Assessor Approval Application Form
Please fill out the following form to apply as an assessor for The Copper Mark Assurance Framework For your application to be considered, please ensure that all fields are completed.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
-
Country Code
-
Area Code
Phone Number
Associated Assessment Firms, (if applicable):
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Assessor Profile
Please specify the average number of relevant assessments you have conducted annually over the past five years:
*
Please Select
1-10
10-20
20-30
30-40
40-50
50-60
60-70
70-80
80-90
90-100
100+
Please list the countries in which you have experience conducting assessments relevant to the Copper Mark standard:
*
Please Select
Afghanistan
Albania
Algeria
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Dem. Rep.
Congo, Rep.
Costa Rica
Côte d'Ivoire
Croatia
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt, Arab Rep.
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR, China
Hungary
Iceland
India
Indonesia
Iran, Islamic Rep.
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Rep.
Kosovo
Kuwait
Kyrgyz Republic
Lao PDR
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia, Fed. Sts.
Moldova
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St. Kitts and Nevis
St. Lucia
St. Vincent and the Grenadines
Sudan
Suriname
Sweden
Switzerland
Syrian Arab Republic
Taiwan, China
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela, RB
Vietnam
West Bank and Gaza
Yemen, Rep.
Zambia
Zimbabwe
Please provide details of your language skills, listing only those in which you are proficient to conduct an assessment (intermediate to professional level), along with your native language:
*
Please Select
Albanian
Amharic
Arabic
Armenian
Azerbaijani
Basque
Belarusian
Bengali
Bosnian
Breton
Bulgarian
Burmese
Catalan
Chichewa
Croatian
Czech
Danish
Dutch
Dzongkha
English
Estonian
Faroese
Fijian
Filipino (Tagalog)
Finnish
French
Galician
Georgian
German
Greek
Guarani
Gujarati
Haitian Creole
Hausa
Hebrew
Hindi
Hungarian
Icelandic
Igbo
Indonesian
Italian
Japanese
Kannada
Kazakh
Khmer
Korean
Kurdish
Kyrgyz
Lao
Latvian
Lithuanian
Luxembourgish
Macedonian
Malagasy
Malay
Malay (Brunei)
Mandarin Chinese
Maori
Marathi
Mongolian
Nepali
Norwegian
Pashto
Persian (Farsi)
Polish
Portuguese
Quechua
Romanian
Russian
Samoan
Serbian
Shona
Sinhala
Slovak
Slovenian
Somali
Sotho
Spanish
Swahili
Swedish
Tahitian
Tajik
Tamil
Telugu
Thai
Tibetan
Tigrinya
Tongan
Tswana
Turkish
Turkmen
Ukrainian
Urdu
Uyghur
Uzbek
Vietnamese
Wolof
Xhosa
Yoruba
Zulu
Please describe your degree of knowledge of ISO 19011 Guidelines for Auditing Management Systems or ISAE 3000 International Standard on Assurance Engagements:
*
Please provide a brief summary of your past experience in conducting assessments within the copper, molybdenum, nickel, zinc, or related industry:
*
Education
Please briefly describe your education:
*
Certifications
Please list any current certifications you have as an Assessor. For example, please indicate whether you:
*
Your Response
Supporting Evidence (if applicable)
Are a current member of IRCA, or can demonstrate conformance with IRCA membership requirements
Are a current member of APSCA, or can demonstrate conformance with APSCA membership requirements
Hold existing management system training and accreditations, such as: SA 8000, ISO 14001, OHSAS 18001, ISO 9001
Others
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Approvals
Please list whether you are approved for conducting audits for any standards, certifications and/or externally assured management systems related to the issue areas covered by the Copper Mark Criteria.
*
Copper Mark Training
Please list the Copper Mark training courses you have completed and when:
*
What specific skills and qualifications make you suitable for this role? Please list any relevant experience in conducting assessments of a similar scope under another scheme, in the copper, molybdenum, nickel, zinc, or related industry:
*
Expertise
Please describe your degree of knowledge, understanding, and experience (including the number of years of experience) in the implementation, maintenance, or auditing of the following areas:
*
Your response
supporting evidence
Request to be approved by the Copper Mark YES/NO
Environmental management systems, including but not limited to biodiversity conservation, water stewardship, and impact assessments
Occupational health and safety management systems
Labour, industrial relations, and human resources management systems
Social impact assessments and human rights due diligence
Community relations and stakeholder engagement, in particular with local communities. If applicable, please explain how culturally appropriate means were taken into consideration when conducting the interviews with stakeholders
Compliance and ethics
Mineral supply chain due diligence in accordance with the OECD Due Diligence Guidance for Responsible Supply Chains of Minerals from Conflict-Affected and High-Risk Areas
Sustainability reporting
Upload Resume
*
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Upload audit log covering the past 5 years
*
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Assurance providers are required by the Copper Mark, to implement an accessible appeals procedure, allowing clients to appeal assurance decisions. Similarly, oversight bodies must establish a publicly available grievance, complaints, and appeals process for assurance providers. Please confirm if such mechanisms are in place.
*
Yes
No
Signature
*
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