Aerospace ICOP application form

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					APPLICATION FOR UK Aerospace Industry Controlled Other Party (ICOP) Auditor Authentication Scheme
(Oasis registration) IRCA/C6/28 March 2012



                                              2nd Floor North,                         For office use only (confidential when
                                              Chancery Exchange
                                                                                       completed)
                                              10 Furnival Street
                                              London EC4A 1AB                          Date received
                                              United Kingdom                           Application fee
                                              Tel: +44 (0)20 7245 6833
                                              Fax: +44 (0)20 7245 6755                 Certification no:
                                              Email: irca@irca.org
                                              Website www.irca.org



  Part 1 - PERSONAL DETAILS
  TITLE (Mr, Mrs, Ms, Dr etc)                                                   Male            Female
  Surname or family name
  First or given names
  Second name
  or known as
  Nationality                                                                   Date of birth
     (Please tick this box if you would like your home address to be your main address for our online register)
  Home or correspondence
  address
  Country
  Postcode/Zip code
  Name you wish to appear on
  your certification card:
  Telephone no.
  Fax no.
  *Email
  * You must provide us with a valid email as many of our communications are done electronically


  Part 1 – BUSINESS DETAILS
     (Please tick this box if you would like your business address to be your main address for our online register)
  Name of organisation
  Address
  Country
  Postcode/Zip code
  Telephone no.
  Fax no.
  Email


  Part 2 –GRADE AND SCOPE(S) FOR WHICH YOU ARE APPLYING

  Please ensure you have read IRCA/C5 and the 9104-003 standard prior to applying
   GRADE Please tick the grade you are applying for                            SCOPE Please tick the scopes you are applying for
   Aerospace Auditor (AA)                                                          9100                9110              9120
   Aerospace Experienced Auditor (AEA) work experience route                       9100                9110              9120
   Aerospace Experienced Auditor (AEA) training route                              9100                9110              9120


   Part 2a –Type of application
   Initial
   Regrade
   Re-authentication
Please tick the box if you are available for private work




Part 3 - EDUCATION
Year                       Award                                Course/subjects

Educational establishments                                      Qualifying authority

Year                       Award                                Course/subjects

Educational establishments                                      Qualifying authority

Year                       Award                                Course/subjects

Educational establishments                                      Qualifying authority




Part 4 – CURRENT AUDITOR CERTIFICATIONS / MEMBERSHIP OF PROFESSIONAL BODIES
Please read IRCA/C5 to ensure that you meet the AA and AEA requirements for QMS auditor certification. Alternatively provide evidence that
you meet the training, education, and work experience requirements throughout this document.

Professional Body                                               Date elected                           Grade


Professional Body                                               Date elected                           Grade




Part 5 - AUDITOR AND AEROSPACE INDUSTRY TRAINING
Please read IRCA/C5 to ensure that you meet the AA and AEA training requirements, including those for the scope(s) for which you are applying.

From                        To                                     Name of organization conducting training


Title of course                                                    Results


Course certified by


From                        To                                     Name of organization conducting training


Title of course                                                    Results


Course certified by


From                        To                                     Name of organization conducting training


Title of course                                                    Results


Course certified by
Part 6 – CERIFICATION BODY HISTORY
Please provide details of the accredited certification bodies that you have worked for.

From month/year                                                    To month/year

                                                                   Name of
Job title                                                          organisation and
                                                                   department
Work experience

Sector/programme
related experience
& duration


From month/year                                                    To month/year

                                                                   Name of
Job title                                                          organisation and
                                                                   department
Work experience

Sector/programme
related experience
& duration


From month/year                                                    To month/year

                                                                   Name of
Job title                                                          organisation and
                                                                   department
Work experience

Sector/programme
related experience
& duration


From month/year                                                    To month/year

                                                                   Name of
Job title                                                          organisation and
                                                                   department
Work experience

Sector/programme
related experience
& duration


Part 7 – CURRENT/PREVIOUS OASIS AUTHENTIFICATION(S)
Please provide details of the AAB(s) you have currently or previously been registered on OASIS with.

Date registered                                                    Duration registered

Name of
authentification                                                   Grade (AEA or AA)           AA/AEA (delete as appropriate)
body
Scope(s)                  9100 / 9110 / 9120 (delete as appropriate)
Please advise if
previously
rejected/suspended
or withdrawn in
any other IAQG
sector
Part 8 – WORK EXPERIENCE (AEA only)
Please include a detailed description of your Aerospace work experience, referencing the work experience requirements in IRCA/C5 and noting
the differing requirements for the training and work experience routes. The applicant must be able to demonstrate a minimum of 48 months of
aerospace work experience in the last 10 calendar years. If the applicant is applying for 9110 AEA authentication (via work experience) they
shall must demonstrate 24 months maintenance & repair in the last 4 calendar years.
From
month/year                                                      To month/year
(please be specific
to the exact month)
                                                                Name of
Job title                                                       organisation and
                                                                department
Work experience
(please be specific)


Sector/programme
related experience
& duration

From month/year
(please be specific                                             To month/year
to the exact month)
                                                                Name of
Job title                                                       organisation and
                                                                department
Work experience
(please be specific)


Sector/programme
related experience
& duration


From month/year
(please be specific                                             To month/year
to the exact month)
                                                                Name of
Job title                                                       organisation and
                                                                department
Work experience
(please be specific)


Sector/programme
related experience
& duration


From month/year
(please be specific                                             To month/year
to the exact month)
                                                                Name of
Job title                                                       organisation and
                                                                department
Work experience
(please be specific)


Sector/programme
related experience
& duration


From month/year
(please be specific                                             To month/year
to the exact month)
                                                                Name of
Job title                                                       organisation and
                                                                department
Work experience
(please be specific)


Sector/programme
related experience
& duration
 Part 9 – DECLARATIONS
 I apply for certification and confirm that I understand and agree to the following conditions:
 1. I shall observe and abide by the IRCA code of conduct.
 2. The details which I have given on the application form (except personal details where indicated) will be published in the
 IRCA register.
 3. I shall declare any information that may reasonably be considered to affect adversely my ability to perform effectively my
 audit obligations.
 4. Sharing of information to support the ICOP scheme
 5. I declare that I have not had any previous auditor authentication or any applications that were rejected or authentication
 suspenped or withdrawn in any other country, region or IAQG sector registered against me that have not already been
 decleared in Part 11.
 I confirm that the information contained in this application is correct to the best of my knowledge and belief. I understand and
 accept that, if I provide incorrect information or withhold relevant, requested informatiion, I am likely to be excluded or
 removed from the IRCA register. I also understand that, once certified, I am obliged to notify IRCA without delay of any
 changes to my circumstances which, if declared when I made my first application, might have caused IRCA to exclude me
 from the register.


 Signed                                                Date




 Part 10 – ORGANISATIONS EMPLOYING AUDITORS (OEA)

 We, as an OEA recognised by IRCA, support the applicant for certification and confirm that we have satisfactorily verified the
 applicant’s compliance with the education, training, work and audit experience requirements of the applicable IRCA
 certification criteria.


Name of organisation


Address


Postcode/zip code


Telephone no.                                      Fax no.

Signed on behalf of the organisation employing auditors:                                               Date

Name (block letters)                               Position in organisation




 Part 11 – Additional Information

Application part ref. No.




Application part ref. No.




Application part ref. No.
Application checklist
(Please complete the checklist before sending in your application to IRCA for review)
I have:
Provided full mailing and business (Part 1)


Specified the type of certification programme I wish to apply (Part 2)


Included documentary evidence to support my technical & academic qualifications (Part 3 and 4)


Included a copy of my auditor training certificates, stating successful completion (Part 5)


Recorded sufficient work experience (Parts 6 and 8)


Declared any current or previous OASIS auditor authentications (Part 7)


Signed and dated the declaration (Part 9)


Included payment of the application fee




IRCA/106 audit logs We also need you to:

Complete your audit logs in full, paying close attention to the details required at the head of each
column. Please ensure that verification is obtained by the auditee.

Total number of full system audits ISO 9001:2008


Total number of full system audits AS9100


Total number of days on-site


Total number of days off-site

Total number of full system audits included –       Total number of full system audits included –
including Design 9100 rev C                         including Design 9001:2008


Supply the contact details of the directing and guiding Lead Auditor who may be required to attest
to your audit log (Section 9 IRCA/106)



Auditor evaluations (AEA Training Route Only) We also need you to:

Provide evidence of successful completion of two full audits witnessed by an AEA who have been
qualified through the work experience route

Supply the contact details of the witnessing AEA(s) who may be required to attest to your
witnessed audits.



Please ensure that all information submitted is clear, as any information that may be
un-readable will delay the processing of your application.

				
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