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SABLON ZA PROCEWDURE
ORAO PROCEDURE
Mandatory implementation as of: 01.04.2013.QUALITY MANAGEMENT SYSTEM CORRECTIVE AND PREVENTIVE ACTIONSTotal pages 21
OQM-07.017
Descriptors: Corrective action, preventive action, noncompliance, correction, amendment
improvement.
Business secret Internal
The procedure has been made in accordance with the requirements of the standard ISO 9001/2008, BAS ISO/IEC 17025:2006, SORS 9000/05, EN 9100 Standards, Quality Manual OS-Q.1, Quality Handbook of the Laboratory for Testing Materials OS-Q.2 and Quality Handbook of Meteorological Laboratory OS-Q.3 TABLE OF VALID ISSUE/AMENDMENTS
Prepared byApproved by Decision no.Date
IVName Mirko PantiMilan Buha051/67-0301.04.2013.
IssueSignature
AmendmentName
no.1Signature
AmendmentName
no.2Signature
AmendmentName
No.3Signature
AmendmentName
no.4Signature
TABLE OF VALID PAGESPage no.123456789101112
Amendment
Page no.131415161718192021
Amendment
Page no.
Amendment
TABLE OF DISTRIBUTION OF COPIESopy no.45678910111213141516171819202122
Quantity111111 111 11 1 11
CONTENTS:
Page
0. INTRODUCTION
2
1. SCOPE AND AREA OF APPLICATION
2
2. DEFINITIONS
2
3. RESPONSIBILITY
2
4. DESCRIPTION OF ACTIVITIES
3
4.1 Corrective action
3
4.2 Preventive action
55. RELATION TO STANDARDS AND OTHER PROCEDURES - DOCUMENTS
6
6. ANNEXES
77. ABBREVIATIONS
7
8. DISTRIBUTION LIST (distribution of copies - only with original and standard)
21DESCRIPTION TABLE OF MODIFICATION - AMENDMENTModification
no.Brief description of modificationDateModification carried out byModification verified by
0. INTRODUCTION
Corrective and preventive actions in ORAOa.d. are the part of active management, wherewith it is ensured that the capability and promptness of responding to causes and possible causes of noncompliance (nonconformity) of product/process and quality system management is more important than noncompliance itself.
1. SCOPE AND AREA OF APPLICATION
Procedure stipulates documented management system for corrective and preventive actions in ORAOa.d.
In addition to establishing the responsibility and authority for taking corrective and preventive actions, the procedure also defines the method of evaluation of importance, investigation of possible causes, problem analysis, taking emergency actions, process control, removal of nonconforming product units and stipulating the system of modifications which originate from corrective and preventive actions.
Stipulated and taken corrective and preventive actions include all the functions of ORAOa.d.
2. DEFINITIONS
All the definitions and concepts in the procedure are taken from standard SRPS ISO 9000:2007, as well the definitions of concepts which are quoted authentically because of area being worked on:
Preventive action is an action for the elimination of the cause of possible noncompliance or some other potential undesired situation. Preventive action is taken to prevent occurrence (SRPS ISO 9000/2007, Item 3.64);
Corrective action is an action for the elimination of the cause of noncompliance. Corrective action is taken to prevent repeating the occurrence (SRPS ISO 9000/2007, Item 3.65).
3. RESPONSIBILITY
Executive Director for Quality and Laboratories and Quality Manager for Laboratories in corresponding laboratory shall be responsible for the application and maintenance of documented system of corrective and preventive actions.
Executive Director for Quality and Laboratories, or Quality Manager for Laboratories shall define and set responsibility and authorities for the implementation of established corrective and preventive actions.
Quality Monitoring Department or Quality Manager for Laboratories shall manage the documentation about corrective and preventive actions.
4. DESCRIPTION OF ACTIVITIES
4.1 Corrective Action
Algorithm of corrective action is shown in Annex 1 and explained hereinafter.
File on corrective actions is defined with Corrective Action Log OQZ13 046 (Annex 2)
File on corrective actions for suppliers is defined with Corrective Action Log for Suppliers OQZ13 049 (Annex 10)4.1.1 Reexamination of NonconformityReexamination of nonconformity of product, process and quality management system shall be carried out after the following is obtained:
Users complaints expressed in any way (claims, letters, phone calls and personal contacts);
Customers challenge; Reports on quality checks;
Reports on reexaminations by management;
Conclusions from management meetings;
Information and data obtained during repairs and finishing the products;
Defects of monitoring and measuring equipment;
Records (technological examination list, testing list, reports on laboratory testing, reports on laboratory standardization and reports on testing before verification and validation);
Corrective action request OQZ13 030 (Annex 3).
Reexamination of nonconformity is performed by QMD, Quality Manager for Laboratories and personnel whose work is influenced by nonconformity or other persons authorized by the Executive Director for Quality and Laboratories.
Reexamination of nonconformity shall be completed by verification thereof.
4.1.2 Analysis of the Causes of NonconformityAnalysis implies research and determining the causes of nonconformity. Analysis is carried out by the Executive Director for Quality and Laboratories, Quality Manager for Laboratories, personnel of QMD, as well as other persons authorized by the Executive Director for Quality and Laboratories. In analysis, all information about the detection of nonconformity and actions taken to eliminate the nonconformity are used. When considering the cause of nonconformity, its influence to production costs, quality costs, functioning, reliability, safety, process capability and user satisfaction should be discussed.
Frequently, the fundamental cause is not noticeable so that careful analysis of the specified requests of product, process and quality management system is required. If the fundamental cause of nonconformity is a mistake in product design, the Executive Director for Quality and Laboratories shall make decision on forming a commission for investigation and determining the cause. The commission is composed as follows:
Quality technologist from QMD;
Person from the division where the cause of nonconformity is present, but who is not directly responsible for the occurrence of nonconformity, or a person from RDD, who is not a project leader;
Person from any other division who knows the problem.
Analysis of the causes of nonconformity shall be completed with preparation of plan or proposal for the elimination of the cause of nonconformity.
4.1.3 Implementation of Corrective Actions
When defining and implementing corrective actions, causes of nonconformity shall be eliminated to level which corresponds to an acceptable risk for ORAOa.d., whereas the detection and removal of fundamental cause of product nonconformity shall be carried out disregarding resources spent for its removal.
Implementation of corrective actions is defined with corrective action plan and order which follows Corrective Action Request OQZ13 030. Implementation plan of corrective action is prepared in free-form, while the Executive Director for Quality and Laboratories gives consent for its use. This plan can be an integral part of monthly work schedule of ORAOa.d. The plan defines activities, activity holders, control points and performance deadlines.
Implementation plan of corrective actions in Metrology Laboratory Division and Laboratory for Testing Materials/Products Division is defined by the record Corrective Action Plan OQZ14 081, Annex 4.
4.1.4 Analysis of the Implementation of Corrective Actions
With an order, or corrective action plan, evaluation methods of the effectiveness and efficiency of actions being taken can be specified.
Monitoring of corrective actions which have been taken is the responsibility of the Executive Director for Quality and Laboratories, Quality Manager of Laboratories and other authorized persons.
Analysis of the effectiveness and efficiency of corrective actions is performed in Corrective Action Request OQZ13 030 or in a way defined with the Corrective Action Plan or in some other way.
In order to check the effectiveness of corrective actions in Metrology Laboratory Division and Laboratory for Material/Product Testing Division, analysis of implemented corrective actions shall be performed which is formalized with record Report on Analysis of Implemented Corrective Actions OQZ14 082 (Annex 5).
Verification of corrective actions is done by the Quality Manager, while the Executive Director for Quality and Laboratories gives consent on Corrective action request OQZ13 030 or with the certification of Corrective Action Implementation Report.
If corrective action does not give expected results, or the corrective action is not closed, the Executive Director for Quality and Laboratories defines special actions in order to eliminate the nonconformity root causes. The analysis is done at least once a year during Quality Management System reviewing, and if necessary, within monthly analyses of corrective actions. When it is ascertained that the supplier is liable for (the cause of) nonconformity, the Executive Director for Quality and Laboratories requests corrective actions to be taken with the supplier on the record Corrective Action Request to Supplier OQZ13 048, Annex 6. In addition, the Executive Director for Quality and Laboratories is responsible for the analysis of the implementation of corrective actions for the supplier, as well as for their final verification.
Corrective Action Plan OQZ14 081 (Annex 4) and Report on the Analysis of Implemented Corrective Actions OQZ14 082 (Annex 5) can be also used in other WU/divisions in the process of deciding on corrective actions.
QMD manages all the corrective action records.
4.1.5. Analysis of results of implemented corrective actions
In order to check results of implemented corrective actions in Metrology Laboratory Division and Laboratory for Material/Product Testing Division the analysis of results of implemented corrective actions shall be performed which is formalized with record Report on Analysis of Results of Implemented Corrective Actions OQZ14 090 (Annex 8).
The above mentioned record can be used in the process of solving other corrective actions.4.2 Preventive Action
Algorithm of preventive action is shown in Annex 7, and it is explained hereinafter.
4.2.1 Determining Potential Nonconformity
Determining potential nonconformities of product, process and quality management system is carried out through the review by management, meetings of Quality Council, contract reviewing, verification and validation of project stages, monitoring the quality of products, monitoring and measurements.
4.2.2 Investigation of Potential Causes and Problem Analysis
Investigation of potential causes and problem analysis is performed by personnel of QMD as well as other persons authorized by the Executive Director for Quality and Laboratories. Analysis is conducted based on the requirements of the Executive Director for Quality and Laboratories.Investigation of potential causes of nonconformity in the calibration process and/or testing process in Metrology Laboratory Division and Laboratory for Material/Product Testing Division is performed by managers, technologists and metrologists of Metrology Laboratory Division and Laboratory for Material/Product Testing Division according to the procedure OCQ-06.065 Procedure for Non-conforming calibration/testing.
Results of the report on performed quality checks (internal and external checks), numerical and non-numerical tools of quality (primarily FMEA method) and like are used in the analysis. In analysis of potential causes, all the corrections and reworks of product carried so far, as well as the actions taken to eliminate the nonconformity should be mandatory used.
Frequently, the fundamental cause is not noticeable so that careful analysis of product specification and all relevant processes, operations, records, reports on servicing and users complaint are required. In analysis, statistical methods can be also used especially in the analysis of records, reworks and corrections performed so far. When considering the cause of nonconformity, its influence to production costs, quality costs, functioning, reliability, safety, process capability and user satisfaction should be discussed.
If the fundamental cause of product nonconformity is nonconformity of quality management system or a mistake in product design, the Executive Director for Quality and Laboratories shall make decision on forming a commission for investigation and determining the cause.
The commission is composed as follows:
Quality technologist from QMD or DQRD;
Person from the division where the possible cause of nonconformity is present, but who is not directly responsible for the occurrence of nonconformity, or a person from RDD, who is not a project leader;
Person from any other division who knows the problem.
4.2.3 Implementation of Preventive Actions
When defining and implementing preventive actions, causes of nonconformity shall be eliminated to the level which corresponds to an acceptable risk for ORAOa.d...
Implementation of preventive actions is defined with preventive action plan. Implementation plan of preventive action is prepared in free form, while the Executive Director for Quality and Laboratories gives consent for its use. This plan can be an integral part of monthly work schedule of ORAOa.d. The plan defines activities, activity holders, control points and performance deadlines.
Preventive action implementation plan in Metrology Laboratory Division and Laboratory for Material/Product Testing Division is defined with the record of Preventive Action Plan OQZ14 088.Preventive action plan is usually a plan which results from reexamination of quality management system.
4.2.4 Analysis of the Implementation of Preventive Actions
The Executive Director for Quality and Laboratories is competent for monitoring the preventive actions being taken. Analysis of effectiveness and efficiency is carried out in a way specified by the Executive Director for Quality and Laboratories.
Verification of preventive actions is carried out by the Executive Director for Quality and Laboratories by certification of Preventive Action Implementation Report.
QMD manages all the preventive action records.
In order to check effectiveness and purposefulness of preventive actions in Metrology Laboratory Division and Laboratory for Material/Product Testing Division the analysis of results of implemented preventive actions shall be performed which is formalized with record Report on Analysis of Results of Implemented Preventive Actions OQZ14 089.
5. RELATION TO STANDARDS AND OTHER PROCEDURES -
DOCUMENTS
1. Quality Manual OS-Q.1
2. Quality Handbook of Laboratory for Testing Materials/Products Division OS-Q.2
3. Quality Handbook Metrology Laboratory Division OS-Q.3
4. SORS 9000/05 Requirements for Quality Provision in Design, Development and Production of NGO Means
5. ISO 9001/2008 Quality Management System Requirements
6. SRPS ISO 9000:2007 Quality Management Systems Basics and Vocabulary
7. BAS EN ISO/IEC 17025:2006 General Requests for Competence of Testing and Calibration Laboratories
8. ISO 9004/2008 Quality Management System Instructions for Performance Improvement
9. EN 9100
10. Documentation Management ORAOa.d. OQM-01.004
11. Quality Checks OQM-01.016
12. Decision on Complaints/Claims OQA-08.045
6. ANNEXES
1. Algorithm of Corrective Action
- Annex 1
2. Corrective Action Log OQZ13 046
- Annex 2
3. Corrective Action Request OQZ13 030
- Annex 3
4. Corrective Action Plan OQZ14 081
- Annex 4
5. Report on Analysis of Implemented Corrective Actions OQZ14 082
- Annex 5
6. Corrective Action Request to Supplier OQZ13 048
- Annex 6
7. Algorithm of Preventive Action
- Annex 7
8. Preventive Action Plan OQZ14 088 - Annex 89. Report on Analysis of Results of Implemented Preventive Actions OQZ14 089
- Annex 9
10. Corrective Action Log for Suppliers OQZ13 049 - Annex 10
11. Report on Analysis of Results of Implemented Preventive Actions OQZ14 090
-Annex 11
7. ABBREVIATIONS
FMEA
- Failure Mode and Effects Analysis)
QMD
- Quality Monitoring Department
DQRD
- Department for Quality Research and Design
OQZ
- "ORAO' quality record
RDD
- Research and Development Division
ANNEX 1
ALGORITHM OF CORRECTIVE ACTION
-
1. Decision on the implementation of corrective action
2. Adoption of proposal and plan of implementation
3. Verification of achieved results
ANNEX 2
OQZ13 046
C O R R E C T I V E A C T I O N L O G
No.Request submitter
DateWU/Division to which nonconformity statement is directed
Form of noticed nonconformityCorrective actionPerson/position/ responsible for
performance deadlineDate of the completion of action and evaluation of efficiency
123456
ANNEX 3
CORRECTIVE ACTION REQUESTOQZ13 030BUSINESS SECRET
Internal
Sent to:
(1)
Requested by:
(2)Request no.
(3)
Noticed nonconformity of product, process and quality management system: (4)
Root cause of nonconformity :
(5)
Person/position:
_________________
Date:
(signature)
Opinion of authorized person on nonconformity:
(6)
Date:
______________
(signature)
Nonconformity effect on QMS:
(7)
Quality Manager
_________________________
Date:
(signature)
Corrective action decision:
(8)
Quality Manager
_________________________
Date:
(signature)
CORRECTIVE ACTION REQUESTOQZ13 030
BUSINESS SECRET
Internal
Sent to:
(1)
Requested by:
(2)Request no
Plan no.: (3)
ACTIVITIES ON CORRECTIVE ACTION IMPLEMENTATION:
Responsible person:
Date:
(9)
Checking corrective action implementation:
(10)
The activity is in the process of implementation
Monitoring of implemented corrective action:Responsible personDate: (11)
Submitted to:
- Request submitter 1x
- Corresponding division 1x
- OPK-a 1xDate:
Date:Quality Manager
(12)
______________
(signature)
AGREED:
Executive Director for Quality andlaboratories
Addendum with Annex 3Explanation for filling in the form "Corrective Action Request"
Field (1) specifying the name of sector where the corrective action should be taken;
Field (2) first and last name of the person who requests corrective action;
Field (3) register number of the record to be inserted;
Field (4) type of nonconformity to be specified;
Field (5) textual description of the root cause with as much data and information as
possible. If needed, root cause can be given in additional sheet accompanying the request.
Field (6) Based on the investigation of causes and problem analysis, justification of
request is ascertained. If the request is justified, short and accurate opinion
is given about corrective measure. The opinion is signed by authorized
person.
Field (7) potential effects of noncompliance to the existing QMS
Field (8) -Decision on taking or not-taking the corrective action. Decision is made and
signed byQuality Manager.
Field (9) Signing the activities eliminating corrective actions, holders of primary responsibilities, deadlines for carrying out activity. The activities are defined after the meeting on noncompliance reviewing.
Field (10) Brief observations of persons/positions responsible for the implementation of
corrective action and signature of the person who checked the corrective
action
Signing and approving performed activities shall be carried out after
coordination of the holder of primary responsibility and the person who
performed the corrective action.
Field (11) Brief observations of persons/positions responsible for
Monitoring of implemented corrective actionField (12)- Signed after completion of corrective action.
Consent on performed corrective action shall be given by the Executive
Director for Quality and Laboratories.
ANNEX 4
ORAOa.d.
Metrology Laboratory Division/ Laboratory for Testing Materials/Products DivisionCORRECTIVE ACTION PLAN
_______________________________________OQZ14 081
BUSINESS SECRET
No: ___________
Date: _________
NoReference documentTaskResponsible personCooperatesDeadlineCertificationNote
12345678
Page X of Y
ANNEX 5
ORAOa.d.
Metrology Laboratory Division/ Laboratory for Testing Materials/Products DivisionREPORT ON ANALYSIS OF IMPLEMENTED CORRECTIVE ACTIONS
______________________OQZ14 082
BUSINESS SECRET
No: ___________
Date: _________
Responsible person:
Deadline:
CORRECTIVE ACTION
ACTIVITIES ON THE PERFORMANCE OF CORRECTIVE ACTION:
Activity
Executor
Date of activity completion
Corrective action status:
Date of completion
Quality Manager ML/LIM
Page X of Y
ANNEX 6
OQZ13 048
CORRECTIVE ACTION REQUEST TO SUPPLIER
Supplier:
Representative for quality:Register no.:
Date:
Part No:
Part name:
Drawing No.:
Release:Order no.:
Date of delivery:
Quantity:
Deviation (description of deviation):
Decision in accordance with refused parts/material:
Suppliers measures:
Cause of system deviation:
_______________________________________________________________________
_______________________________________________________________________
________________________________________________________________________
Corrective actions and verification:
______________________________________________
______________________________________________
______________________________________________
______________________________________________Responsible person:
____________
____________
____________
____________Date:
__________
__________
__________
__________
Executive Director for Quality and Laboratories: ________________________________
ANNEX 7
ALGORITHM OF PREVENTIVE ACTION
-
1. Decision on implementation of preventive action
2. Adoption of proposal and Plan of implementation
3. Verification of achieved results
ANNEX 8 ORAOa.d.
Metrology Laboratory Division/ Laboratory for Testing Materials/Products Division PREVENTIVE ACTION PLAN
_______________________________________OQZ14 088
BUSINESS SECRET
No: ___________
Date: _________
NoReference documentTaskResponsible personCooperatesDeadlineCertificationNote
12345678
ANNEX 9 ORAOa.d.
Metrology Laboratory Division/ Laboratory for Testing Materials/Products DivisionREPORT ON ANALYSIS OF IMPLEMENTED PREVENTIVE ACTIONS
______________________OQZ14 089
BUSINESS SECRET
No: ___________
Date: _________
Responsible person:
Deadline:
PREVENTIVE ACTION
ACTIVITIES ON THE PERFORMANCE OF PREVENTIVE ACTION:
Activity
Executor
Date of activity completion
Preventive action status:
Date of completion
Quality Manager ML/LIM
Page X of Y
ANNEX 10
CORRECTIVE ACTION LOG FOR SUPPLIERS
No.Request submitterDateSupplierCorrective action Suppliers quality representative DeadlineCompletion date
Actions and efficiency score
123456
ANNEX 11 ORAOa.d.
Metrology LaboratoryREPORT ON ANALYSIS OF RESULTS OF IMPLEMENTED CORRECTIVE ACTIONS
______________________OQZ14 090
BUSINESS SECRET
No: ___________
Date: _________
CORRECTIVE ACTION
Responsible person:
Implementation date:
MONITORING OF IMPLEMENTED CORRECTIVE ACTION EFFECTIVENESS
Observation
Executor
Date
ANALYSIS OF RESULTS OF IMPLEMENTED CORRECTIVE ACTIONS
CONCLUSION
Date
Quality Manager SML
8. DISTRIBUTION LIST (Distribution of copies only with original
and standard)
PROCEDURE: CORRECTIVE AND PREVENTIVE ACTIONS OQM-07.017, release IV,
(name and designation, release, modification-amendment)
RB copiesWU/ WU/Division/PositionSignatureDate
1 originalInvestment Development Department
2 standardQuality Monitoring Department
3 copyHolder of Work
4 copyDirector
5 copyExecutive Director for Technical Operations
6 copyExecutive Director for Economic Operations
7 copyExecutive Director for Quality and Laboratories
8 copyManager of Overhaul WU
9 copyManager of Manufacture WU
10 copyManager of Laboratories WU
11 copyManager of Research and Development Division
12 copyManager of Maintenance Division
13 copyManager of Commercial Division
14 copyManager of Marketing Division
15 copyManager of Accounting and Finance Division
16 copyManager of Division for General Operations
17 copyManager of Quality Division
18 copyManager of Division for Personal and Legal Operations
19 copyManager of Department for Development and Design of Quality
20 copyManager of Organizational Division
21 copyExecutive Director for Personnel, Legal and General Operations
22 copyManager of Galvanic-chemical Treatment Division
Working copy
NOTE: Distribution of copies to be carried out per users
Manager of QMD
Requested answer shall be given 5 days after the receipt of returned parts
ANALYSIS OF IMPLEMENTATION
IMPLEMENTATION
3
PROPOSAL OR
PLAN
ANALYSIS OF
NONCONFORMITY
1
REEXEMINATION OF NONCONFORMITY
START
ANALYSIS OF IMPLEMENTATION
IMPLEMENTATION
2
PREVENTIVE ACTION PLAN
ANALYSIS OF PROBABLE NONCONFORMITIES AND POTENTIAL PROBLEMS
3
1
ESTABLISHING POTENTIAL NONCONFORMITY
END
START
2
END