"^i^H.LU^E INTEGRATED MANAGEMENT SYSTEM Title of Manual
GENERAL PROCEDURES MANUAL Document Name
' CORRECTIVE AND PREVENTIVE ACTION (CPA)
Document Code: GPM-14 Revision No.: 06
Effectivity Date: February 2013 Page Number: Page 1 of 3 1.0 REQUIREMENTS
Standard 1309001:2008 ISO 14001:2004
OHSAS 18001:2007
Clause Number 8.5.2
8.5.3 4.5.3
\6 4,5.3 4.5.3.1 4.5.3.2 4.4.6
Description Corrective action
Preventive action
Nonconformity, corrective action and preventive action
Operational control
Incident investigation, nonconformity, corrective action and preventive action
Incident investigation
Nonconformity, corrective action and preventive action
Operational control 2.0 PURPOSE
The procedure ensures that corrective and preventive actions are implemented to address actual and potential nonconformities in the workplace that are usually associated in carrying out processes, conformance to standard requirements, and compliance to legal and other requirements. Nonconformities may also include:
• failure to meet objectives and targets as specified in OTPs;
• failure to work in accordance with protocols, guidelines or controls to mitigate significant hazards/risks; and
• nonconforming products and failure to deliver quality service to customers.
3.0 SCOPE
The procedure covers all actual and potential nonconformities related to our performance to quality, environmental protection, and maintenance of health and safety in the workplace.
The Institute has set tools to implement this requirement which are as follows:
a. internal audit conducted at planned intervals (Note: Internal audit has separate procedure.)
b. Operational Control Monitoring (OCM)
c. EPR inspection, drill evaluation, incident investigation
d. monitoring of customer complaints through customer survey (including web survey), and other tools.
4.0 PROCEDURE DETAILS
-
Step 1
Activity Determine potential non- conformities and actual non- conformities
Responsibility Internal Auditors/MRs
Notes/References
1. Conduct internal audits, OCM, and other modes of inspection and monitoring, customer satisfaction survey.
2. Reports shall be submitted to process owners for appropriate action.
Note: Authorized copy of this document shall be freshly stamped and initialed by the Document Control Officer. 14
JCEHTIFIED COPY
VALID US TIL: REVISED
BY: oco
ISS13-0103"%fe,LR^E INTEGRATED MANAGEMENT SYSTEM Title of Manual
GENERAL PROCEDURES MANUAL Document Name
CORRECTIVE AND PREVENTIVE ACTION (CPA)
Document Code: GPM-14 Revision No.: 06
Effectivity Date: February 201 3 Page Number: Page 2 of 3 Step
2
3
4
5
Activity Conduct focus group discussions
•s
Determine and implement action needed
Document resujts of action taken
Review
effectiveness of action taken
Responsibility Process Owner
Process Owner
Process Owner
Internal Auditors/
MRs/Process Owner
Notes/References
1. Process owner shall identify reasons for the non-conformity and potential non- conformity and come-up with possible solution or action to prevent occurrence of potential non-conformity and recurrence of actual non-conformity through consultation and interview of concerned staff.
1 . Corrective action and preventive action shall be appropriate to the effect of non- conformities and potential problems.
Corrective and preventive action can be in the form of revised guidelines, protocols, PPIsand\orOTPs
1 . Impact or results of corrective and preventive action shall be properly documented.
2. Documentation may be in the form of guidelines or work instructions, pictures, gathered data that may be recorded in research notebooks, minutes of meeting, etc.
1. Effectiveness of action taken shall be reviewed during subsequent audits and monitoring activities.
5.0 RECORDS
Inspection/audit reports with corresponding corrective and preventive actions, whichever is necessary.
6.0 DOCUMENT REVISION HISTORY Revision
Number 00 01 02 03
Date of Revision*
-
16 October 2003 31 July 2006 05 October 2009
Revision Summary Original document
Improve details, document code
Alignment with the requirements of the three standards (ISO 9001:2000, ISO 14001:2004, and OHSAS 18001:1999)
• Refinement of procedure based on existing tools used for inspection.
Note; Authorized copy of this document shall be freshly stamped and initialed by the Document Control Officer.
CERTIFIED C O f Y VALI~ UHTIL:REV- BY:
14
A J
^l!^v Rr INTEGRATED MANAGEMENT SYSTEM fir^ifl^M:.
7/f/e of Manual
GENERAL PROCEDURES MANUAL Document Name
CORRECTIVE AND PREVENTIVE ACTION (CPA)
i:,. •:•-,;>• ir, -. •„••».."_•.-.- .
Document Code: GPM-14 Revision No.: 06
Effectivity Date: February 2013 Page Number: Page 3 of 3
Revision Number
04
05
06
Date of Revision*
11 November x
2009
February 2011 -
February 201 3
• Change of document code as specified in the "Control of Documents".
• Change in signatory from IMR to ED, and updated references.
Revision Summary
• As per result of 2009 CIP external audit findings (inclusion of investigation report with root cause analysis, and re-
assessment for proposed actions.
• Simplification of document code.
• Change in procedure details from flowchart into table form.
• Deletion of parts responsibility and references.
• Simplification of procedures.
• Change of signatories.
• Change of root cause analysis to focus group discussions.
• Clarification that corrective and preventive action can be expressed in the form of revised protocols, guidelines, PPls.
' Date of revision history corresponds to the approval date of "Document Request Form".
Prepared by:
•
HA2ELJANEM. ORGE integrated Management Rqpcesentative Date: February 2013
Reviewed and Recommended by:
CAESAR UOVBNTINpM. TADO 'Acting Dioactorfor Administration
DateiFef>ruarj20f3
Approved by:
•1,
,-f.fi
EUFEMIOT. RASCO, JR.
Executive Director Date: February 2013
Note: Authorized copy of this document shall be freshly stamped and initialed
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14
