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Correcti

v

e

A

ction

P

rocedure

BOS-

P

RD-1201.901201

4

.

2

.

4

A

udit correcti

v

e

a

ction

A

non

-c

on

f

orm

i

t

y

or

observat

i

on dete

c

ted

d

u

r

i

ng

an

Au

d

i

t

shall

be

reported

i

n

t

h

e

Description of Non-

Conformities and Observations

f

orm

. T

h

e

A

udit Te

a

m

i

s

respons

i

b

l

e

f

or

des

c

r

i

b

i

ng

t

h

e

s

i

t

u

at

i

on

.

O

n

c

e

t

h

e

non

-c

on

f

orm

i

t

y

or

observat

i

on

i

s

des

c

r

i

bed

,

t

h

e

A

udit Te

a

m Le

a

der

shall

grade

i

n

t

h

e

Description

of Non-Conformities and Observations

(

as

part o

f

t

h

e

Au

d

i

t

R

eport

)

as

:

x

A

n observat

i

on

;

x

A

m

i

nor

non

-c

on

f

orm

i

t

y

;

x

O

r

a ma

j

or

non

-c

on

f

orm

i

t

y

.

T

h

ese

c

on

cl

u

s

i

ons

and

t

h

e

i

r

s

u

pport

i

ng

a

u

d

i

t

ev

i

den

c

es

shall

be

k

ept

and

re

c

orded

onboard

and

at

t

h

e

H

ead

O

ff

ic

e

.

O

n

c

e

graded

, c

on

cl

u

s

i

ons

shall

be

rev

i

e

w

ed

w

i

t

h

t

h

e

A

uditee

to

obta

i

n

a

ck

no

w

l

edgement

t

h

at

t

h

e

a

u

d

i

t

ev

i

den

c

e

i

s

a

cc

u

rate

,

and

t

h

at

t

h

e

non

-c

on

f

orm

i

t

i

es

and

observat

i

ons

are

u

nderstood

.

E

ver

y

attempt

shall

be

made

to

reso

l

ve

an

y

d

i

verg

i

ng

op

i

n

i

ons

c

on

c

ern

i

ng

t

h

e

a

u

d

i

t

ev

i

den

c

e

and

/

or

f

i

nd

i

ngs

,

and

u

nreso

l

ved

po

i

nts

shall

be

re

c

orded

.

A

s

i

nd

ic

ated

i

n

t

h

e

Internal Audit Guidelines,

t

h

e

Audit Report

ill

u

strates

t

h

e

re

c

ord

ev

i

den

c

e

o

f

t

h

e

c

ond

u

c

ted a

u

d

i

t aga

i

nst

t

h

e

A

uditee

’

s Management

S

y

stem

. T

h

e

A

udit Te

a

m

shall

present

t

h

e

Au

d

i

t

R

eport at

t

h

e

end

o

f

t

h

e

cl

os

i

ng

meet

i

ng

i

n

order

t

h

at

t

h

e

A

uditee

shall

k

eep

t

h

e

ne

c

essar

y

i

n

f

ormat

i

on

wh

ic

h

shall

a

ll

o

w

to

i

mmed

i

ate

l

y

i

dent

i

fy

wh

ic

h

c

orre

c

t

i

ve

a

c

t

i

ons

shall

be

ta

k

en

to

i

mprove

i

ts Management

S

y

stem

.

W

h

en

an

observat

i

on

i

s

dete

c

ted

and

u

nderstood

,

t

h

e

A

udit Te

a

m Le

a

der

and

t

h

e

A

uditee

shall

i

ss

u

e

a

re

c

ommendat

i

on

f

or

i

mprovement

. R

e

c

ommendat

i

ons

i

ss

u

ed

f

rom

O

bservat

i

ons

are

not

b

i

nd

i

ng

,

a

l

t

h

o

u

g

h

t

h

e

y

represent an opport

u

n

i

t

y

f

or

i

mprovement

.

O

n

c

e

u

nderstood

,

m

i

nor

and ma

j

or

non

-c

on

f

orm

i

t

y

shall

be

rev

i

e

w

ed

b

y

t

h

e

A

uditee

and

t

h

e

A

udit Te

a

m

Le

a

der

f

or

f

orma

l

agreement

. B

ot

h

shall

agree

,

or

not

,

t

h

e

non

-c

on

f

orm

i

t

y

. I

f

t

h

e

non

-c

on

f

orm

i

t

y

i

s

not

agreed

,

an

appea

l

shall

be

atta

c

h

ed

to

t

h

e

Au

d

i

t

R

eport

. T

h

e

appea

l

and

t

h

e

Au

d

i

t

R

eport

shall

be

sent

to

t

h

e

QH

SE

M

a

n

a

ger

,

P

roce

ss Ow

ner

a

nd/or De

s

ign

a

ted

P

er

s

on

A

s

hore

depend

i

ng

o

f

t

h

e

so

u

r

c

e

o

f

t

h

e

a

u

d

i

ts

wh

o

shall

determ

i

ne

t

h

e

need

f

or

an

a

u

d

i

t

c

orre

c

t

i

ve

a

c

t

i

on

. O

n

c

e

agreed

,

an

a

u

d

i

t

c

orre

c

t

i

ve

a

c

t

i

on

shall

be

i

ss

u

ed

b

y

t

h

e

A

uditee

. F

eedba

ck

shall

be

prov

i

ded

to

t

h

e

A

uditee

o

f

an

y

non

-c

on

f

orm

i

t

y

and

i

f

appropr

i

ate

to

ot

h

er

areas

w

i

t

h

i

n

t

h

e

O

rgan

i

sat

i

on

.

4

.

3

Detecting

a

nd

a

n

a

l

y

s

ing c

a

u

s

e

s

E

a

c

h

non

-c

on

f

orm

i

t

y

or

dev

i

at

i

on

shall

or

i

g

i

nate

a

root

c

a

u

se

ana

l

y

s

i

s

(

wh

en

re

l

evant

a

/

o

app

lic

ab

l

e

)

to estab

li

s

h

a

c

orre

c

t

i

ve

a

c

t

i

on

.

A

root

c

a

u

se

i

s

a

so

u

r

c

e

o

f

a

dev

i

at

i

on

or

non

-c

on

f

orm

i

t

y

,

wh

ic

h

i

f

removed

or

m

i

t

i

gated

w

ill

respe

c

t

i

ve

l

y

d

i

sappear

or

de

c

rease

to

a

cc

eptab

l

e

l

eve

l

s

.

T

h

e

P

roce

ss Ow

ner

shall

des

i

gnate

an

I

mplement

a

tion Re

s

pon

s

i

b

le

i

n order

to

i

dent

i

fy

t

h

e

root

c

a

u

se

.

T

ap

R

oo

T

T

M

met

h

odo

l

og

y

,

wh

ic

h

c

omb

i

nes

i

n

ci

dent

i

dent

i

f

ic

at

i

on

,

ana

l

y

s

i

s

,

and

d

y

nam

ic

report

,

shall

be

u

sed

f

or

i

nvest

i

gat

i

ng

a

ll i

n

ci

dents

. I

n

t

h

i

s

c

ase

,

t

h

e

I

n

v

e

s

tig

a

tion Te

a

m Le

a

der

, ,

shall

be

i

n

c

h

arge

o

f

t

h

e

root

c

a

u

se ana

l

y

s

i

s

i

n

T

ap

R

oo

T

T

M

.

T

h

e

I

mplement

a

tion Re

s

pon

s

i

b

le

shall

h

ave

t

h

e

ne

c

essar

y

c

ompeten

c

e

,

ava

il

ab

ili

t

y

and

l

eg

i

t

i

ma

c

y

to

i

mp

l

ement

t

h

e

c

orre

c

t

i

ve a

c

t

i

on

. H

e

/

s

h

e

shall:

x

A

ssess

and ana

l

y

se

t

h

e

c

a

u

se

(

s

)

o

f

ea

c

h

dev

i

at

i

on

,

non

-c

on

f

orm

i

t

y

and

/

or

i

n

ci

dent

ra

i

sed

;

x

Meas

u

re

t

h

e

i

mpa

c

t o

f

ea

c

h

c

a

u

se

(

s

)

dete

c

ted

;

x

I

dent

i

fy

a

c

orre

c

t

i

ve

a

c

t

i

on

per

non

-c

on

f

orm

i

t

y

,

dev

i

at

i

on

or

i

n

ci

dent

generated

to

prevent

reo

cc

u

rren

c

e

;

x

E

ns

u

re

t

h

e

Management of Change

wh

en

app

lic

ab

l

e

;

x

D

eterm

i

ne an

a

c

t

i

on p

l

an

w

i

t

h

d

u

e

date

.

V

ers

i

on

0

3

. O

r

i

g

i

na

l

date

:

0

5/

0

6

/

2012.

V

ers

i

on

date

: 3

1

/

12

/

201

5

.

V

a

li

d

vers

i

on

on

l

y

on

Q

M

S

s

i

te

.

U

n

c

ontro

ll

ed do

c

u

ment

wh

en

pr

i

nted

.

P

ro

c

ed

u

re prepared b

y:

BOS

Q

HS

E

Manager

.

A

pproved

b

y:

BOS

Q

HS

E

Manager

.

V

a

li

dated

b

y:

BOS

Qu

a

li

t

y

R

epresentat

i

ve

.

P

age

8

o

f

1

4

Transposition from Corporate original (last

version date:07/08/12)

944