729-Corrective Action Procedure / 748
Correcti
v
e
A
ction
P
rocedure
BOS-PRD-1201.901201
4
.
2
.
4
A
udit correcti
v
e
a
ction
A non-conformity or observation detected during an Audit
shall
be reported in the
Description of Non-
Conformities and Observations
form. The
A
udit Te
a
m
is responsible for describing the situation.
Once the non-conformity or observation is described, the
A
udit Te
a
m Le
a
der
shall
grade in the
Description
of Non-Conformities and Observations
(as part of the Audit Report) as:
x
An observation;
x
A minor non-conformity;
x
Or a major non-conformity.
These conclusions and their supporting audit evidences
shall
be kept and recorded onboard and at the Head
Office.
Once graded, conclusions
shall
be reviewed with the
A
uditee
to obtain acknowledgement that the audit
evidence is accurate, and that the non-conformities and observations are understood. Every attempt
shall
be
made to resolve any diverging opinions concerning the audit evidence and/or findings, and unresolved points
shall
be recorded.
As indicated in the
Internal Audit Guidelines,
the Audit Report illustrates the record evidence of the
conducted audit against the
A
uditee
’s Management System. The
A
udit Te
a
m
shall
present the Audit
Report at the end of the closing meeting in order that the
A
uditee
shall
keep the necessary
information which
shall
allow to immediately identify which corrective actions
shall
be taken to
improve its Management System.
When an observation is detected and understood, the
A
udit Te
a
m Le
a
der
and the
A
uditee
shall
issue a
recommendation for improvement. Recommendations issued from Observations are not binding, although
they represent an opportunity for improvement.
Once understood, minor and major non-conformity
shall
be reviewed by the
A
uditee
and the
A
udit Te
a
m
Le
a
der
for formal agreement. Both
shall
agree, or not, the non-conformity. If the non-conformity is not
agreed, an appeal
shall
be attached to the Audit Report. The appeal and the Audit Report
shall
be sent to
the
Q
H
S
E
S
M
a
n
a
ger
,
P
roce
ss
O
w
ner
a
nd/or De
s
ign
a
ted
P
er
s
on
A
s
hore
depending of the source of the
audits who
shall
determine the need for an audit corrective action. Once agreed, an audit corrective action
shall
be issued by the
A
uditee
. Feedback
shall
be provided to the
A
uditee
of any non-conformity and if
appropriate to other areas within the Organisation.
4
.
3
Detecting
a
nd
a
n
a
l
y
s
ing c
a
u
s
e
s
Each non-conformity or deviation
shall
originate a root cause analysis to establish a corrective action.
A root cause is a source of a deviation or non-conformity, which if removed or mitigated will
respectively disappear or decrease to acceptable levels.
The
P
roce
ss
O
w
ner
shall
designate an
I
mplement
a
tion Re
s
pon
s
i
b
le
in order to identify the root cause.
TapRooT
TM
methodology, which combines incident identification, analysis, and dynamic report,
shall
be used
for investigating all incidents. In this case, the
I
mplement
a
tion Re
s
pon
s
i
b
le
, designated by the
P
roce
ss
O
w
ner
,
shall
be in charge of the root cause analysis in TapRooT
TM
.
The
I
mplement
a
tion Re
s
pon
s
i
b
le
shall
have the necessary competence, availability and legitimacy to
implement the corrective action. He/she
shall:
x
Assess and analyse the cause(s) of each deviation, non-conformity and/or incident raised;
x
Measure the impact of each cause(s) detected;
x
Identify a corrective action per non-conformity, deviation or incident generated to prevent
reoccurrence;
x
Ensure the Management of Change when applicable;
x
Determine an action plan with due date.
Version 02. Original date: 05/06/2012. Version date: 31/12/2014. Valid version only on QMS site. Uncontrolled document when printed.
Procedure prepared by: BOS QHSES Manager. Approved by: Quality Director of BOURBON. Validated by: Quality Director of BOURBON.
This QMS document is validated as compliant to BOURBON standards (
http://intranet.bourbon-online.com/QMS ).
8 /13
Transposition from Corporate original (last
version date:07/08/12)
729