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: 6/6

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
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: 6/6

out the necessary changes to its policies/practices & procedure(s). The laboratory shall inform NABL
when such changes have been completed.
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: 6/6

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 MEASUREMATIC INDIA

Locations and Address(s) : NO: 9, 14TH Cross street, Maharaja Nagar, Palayamkottai,
Tirunelveli-627011, Tamil Nadu.
Telephone No. 0462-2572500 Fax No:_______E-mail : measurematicindia@gmail.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 ________________________________________________________

(if part of an organization)

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

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

330292206810 part-II Dated 24/09/2014 granted by Additional Director of Industries &

Commerce(DIC) Tirunelveli-627011
Date of establishment : 09/04/2012
1.5 Type of laboratory by service
open to others

partly open to others

an in-house activity

1.6 Other accreditations : NABL ACCREDITAION IN ELECTRO-TECHNICAL CALIBRATION(Both

Permanent & Site) Certificate No: C-0921 Valid Until : 13/05/2017

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 : MEASUREMATIC INDIA, NO:9, 14TH Cross street,Maharaja nagar, Palayamkottai,

Tirunelveli-627011, Tamil Nadu.
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: 6/6

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/
(method) or technique used Limit of detection

Measurement
Uncertainty
( )

Refer Annexure - A

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: G.Shanmuga sekar-Lab Manager, Mob : 9443301908
E-mail : measurematicindia@gmail.com
3.1.2 Person responsible for the management system: S.Panneer selvam-Quality Manager,
Mob: 7708012504
3.1.3 Person responsible for technical operations: K.Raja-Technical Manager, Mob: 7708012501
3.1.4 Contact person for NABL: G.Shanmuga sekar

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: 6/6

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

Name &
Qualification Experience in
Designation of
with
years related to
Signatory
Specialization present work

Relevant
Training

Authorized for
which specific
area of testing

Specimen
Signature

1)Quality

1
Lab Operations

S.Panneer
Selvam
(Quality
Manager)

Management

M.E
(Applied

5 Years & 9

Electronics)

Months

System Internal
Audit Training
Course conducted
by LRQA

Quality and
Testing of
Energy meter

2)Labaratory
Management &
Internel Audit as
per ISO/IEC
17025:2005

Lab Operations
K.Raja
(Technical
Manager)

B.E(EEE)

6 years

1)Labaratory
Management &

Testing of
Energy meter

Internel Audit as
per ISO/IEC
17025:2005
2)Measurement of

Uncertainty

Lab Operations
R.Nagarajan
(Test Engineer)

B.E(EEE)

4 Years

1)Labaratory
Management &
Internel Audit as

Testing of
Energy meter

per ISO/IEC
17025:2005
2)Measurement of
Uncertainty

Lab Operations

S.M.Anandha
Ram

1 Years & 3
B.E(EEE)

Months

1)Labaratory
Management &

Testing of
Energy meter

Internel Audit as
per ISO/IEC
17025:2005
2)Measurement of
Uncertainty

Lab Operations

S.Muthuramach
andran
(Technical
Assistant)

Diploma (EEE)

1 Years & 11

Months

1)Labaratory
Management &
Internel Audit as

Testing of
Energy meter

per ISO/IEC
17025:2005
2)Measurement of
Uncertainty

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: 6/6

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 (Refer Annexure B)
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
S
l
n
o

Name

Designation+

1 G.Shanmuga
sekar

Lab Manager

2 S.Panneer
Selvam

Quality Manager

3 K.Raja

Technical
Manager

Academic and Professional

Qualifications*

Diploma in Printing Technology

Experience related to
present work (in years)

4 years

Relevant
Training

1)Labaratory
Management &
Internel Audit as per

4 R.Nagarajan

S M Anandha
Ram

6 S.Muthu
Ramachandran

Test Engineer
(Permanent Lab
and On site Lab)

ISO/IEC 17025:2005

M.E(Applied Electronics)

5 years & 9 Months

B.E(EEE)

6 Years

Management &
Internel Audit as per

B.E(EEE)

4 Years

Test Engineer
(Permanent Lab
and On site Lab)

Technical
Assistant
(Permanent Lab
and On site Lab)

1)Labaratory

B.E(EEE)

1 years & 3 Months

Diploma in Electrical and

Electronics Engineering

ISO/IEC 17025:2005

2)Measurement of
Uncertainty

1 years & 11 Months

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: 6/6

4. Equipment and Reference Materials/ Reference standards

4.1 List of equipment available
Sl
no

Name of
equipment

Model/ type/
year of make

Three Phase Test

Bench Standard Class
0.02 Reference Meter

Three Phase Portable

Test Equipment Class
0.02 Reference Meter

Range and
accuracy

Date of last
calibration

MTE
Model:PRS 400.3
Sr.No :44977
2012

Voltage :
30V to 300V
Current :
0.010A1120A
Power Factor
Range :
-1.0 to -0.5 to 0 to
+0.5 to +1.0
lag/lead
Frequency:
45Hz to 65Hz

Date of
Calibration
18.08.2015

Applied Precision
Model : PTE
2300E
Sr.No
:
2614070115

Voltage :
5V to 500V
Current :
0.010A1120A
Power Factor
Range :
-1.0 to -0.5 to 0 to
+0.5 to +1.0
lag/lead
Frequency:
40Hz to 70Hz

Date of
Calibration
29.02.2016

Calibration due on *
Due on 17.08.2017

Due on 29.02.2018

Calibrated by**
NATIONAL
PHYSICAL
LABORATORY,
INDIA

NATIONAL
PHYSICAL
LABORATORY,
INDIA

4.2 List of reference materials/ reference standards available +

Sl.
no.

Name of reference material/

strain/ culture/ standard

Source

Date of expiry/
Calibration validity

MTE/Three Phase Test Bench

MTE/Three Phase Portable

Reference Standard Class 0.02
Reference Meter

Applied Precision PTE/Three Phase Portable Test

Equipment

Applied Precision PTE/Three

Phase Portable Test Equipment
Class 0.02 Reference Meter

Due on 17.08.2017

Due on 29.02.2018

Traceability
NATIONAL
PHYSICAL
LABORATORY,
INDIA
NATIONAL
PHYSICAL
LABORATORY,
INDIA

* 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.
\

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: 6/6

5. Internal Audit and Management Review

5.1 Date /schedule of last Internal Audit __05.02.2016______________________________________
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/NO
5.2 Date of last Management review ___________12.02.2016________________________________

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: 6/6

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)

(Annexure-C)

7. Application Fees
7.1 Number of groups* applied for accreditation___ONE___________________________________
7.2 Application fees (Rs.25190/- (Rs.22000+Tax(14.5 %))______________________
7.3

DD / Cheque** number ___ DD Number: 003393 dated 07.03.2016 ___________________

*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 NUCLEUS CONSULTANTS,CHENNAI_ 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: 6/6

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)

2.

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

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'

6.

Copy of Legal Identity (Registration Details of the Laboratory)

7.

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

8.

Details of Senior Management with Designation and Contact Details

9.

List of staff and proposed Authorized Signatories

10. Organization Chart enclosed

11. List of Equipments / Reference Material used with details of Traceability
12. Details of PT/ILC participation
13. Dates of Internal Audit and Management Review
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: 6/6

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