NABL 151

NABL

NATIONAL ACCREDITATION
BOARD FOR TESTING AND
CALIBRATION LABORATORIES

APPLICATION FORM
for

TESTING LABORATORIES

ISSUE NO : 12
ISSUE DATE: 27.06.2012

AMENDMENT NO : 04
AMENDMENT DATE: 03.09.2015

AMENDMENT SHEET
Sl
no

Page
No.
6/11

Clause
No.
13

7/11

1.1

9/11

3.4.1

Date of
Amendment

Amendment
made

22.08.2012

Laboratory locations

16.10.2012

Reasons

Signature
QO

Signature
Director

Internal audit
findings

Quality manager shall APLAC finding

have 4 days training
Laboratory operating
shifts shall identify
the staff working in
shift

3-5/11

4.0

23.04.2013

Change in fee/

GB Decision

assessment
charges structure
4

3-5/11

4.0

28.05.2015

Change in fee/

GB Decision

assessment
charges structure

03.09.2015

Change in fee/

GB Decision

assessment
charges structure

6
7
8
9
10

CONTENTS
Sl. No

Title

Page

Information & Instructions for completing an Application Form

Application Form

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 1/9

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 2/9

Information & Instructions for completing an Application Form

1. Application shall be made in the prescribed form NABL 151 only. Separate application form shall be submitted
for each discipline of testing. The application shall consist of the following:
Three copies of completed application form
Two copies of laboratory Quality Manual
Prescribed application fees
Copy of NABL-131 duly signed.
Incomplete application and insufficient number of copies submitted may lead to rejection of application. In case
the space provided is insufficient, please use additional pages clearly indicating to which section they relate to .
2. The applicant laboratory shall undertake to carry out its testing activities in such a way as to meet the

requirement of ISO/IEC 17025: 2005, additional requirements of NABL and the regulatory authorities, as
applicable at all times.
3. Applicant laboratories are advised to ensure that the latest versions of NABL documents are available with them.
4. The application fee and other necessary charges related to accreditation process is given in NABL document
NABL 100 General Information Brochure under NABL Finance and NABL Fee Structure. NABL 100 is available
on NABL website.
5. Laboratories are advised to familiarize themselves with NABL 100 General Information Brochure, NABL 216
Procedures for Dealing with Adverse Decisions and NABL 131 Terms and Conditions for Obtaining and
Maintaining Accreditation before filling up this form.
6. The applicant laboratory shall provide photocopies of appropriate document in support of the legal identity
claimed (eg. Registration Certificate under Companies Act, approval from local or regulatory bodies, etc.)
7. The applicant laboratory shall intimate NABL about any change in the information provided in this application
such as scope applied for accreditation, personnel, location etc. within 15 days from the date of changes.
8. NABL expects applicant laboratories that are to be accredited to follow the test methods as mentioned in the
current National or International standards and as stipulated by regulatory bodies. Where such methods do not
exist, other validated methods are acceptable. In case laboratory uses in-house validated methods the validation
data should be submitted along with the application.
9. The applicant laboratories must participate satisfactorily in the Proficiency Testing program conducted by NABL/
APLAC or any other national or international accredited/ recognized PT provider. In cases, where formal
accredited /recognized PT programmes are not available, the laboratory will either initiate Inter laboratory
comparison or participate in Appropriate ILC programme conducted by accredited /reputed laboratory. The
minimum stipulated participation is one type of test per discipline prior to grant of accreditation. The satisfactory
performance shall be defined in term of z score. For unsatisfactory performance, the laboratory shall take
corrective action and inform NABL.
10. The laboratory shall also inform NABL in advance about any reservation with valid reason regarding appointment
of Lead Assessor/ Assessor for the assessment.
11. The applicant laboratory shall be given due notice of any intended changes relating to NABL accreditation
criteria and will also be given such time, as in the opinion of NABL is reasonable to carry out the necessary
changes to its policies/practices & procedure(s). The laboratory shall inform NABL when such changes have
been completed.
National Accreditation Board for Testing and Calibration Laboratories
Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 3/9

12. The application must be filled up carefully to provide required information in such a manner that further
correspondence for seeking clarifications are not required. Particularly the scope of accreditation (para 2.2) shall
be complete to indicate unambiguously:
a.
b.
c.
d.
e.

group of products, materials or items tested

specific tests or types of tests performed
specification, standard (method) or technique used with year of publication
range of testing/ limit of detection for each test (as applicable)
uncertainty of measurement (MU) for each test (wherever applicable) at a confidence probability of 95%

13. The details of laboratory locations and the tests which the laboratory intends to cover vide NABL accreditation
must be listed clearly. The tests those are performed at site should be clearly identified in the scope of
accreditation.
Note: Laboratory operates from different locations in the same city may apply for NABL accreditation as a single laboratory.
The details of each location shall be explicitly mentioned in 1.1 of application form. In events where the laboratory operates
from different city/ state, each laboratory shall be applied separately for accreditation.

14. The laboratory shall submit NABL 131 duly signed by the Chief Executive or his/her Authorized Representative
to NABL Secretariat along with this application form. By signing NABL 131 the laboratory agrees to comply at all
times with Terms and Conditions of NABL.
15. The laboratory shall offer the NABL or its representative cooperation in:
a. undertaking any check to verify testing capability of the laboratory.
b. the laboratory shall unambiguously provide names of all authorized signatories who are responsible for
authenticity and issue of test certificates and reports.
c. offering access to relevant areas of the laboratory for witnessing the test being performed.
d. examination of all relevant documentation and records.
e. interaction with all relevant personnel.
16. The laboratory shall take all necessary actions and discharge all non- conformities raised during the assessment
within a maximum time of two months. The same shall be verified to the satisfaction of NABL. The final decision
on accreditation shall rest with NABL.
17. The application shall be kept confidential by NABL and information obtained during the processing of application,
assessment visit and grant of accreditation shall be safeguarded and dealt with impartiality. The procedure for
processing of application for accreditation is given in NABL 100.
***

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 4/9

Application Form for Laboratory Accreditation

We apply for NABL accreditation of our testing laboratory as per details given below:
First Accreditation

Renewal of Accreditation

1. Laboratory Details
1.
1

Name of the Testing Laboratory Petrolabs India Pvt Ltd

Locations and Address(s) No.101, Sudarsan Plaza, Phase VI, KPHB Colony, Hydersbad- 500072
Telephone No. 040- 65556400 Fax No.040- 30995246 E-mail admin@petrolabsindia.com
Note: refer cl. 13 for details on laboratory locations

1.
2

Category of Facility(s) applied under the scope of Accreditation

(Please clearly indicate in the scope of accreditation, para 2.2, the test conducted)

a.

Permanent Facility

Yes

No

b.

Site Facility

Yes

No

c.

Mobile facility

Yes

No

Note: for details please refer NABL-130

1.3 Name of Parent Organization No Parent Organization

(if part of an organization)

Telephone No. _____________________ Fax No. __________________ e-mail ________________

1.4 Legal identity of the laboratory and date of establishment U73100AP2012PTC081134, Registrar of
Companies, Andhra Pradesh.
(Please give Registration No. and name of authority who granted the registration. Copy of the certificate shall be enclosed)

_________________________________________________________________________________________________

1.5 Type of laboratory by service

open to others

partly open to others

an in-house activity

1.6 Other accreditations : ISO 9001 : 2008, Registration No. AT-13390/0

1.7 Indicate exactly how the name and address of the laboratory are to appear on the certificate
(the current bi-lingual system calls for this information)

In English - Petrolabs India Pvt Ltd,

No.101, Sudarsan Plaza, Phase VI, KPHB Colony, Hyderabad, Telangana.
In Hindi __________________________________________________________________________
________________________________________________________________________________
National Accreditation Board for Testing and Calibration Laboratories
Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 5/9

2. Accreditation Details
2.1 Discipline of Testing for which accreditation is sought

Biological

Mechanical

Chemical

Non-Destructive

Electrical

Optical/ Photometry

Electronic

Radiological

Fluid-Flow

Thermal

Forensic Science

2.2 Scope of Accreditation

Sl
no

Group of products,
materials or items
tested

Specific tests or types of tests performed

Specification, standard Range of testing/ Limit

(method) or technique of detection
used
10 cst TO 1200
ASTM D 445-12
CST
ASTM D 445-12
10 TO 200 CST
ASTM D 227010EL
50-200
ASTM D 6640.1 TO 5
11A
MGKOH/GM
ASTM D 473911
2-50 MGKOH/GM
ASTM D 174413
10-50000 PPM
ASTM D 659500
0.0001-0.0101%
0.0028-0..0115%
0.00001-0.0120%
0.00004-1.1480%
0.00001-0.0152%
0.00005-0.0210%
0.00001-0.0101%
0.00001-0.0100%

1
2

Lubrication Oil
Lubrication Oil

VISCOSITY @40
VISCOSITY @100

Lubrication Oil

Viscosity Index

Lubrication Oil

Lubrication Oil

Lubrication Oil

ACID NUMBER-AUTO TITRATOR

TOTAL BASE NUMBER -AUTO
TITRATOR
WATER BY KARL-FISHER
APPARATAUS

Lubrication
Lubrication
Lubrication
Lubrication
Lubrication
Lubrication
Lubrication
Lubrication
Lubrication

8
9

Lubrication Oil
Lubrication Oil

POUR POINT
DENSITY

ASTM D 97
ASTM D 1298

<-400C
0.550 TO 1.200

10

Lubrication Oil

FLASH POINT-PMCC

ASTM D 93

20 TO 2000 C

11

Lubrication Oil

ASTM D 92

120 TO 2800 C

12

Lubrication Oil

ASTM D 893

13

Lubrication Oil

ASTM D 974

0 TO 25%
0.01 TO 10
MGKOH/GM

14
15

Lubrication Oil
Lubrication Oil

FLASH POINT-COC
INSOLUBLE PENTANE AND
TOLUENE
ACID NUMBER -MANUAL
TITRATION
WATER CONTENT BY DEAN
AND STARK
COLOUR

ASTM D 95
ASTM D 1500

0 TO 10%
VISUAL

Oil
Oil
Oil
Oil
Oil
Oil
Oil
Oil
Oil

ELEMENTAL ANALYSIS
ALUMINIUM
BERIUM
BORON
CALCIUM
CHROMIUM
IRON
LEAD
COPPER

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 6/9

Measurement
Uncertainty
( )

16
17
18
19
20
21

Lubrication
Lubrication
Lubrication
Lubrication
Lubrication
Lubrication

Oil
Oil
Oil
Oil
Oil
Oil

22

Lubrication Oil

23

Lubrication Oil

CALORIFIC VALUE
PARTICLE COUNTER
SOOT CONTENT
OXIDATION
GLYCOL CONTENT
NITRATION

ASTM D 240
ISO/NAS
ASTM E 2412
ASTM E 2412
ASTM E 2412
ASTM E 2412

SULPHATION
ANTI WEAR COMPONENTSRULLER TEST

ASTM E 2412
ASTM E 2412

100 TO 50000
KCAL/GM
NAS-4 TO 12
-

NOTE: ALL THE TEST PARAMETER WRITTEN IN RED COLOUR ARE GOING TO ADD NEWLY IN THE SCOPE.

Note 1. Laboratories performing site testing shall clearly identify the specific tests on product(s)/ material performed at site separately.
2. Measurement uncertainty shall be expressed as expanded uncertainty with 95% confidence level
3. Test methods and standards shall be mentioned along with the year of publication of the standard
4. In case of enhancement of scope; it shall be specifically mentioned and clearly identified in the scope of accreditation

3. Organization
3.1 Senior Management (Name, Designation, telephone, Fax, e-mail)
3.1.1 Chief Executive of the laboratory _________________________________________________
3.1.2 Person responsible for the management system Dr. Ajay Mohan Suvarna, MD & CEO,
Ph.no. 040-65556400, amsuvarna@petrolabsindia.com
3.1.3 Person responsible for technical operations _________________________________________
3.1.4 Contact person for NABL _______________________________________________________
3.2 Authorized Signatories
3.2.1 Authorized signatories for approval of test reports
(Please refer relevant specific criteria for qualification and experience details)

Sl
no

Laboratory/
Department/
Section
1 Prasanna
. Bhavani
K.Surya
Kantha

Name &
Designation
of Signatory
Sr.Chemist

Qualification with
Specialization
M.Sc (Chemistry)

Technical
Manager

B.Sc.
(Chemistry)

Experience in
years related to
present work
2 years
7 years

Relevant Training

Authorized for
which specific area
of testing

ISO/IEC 17025: All tests & Chemical

2005
Internal
Operatons
audit training
ISO/IEC 17025: All tests & Chemical
2005
Internal
Operatons
audit training

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 7/9

Specimen
Signature

3.3

Organization Chart
3.3.1. Indicate in an organization chart the operating departments of the testing laboratory for which
accreditation is being sought (please append)
3.3.2 Indicate how the testing laboratory is related to external organizations or to its own parent organization
(where applicable)

3.4 Employees
3.4.1 Details of staff
Sl
no
1.

Name
S.Ravinder

A.Sriramlu

P. Venumadhav

Designation+

Academic and Professional

Qualifications*
Diploma in Polytechnique

Experience related to
present work (in years)
3 years

M.A

1 year

Lab
Co-oridinator

B.Com

1 years

Prasanna Bhavani

Sr.Chemist

M.Sc (Chemistry)

2 years

ISO/IEC 17025:
2005
Internal
audit training

5.

K.Surya Kantha

Technical
Manager

B.Sc. (Chemistry)

7 years

ISO/IEC 17025:
2005
Internal
audit training

6.

E.Ramakrishna

Admin Asst

MBA

1 year

7.

Poonam Kumbhar

Chemist

M.Sc.(Physical Chemistry)

3 years

ISO/IEC 17025:
2005
Internal
audit training

8.

D.Suresh Kumar

Chemist

B.Sc (Chemistry)

2 years

ISO/IEC 17025:
2005
Internal
audit training

9.

Sumalatha

Chemist

M.Sc (Chemistry)

1 year

10
.
11

Jyothi

Chemist

M.Sc (Chemistry)

1 year

L.Prasanth Kumar

Chemist

B.Sc (Chemistry)

10 years

12

Vishala

M.Sc.(Chemistry)

13

Vijay

B.Sc (Chemistry)

14

Arun Kumar shetty

Trainee
Chemist
Trainee
Chemist
B.Tech

Sr.Sales
Engineer

&

Service

6 years

ISO/IEC 17025:
2005
Internal
audit training

15
.

Rajinder Negi

B.Tech

Sr.Sales
Engineer

&

Service

6 years

Admin
Manager
Admin

Relevant
Training

Note: Laboratory shall clearly indicate staff responsible for site testing
Laboratory operating in shifts shall clearly identify the staff working in shifts

* Please clearly indicate the area of specialization

+

Quality Manager shall have 4 days training course on laboratory management system from a reputed institute

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 8/9

4. Equipment and Reference Materials/ Reference standards

4.1 List of equipment available
Sl
no

Name of
equipment

Model/ type/
year of make

Range and
accuracy

Date of last
calibration

Calibration due on *

Calibrated by**

Kinematic
Viscosity Bath

ISI 090 chr/

16.11.2013

37 to 1000C
As permanual

08.07.15

07.07.2016

Euro
calibration

Kinematic
Viscosity bath

ISI 090 CHR/

02.02.15

37 to 1000C
As permanual

08.07.15

07.07.2016

Euro
calibration

Digital
Automatic
potentiometic
titration
Digital
Automatic
potentiometic
titration
Rotating disc
electrode

Auto/POT(KF
)
07.23.2013

15.04.2016
-

Monthly
calibration

Petrolabs
India Pvt Ltd

Auto/POT(KF
)
14.01.2015

14.04.2016
-

Monthly
calibration

Petrolabs
India Pvt Ltd

Petrolabs
India Pvt Ltd

5
.

Spectro Q100

10

Daily

4.2 List of reference materials/ reference standards available +

Sl.
no.

Name of reference material/

strain/ culture/ standard

Source

TAN
1

Potassium
Phthalate

Hydrogen

Date of expiry/
Calibration
validity

31.07.2019

Traceability

This volumetric standard is

directly traceable to the
corresponding
primary
standard
NIST
SRM
Potassium
Hydrogen
Phthalate 84L

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 9/9

900 ppm

Rotating Disc 22.05.2016

Electrode
(RDE)

This
standard
was
prepared
by
weight
measurements originating
from assayed element
concentrate. A precursor
blend was verified by
atomic
emission
or
absorpotion spectroscopy.
Element concentrations for
this standard are based on
the Concentrate assay
values and were prepared
to within the uncertainty
values listed above at the
95% confidence interval as
determined by weighted
measurements of blend
component conducted on
balances calibrated and
verified
with
NIST
traceable weights.

* The laboratory to decide the calibration interval based on ISO 10012 or ILAC-G24
** Please mention name of calibration agency. In case the equipment is calibrated in-house, same needs to be clearly indicated under this
column.
+ information should be provided for reference standards only and not for all testing and measuring equipment.
\

5. Internal Audit and Management Review

5.1 Date /schedule of last Internal Audit 09.10.2015
5.1.1 Whether all requirements of ISO/IEC 17025: 2005 covering all activities of laboratory have been audited
at least once in last one year - Yes
YES/NO
5.2 Date of last Management review 27.10.2015

6. Proficiency Testing
Participation in NABL/ APLAC/ any other Inter Laboratory Comparison
(for details and requirements please refer to ISO/IEC 17043, NABL 162 , NABL 163)

Sl.
no.

Product/
Material

Details of
Test(s)

Date of
Testing

Nodal Laboratory/
Performance in
PT Provider
terms of Z
(Accreditation Body/
score
Country)

Corrective Action
Taken (if any)

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 10/9

7. Application Fees
7.1 Number of groups* applied for accreditation 1 group
7.2 Application fees (Rs.) ___________________________________________________________
7.3

DD / Cheque** number __________________________________________________________

*information regarding the groups applied for accreditation in each discipline. Refer relevant specific criteria for more details on
groups.
**NABL will accept at par cheques also. All payments shall be made in favor of 'NABL' payable at New Delhi.

8. Declaration by the laboratory

We declare that
8.1 We are familiar with the terms and conditions of maintaining accreditation (NABL 131), which is enclosed
and will abide by them.
8.2 We agree to comply fully with ISO/IEC 17025: 2005 for the accreditation of testing laboratory.
8.3 We agree to comply with accreditation procedures, pay all costs for pre-assessment, assessment,
verification visit (if any), surveillance and reassessment irrespective of the result.
8.3 We agree to co-operate with the assessment team appointed by NABL for examination of all relevant
documents by them and their visits to those parts of the laboratory that are part of the scope of
accreditation.
8.4 We satisfy all national, regional and local regulatory requirements for operating a laboratory.
8.5 __________________________________________________________________________ has provided
consultancy for preparing towards NABL accreditation. (Information regarding any individual or
organization who provided consultancy (if any) for NABL accreditation shall be declared)
8.6 All information provided in this application is true.
Signature of laboratory head/ Laboratory director __________________________________________
Name & Designation ________________________________________________________________
Date & Place ______________________________________________________________________

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 11/9

9. Application Form - Check List

Sl.

Information / details provided as part of application

Availability

1.

Three copies of application in each discipline (eg. Mechanical/Chemical/Electrical etc)

Yes

2.

Two copies of Quality Manual (latest issue) according to ISO/IEC 17025: 2005

Yes

3.

Application fees
a) Information on total groups applied for accreditation
b) Estimated applicable fees as per NABL 100
c) Demand Draft in favour of 'NABL'

One
Group

6.

Copy of Legal Identity (Registration Details of the Laboratory)

7.

Scope of Accreditation with Test Methods, Range of Testing and MU

Availabl
e&
attached
Yes

8.

Details of Senior Management with Designation and Contact Details

Yes

9.

List of staff and proposed Authorized Signatories

Yes

10. Organization Chart enclosed

Yes

11. List of Equipments / Reference Material used with details of Traceability

Yes

12. Details of PT/ILC participation

Yes

13. Dates of Internal Audit and Management Review

Yes

14. Declaration about the Consultant (if any)

15. Signed copy of NABL 131 (latest issue)
Verified the above details and confirmed the availability of all required documents/ details as part of application form.
Signature of Laboratory Head/Director ----------------------------------------------------------------------------------------Name & Designation ____________________________________________________________________
Date & Place __________________________________________________________________________

National Accreditation Board for Testing and Calibration Laboratories

Doc. No: NABL 151
Issue No: 12

Application Form for Testing Laboratories

Issue Date: 27.06.2012
Amend No: 04

Amend Date: -- 03.09.2015

Page No: 12/9

National Accreditation Board for Testing and Calibration Laboratories

NABL House
Plot No. 45, Sector- 44,
Gurgaon 122002, Haryana
Tel.: +91-124 4679700
Fax: +91-124 4679799
Website: www.nabl-india.org