Application Form for Authorization NEW EQUIPMENT MANUFACTURERS

This form is for companies who wish to be authorised by Cemafroid in accordance with the Technical Reference Document for Authorisation of Manufacturers CER-72-001-P for activities of:

Manufacture of bodies / tanks / small containers / insulated packaging / panels, kits for transport of perishable foodstuffs;

Manufacture of thermal appliances / Kit assembly / Body-to-chassis clamping / Fitting of thermal appliances / Commissioning of thermal appliances for transport of perishable foodstuffs, or as Agents applying for certificates of technical compliance.

In order for Cemafroid to examine the admissibility of the application and draw up an authorisation contract, please complete this form in modifiable electronic version and return it, together with the elements requested, to:
E-Mail: autoritecompetenteATP@cemafroid.fr	Fax : +33 1 46 89 28 79

Cemafroid undertakes to preserve the confidentiality of the information contained in this form and the attached documents.

This form is comprised of three parts for the Applicant, and a fourth part for Cemafroid use:

1) Identification of the applicant company

2) Identification of the scope of the requested authorisation

3) Description of the company applying for authorisation

4) Review of the application

Name of Applicant Company: ……….

The application will be reviewed only upon payment of the sum of €XXX before tax, i.e. €XXX including tax, in accordance with the current rates. You will receive a paid invoice when your payment has been collected. This amount shall remain due whatever the decision on the admissibility of your application.

THIS BOX IS FOR CEMAFROID USE ONLY Examiner : …………………….. File number : ……………………………… Customer number 2Li : ……………………………. Date document received : ……………………..

Part 1. Identification of the Company

Main Facility
Company name and legal form
Address
Postal code
City
Country
Telephone
Fax
Website
RCS number
Location
SIREN number
VAT number
Number of facilities concerned by the application
Name of Management Representative
Name and position of person signing the contract (if other)
E-mail of contact

Invoicing Address (if other)
Company name and legal form
Address
Postal code
City
Country
Name of contact
Telephone
Fax
E-mail

Facility/facilities applying for activities of Manufacturing, Thermal Re-insulation, Reconditioning of Perishable Foodstuffs Transport Equipment and/or acting as Agent(s) applying for ATP Certificates of Compliance
Multi-Site : Yes ☐ No ☐ Networked1 : Yes ☐ No ☐
Name of facility
Address
Postal code
City
Country
Telephone
Fax
SIRET number
Name of Facility Manager
E-mail of Facility Manager
Name of Deputy
Name(s) of Operator(s)
Facility total workforce
Personnel involved in the activity requested for authorisation

Datafrig® Contact(s)
Name(s) of contact(s)
Position(s)
Telephone(s)
Fax
E-mail
Address
Postal code
City
Country

Information on the Company Quality System
Do you have a quality system	Yes ☐ No ☐
For multi-site companies, is the quality system centralised	Yes ☐ No ☐
Are you certified	Yes ☐ No ☐
If yes, Certification Body
Validity end date of certificate (*)
Name of QSE Manager
Date of last internal audit
(*)Please provide a copy of the relevant valid certificate.

Part 2. Identification of the Scope of the Requested Authorisation

☐ You acknowledge that you have read and understood the authorisation reference document for new equipment manufacturers CER-72-001-P and the Rules of Procedure CER-72-002-P3

☐ You acknowledge that you have read and understood the Certification Programme for New Equipment Manufacturers P752113

Activities covered by the Application for Authorisation (tick the boxes relevant to your activities)
New Equipment Manufacturing Process	Manufacture of: ☐ Bodies, ☐ Containers ☐ Tanks, ☐ Small containers, ☐ Insulated packaging, ☐ Panels, ☐ Kits ☐ Manufacture of thermal appliances: appliances producing refrigeration (e.g., refrigerated appliances , refrigeration units) or heat (heated appliances) ☐ Kit assembly ☐ Body-to-chassis clamping ☐ Thermal appliance to equipment fitting ☐ Thermal appliance Commissioning ☐ Manufacture of ATP-specific markings (identification mark or certification plate)
Reconditioning Process	☐ Rehabilitation of a series of equipment so that each equipment has at least the same insulating capacity and efficiency characteristics as the reference equipment corresponding to the first reconditioned equipment
Thermal Re-insulation Process	☐ Restoration, in full, of thermal insulation for tanks that have been completely bared
Certificate Application Process	☐ Filing an application for a Certificate of Technical Compliance (ATP or national) on behalf of the equipment owner or user

Production or Assembly of New Equipment

Types of equipment produced or assembled	Production Qty Year n-2	Production Qty Year n-1	Production Qty Year n
Non-ATP	ATP	Non-ATP	ATP	Non-ATP	ATP
Insulated carrier
Insulated trailer
Insulated semi-trailer
Insulated equipment in kits
Ground finished equipment
Insulated kits
Refrigeration units
Containers
Other :

Reference numbers of standard equipment test reports issued by official stations owned by the applicant

Test report number	Name of official station who issued the test report	Name of equipment model	Test report validity date	Comments / Remarks

Part 3. Presentation of the applicant company

This part includes a series of open questions designed to help us determine the level of organisation of you company to satisfy the requirements made on a New Equipment Manufacturer. For each heading you must provide evidence in support of your answer.

Line of business of your company
Questions pertaining to the requirements of the reference document	Applicant’s Answer	Cemafroid Analysis
General activities of the company
Activity of the company in the field of refrigeration and distribution with respect to the general activities
Distribution according to type of equipment produced: - % insulated - % refrigerated - % mechanically refrigerated

Management of your company documentation
Questions pertaining to the requirements of the reference document	Applicant’s Answer	Cemafroid Analysis
Do you have a quality manual describing the general organisational rules of your company (roles, processes, and positions)	Yes ☐ No ☐
If you are multi-site, is there only one manual	Yes ☐ No ☐
Do you have a filing/archiving system	Yes ☐ No ☐
What are the means used to justify the changes made to the prototype(s)
Language in which the quality documents are written
Management’s Commitment

Questions pertaining to the requirements of the reference document	Applicant’s Answer	Cemafroid Analysis
What are the measures taken to ensure that information both accurate and verified is fed into the DATAFRIG database

Personnel Management

Questions pertaining to the requirements of the reference document	Applicant’s Answer	Cemafroid Analysis
Have the responsibilities and roles of the personnel involved in the activity to be authorised been formalized and recorded	Yes ☐ No ☐
Has the follow-up on training/skills of the personnel involved in the activity to be authorised been formalised and recorded	Yes ☐ No ☐

Data Processing Means

Questions pertaining to the requirements of the reference document	Applicant’s Answer	Cemafroid Analysis
Data processing tool(s) available to manage the traceability of the equipment produced
Do you have an Internet connection	Oui ☐ Non ☐

Purchasing – Subcontracting

Name	Address	Type of subcontracting (e.g., manufacture of bodies, refrigeration units)	Control means implemented	Cemafroid Analysis

The following documents must be supplied:

☐ K-bis form less than 3 months old

☐ Quality Manual (or any other documents describing the general rules of the company)

☐ General procedures or quality plans relating to the activity subject to authorisation

☐ General list of documents relating to the activity subject to authorisation

☐ Management’s written commitment

☐ Nominal and functional organisational chart

☐ Description of job, role, or position

☐ Records (CV, diplomas, certificates, etc.)

☐ Copy of the relevant certificate if your company is certified

Part 4. Application Review

Summary assessment of the application

Proposal on the admissibility of the application

Date Name of Examiner/ Signature

Applicable version to the receipt of the application available at http://www.autoritecompetenteatp.cemafroid.fr/

Duplicate the table as many times as there are facilities

Applicable version to the receipt of the application available at http://www.autoritecompetenteatp.cemafroid.fr/

Sources de froid : plaques eutectiques, glace carbonique, glace hydrique, …