1.0 GENERAL
Scope:
- Compliance to clause 4.5.3.2 of OHSAS 18001: Nonconformity, Corrective Action and Preventive Action
- Applied to all activity and operational running at <name of organization>
- Corrective action: action to eliminate the cause of a detected nonconformity (3.11) or other undesirable situation (OHSAS 18001:2007,Clause 3.4)
- nonconformity: non-fulfillment of a requirement (OHSAS 18001:2007,Clause 3.11)
- preventive action: action to eliminate the cause of a potential nonconformity (3.11) or other undesirable potential situation (OHSAS 18001:2007,Clause 3.18)
- Responsibility: <define the function>
- Accountability: <define the function>
- Authority: <define the function>
- Responsibility: <define the function>
- Accountability: <define the function>
- Authority: <define the function>
- Responsibility <define the function>
- Accountability <define the function>
- Authority <define the function>
- Identification of non-conformity can be defined as following inputs;
- If there any incidents was happened defined in SOP: Incident Investigation.
- Nonconformity raised during Internal Audit
- Any emergency situation happened as identified in SOP: Emergency Preparedness and Response.
- Feedback received from interested parties reflected by incidence or occurrence with respect to the OH&S matters as partly defined in the SOP: Communication, participation and consultation.
- Non-compliance result from the monitoring activities as defined in SOP: Performance measurement and monitoring.
- Identification of potential non-conformity can be defined as following inputs;
- Any feedback received from interested parties with respect to potential occurrence and incident that may happened with respect to the OH&S matters as partly defined in the SOP: Communication, participation and consultation.
- Any finding under category of opportunity for improvement raised during internal and/or external audit.
- Potential non-conformity Issue highlighted during management review where decision made by <who> for action need to be taken.
- Corrective Action and Preventive Action Requisition;
- Whenever a nonconformity / potential nonconformity are identified, immediately highlight and report to <who> for confirmation. In case of Internal Audit, Lead Auditor has full authority in making on his decision.
- <who> or Auditor (in Internal Audit) shall verify and record the potential problem / nonconformity in the <CPAR> form. Where necessary or serious failure potentially may occurred, <who> shall than call respective person and arrange for meeting. Input of meeting then will be used in determining root caused and measures need to be taken.
- Investigation of the problem and Determining Root Cause
- Respective process owner shall investigate the problem and evaluate its significant and impact on OH&S.
- The root cause of the problem shall be determined and a suitable solution to the non-conformity shall be initiated.
- Evaluations of the nonconformities shall indicate what corrective actions to take to eliminate the root causes of the nonconformities or potential nonconformities.
- Determining and Implementing Corrective and/or Preventive Action
- The corrective action shall be initiated to a degree appropriate to the magnitude of the incident or non-conformity and it shall prevent further recurrence.
- The personnel responsible in providing and implementing the corrective action shall complete the <CPAR> with the following information :-
- Action Proposed to prevent recurrence so as action taken to rectify the problem.
- Date which the corrective action shall be completed.
- Where appropriate, analysis and support data is necessary to address the potential occurrence of problem.
- The <team… or who> shall analyze all relevant data/record to identify the cause of the potential nonconformities, the need for action, determining and implementing the actions needed to prevent occurrence of nonconformities.
- The completed <CPAR> shall be submitted to the <OHSMR> for attention.
- The CPAR shall be reviewed together with the Managing Director and/or QMR upon approval of the proposed corrective action, the implementation shall be carried out.
- Verification of Action
- The <OHSMR> shall verify that the corrective and/or preventive actions are taken and are effective.
- If the action taken is not effective in resolving the problem, the <OHSMR> shall bring it to the attention of the relevant party concerned and another corrective action plan may be initiated.
- If there any <CPAR> is unable to close within the dateline given, QMR should get feedback from the relevant parties and stating the valid reason of unclosed issue.
- At time, the action implemented may result in changes of affected documents; the personnel concerned shall follow the procedures stated in Control of Documents for any amendments.
- Reviewing Corrective & Preventive Actions
- Result of <CPAR> shall be discussed during management review by <who>
- The purpose of discussion in the management review is to ensure the effectiveness of implementation of the corrective and preventive actions
- jihiuhui
- SOP: Incident Investigation
- SOP: Control of Documents
- SOP: Control of Records
- SOP: Communication, participation and consultation
- SOP: Performance measurement and monitoring
- SOP: Emergency Preparedness and Response
- CPAR
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