibration Laboratory
Use Annex B for Inspection Body.
Philippine Accreditation Bureau
Laboratory Accreditation Form
Application for Accreditation
Document ID
Issue Number
Revision Number
Effectivity Date
Page
LA/SF02
01
00
01 September 2018
Page 2 of 5
SCOPE OF ACCREDITATION
Annex A: Testing and Calibration Laboratory (including Medical Laboratory)
Note:
1.
2.
3.
4.
5.
Please indicate if more than one site is involved in performing these procedures
Where applicable, laboratories need to indicate claimed uncertainties of measurement and level of confidence.
To be filled-out by applicant calibration laboratory. The numerical value of the measurement uncertainty shall be
given to, at most, two significant figures.
If in-house methods used are customer-supplied or difficult to obtain published methods, please enclose a copy of each
method.
For proficiency testing (other Quality Control Measures), please indicate provider.
CLASS OF TEST
STRUCTURE
SPECIFIC TESTS
OR
MEASUREMENTS
CALIBRATION
MEASUREMENT
CAPABILITY3
TEST/
CALIBRATION
METHODS USED
Notes:
A. Check LA/SF01 for additional application requirements.
B. For Scope of Accreditation:
Use Annex A for Testing (including Medical) and Calibration Laboratory
Use Annex B for Inspection Body.
TESTING
FREQUENCY
PER MONTH
PROFICIENCY
TESTING
PARTICIPATED
Philippine Accreditation Bureau
Laboratory Accreditation Form
Application for Accreditation
Document ID
Issue Number
Revision Number
Effectivity Date
Page
LA/SF02
01
00
01 September 2018
Page 3 of 5
SCOPE OF ACCREDITATION
Annex B: Inspection Body
Note:
1.
If in-house methods used are customer-supplied or difficult to obtain published methods, please enclose a copy of each
method.
ITEMS/ MATERIALS OR
SYSTEM INSPECTED
SPECIFIC TYPES OF
INSPECTION
Notes:
A. Check LA/SF01 for additional application requirements.
B. For Scope of Accreditation:
Use Annex A for Testing (including Medical) and Calibration Laboratory
Use Annex B for Inspection Body.
INSPECTION
METHOD/S USED*
INSPECTION
FREQUENCY
PER MONTH
Philippine Accreditation Bureau
Laboratory Accreditation Form
Application for Accreditation
Document ID
Issue Number
Revision Number
Effectivity Date
Page
LA/SF02
01
00
01 September 2018
Page 4 of 5
APPLICANT SIGNATORY/IES
List all applicant signatory (ies) for which accreditation is sought. Please use additional sheet if not sufficient
for number of signatories being applied.
NAME
FIELD
CLASSES OF TEST/CALIBRATIONS OR TYPES OF
INSPECTION FOR WHICH APPROVAL IS SOUGHT
EQUIPMENTS
No
Is Conformity Assessment Body conducting in-house calibration? Yes
If yes, list major equipment being calibrated by CAB, relating to the tests, inspection, calibrations or
measurements for which accreditation is held or sought.
List of Equipment (for in-house calibration)
Please use additional sheet if not sufficient for the list of equipment.
Notes:
A. Check LA/SF01 for additional application requirements.
B. For Scope of Accreditation:
Use Annex A for Testing (including Medical) and Calibration Laboratory
Use Annex B for Inspection Body.
Philippine Accreditation Bureau
Laboratory Accreditation Form
Application for Accreditation
Document ID
Issue Number
Revision Number
Effectivity Date
Page
LA/SF02
01
00
01 September 2018
Page 5 of 5
Criteria and Rules
Before filing a formal application for accreditation, the conformity assessment body should ensure that its systems,
procedures and facilities comply with the PAB requirements for accreditation. The conformity assessment body should
also ensure that it is already familiar with the requirements, rules and procedures of the PAB. PAB staffs are available to
provide guidance on the application.
Application Fees
Fees are revised from time to time. Please refer to the current PAB schedule of fees for laboratory and inspection body
accreditation.
Authorized Representative
Each applicant laboratory/inspection body must appoint an “Authorized Representative”, a person who will be a PAB
point of contact for all matters relating to its application. The Authorized Representative must be a senior staff member
who has sufficient authority to ensure that the applicant laboratory/inspection body is properly prepared for assessment
and that, following accreditation, the conformity assessment body continues to comply with the accreditation criteria at all
times.
Please submit application to:
PHILIPPINE ACCREDITATION BUREAU
Department of Trade and Industry
Third Floor, Tara Building
389 Sen. Gil J. Puyat Avenue, Makati City 1200
E-mail
:
pab@dti.gov.ph
Notes:
A. Check LA/SF01 for additional application requirements.
B. For Scope of Accreditation:
Use Annex A for Testing (including Medical) and Calibration Laboratory
Use Annex B for Inspection Body.
