SGS External Audit 25-07-16
SGS External Audit 25-07-16
SGS External Audit 25-07-16
For training on this management system and for all your training needs, please visit the SGS
Academy at www.sgs.co.uk/trainingbrochure
1. Audit objectives
The objectives of this audit were:
To determine conformity of the management system, or parts of it with audit criteria and its:
- ability to ensure applicable statutory, regulatory and contractual requirements are met,
- effectiveness to ensure the client can reasonably expect to achieve specified objectives
and to identify as applicable areas for potential improvement
2. Scope of certification
ISO 9001:2015 Quality Construction and maintenance: new and refurbishment projects, excluding
Management System clause 8.3 Design and Development
Certification
This is a multi-site audit and an Appendix listing all relevant sites and/or remote Yes No
locations has been established (attached) and agreed with the client
For integrated audits, confirm the current level of the client’s IMS integration: N/A Basic High
The audit team concludes that the organisation has has not established and maintained its
management system in line with the requirements of the standard and demonstrated the ability of the
system to systematically achieve agreed requirements for products or services within the scope and the
organisation’s policy and objectives.
Therefore the audit team recommends that, based on the results of this audit and the system’s
demonstrated state of development and maturity, management system certification be:
Granted / Continued / Withheld / Suspended until satisfactory corrective action is completed.
5. Audit Findings
The audit team conducted a process-based audit focusing on significant aspects/risks/objectives. The audit
methods used were interviews, observation of activities and review of documentation and records.
The management system documentation demonstrated conformity with the requirements Yes No
of the audit standard and provided sufficient structure to support implementation and
maintenance of the management system.
The organisation has demonstrated effective implementation and maintenance / Yes No
improvement of its management system and is capable of achieving its policy objectives.
as well as and the intended results of the respective management system(s).
The organisation has demonstrated the establishment and tracking of appropriate key Yes No
performance objectives and targets and monitored progress towards their achievement.
The internal audit program has been fully implemented and demonstrates effectiveness Yes No
as a tool for maintaining and improving the management system.
The management review process demonstrated capability to ensure the continuing Yes No
suitability, adequacy and effectiveness of the management system.
Throughout the audit process, the management system demonstrated overall Yes No
conformance with the requirements of the audit standard.
Relating to Previous Audit Results: (additional text required against italic font)
1. Please reference the QP number and issue on the audits taking place. Completed.
2. It would be worth reviewing the inputs and outputs required by the 2015 standard in readiness
for the subsequent management review in March 2016. Completed,
3. Please review the open NCRs with regards to risk to the business. Completed.
All 3 above audit findings from the previous surveillance visit have been closed, with objective evidence
presented.
None identified.
None identified.
Therefore the stage 2 transition audit against the requirements of ISO9001:2015 continued consecutively.
Changes:
Level of Integration? n/a 9001 only. N/A Basic High
Key/Significant Organisational changes? (e.g key personnel, client activities,
Yes No
management system)
Key/Significant System changes? Yes No
Sample reviewed:
Head count is the same at 22.
No change to scope of certification required.
All core processes remain the same, although the whole documented quality management system has been
reviewed and amended where required in line with the requirements of ISO9001:2015.
The organisation remain in offices in Basildon with direct connectivity to the London underground stations
specifically where the vast major of their business remains.
As expected therefore the vast majority of the works are carried out overnight.
As observed, the morning meetings continue religiously, which reviews the handover from the previous nights
activities. These are comprehensive meetings with fully documented records supporting the discussions, and
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more lately include photographic evidence of works completed, concerns, and problem areas, as discussed, a
picture says a thousand words and really helps the office handover meeting understand the current position on
site.
27th May 2016 Transition preparedness meeting with the MD and QM.
Including the impact on the business and documentation requirements.
Company HSQE Objectives.
Management review 29th March 2016 now includes a summary of the context and review if internal and
external issues.
Business risk & opportunities register dated 27/5/16
A business plan is in place, and outlines the context in which the organisation has laid out it’s work flow and
documented QMS.
Strategic direction emanates from the business plan.
The interested parties are established and listed, and reviewed at management review.
These are listed in the attached checklist.
Management Review:
Undertaken at defined intervals? Yes No
Date of last review: 29th March 2016
Attended by Senior Management? Yes No
All required inputs/outputs? Yes No
Evidence:
Now includes a summary of the context and review if internal and external issues.
Good detail within the newly compiled agenda, fully compliant to 9.3
Full set of minutes seen.
Business Continuity plan in place 4/1/16
Internal Audits:
Programme/schedule in place, audits conducted on time? Yes No
Reported satisfactorily, containing objective evidence and showing impartiality? Yes No
Actions identified, suitably addressed within defined timescale? Yes No
Sample reviewed:
Auditors are Graham Hill senior projects manager and Deborah Cox as QM and senior office manager.
Full independence seen.
Example:
5/7/16 HSPPD Auditee Graham. Report number 459 and against procedure QP11.
1 observation identified close out 31st August.
8/7/16 Purchasing and Procurement auditee Samantha against procedure QP04 report number 458
No audit findings.
10/6/16 Training Auditee Samantha. Report nummer 457 against procedure QP14.
Specific contacts and communication lines are established and detailed within each project.
Detailing the initial contacts and any secondary contacts & method of contact.
Evidence of minimal complaints over the years is testament to the robust lines of communication with the
clients, established to gain concerns in either direction before they become a proble.
Reviewed project at Liverpool Street Station which demonstrates these communication links.
Objectives:
Measurable objectives, control objectives, annex A clearly defined? Yes No
Established at relevant functions and levels? (9001) Yes No
Programme/Action Plan established and adhered to? (14001/18001/50001) n/a Yes No
Sample reviewed:
Legislation:
Demonstrated awareness of all applicable legal and other requirements? Yes No
Arrangements in place to monitor amendments to legal and other requirements? Yes No
Sample of recent changes reviewed:
FORS, CIRASS, RISQS (Same as Linkup), FIRAS, iCATS, CHAS, safecontractor
Deborah keeps a close eye on any changes to statutory and legislative requirements.
Preventive action:
Identified, actioned, reported in accordance with requirements? Yes No
Actions identified and addressed? Yes No
Sample reviewed:
Risk aspects:
RAMS prepared and signed off by the site HSQ&E.
Risk assessment carried out at estimation stage using Tender pricing document, ensuring the organisatio isn’t
exposed to undue risk financially.
Method statements seen:
Balham station 13/7/16, reviewed accepted & signed off HSQ&E safety advisor stamped up as accepted
18/7/16
Storage and care of assets and customer property is defined within the method statements.
Example of a method statement
Balham Station – storage 5.17 of TFL-161 method statement.
At Basildon site any client assets or property is physically segregated and label identified to the works / station
name.
Returning power tooling is placed in the damaged spares – quarantine area to be physically checked and
tested prior it going back into stores area on the mezzanine floor and booked back into the Plant register as
now available.
Checked 2 x 9” grinders S/No 073 and 020
Transfer notation seen for 020 to go back into stock
073 already showing as in stock, but actually in repair at time of audit.
QP02
Project reviewed Example:
Liverpool Street Station
Elevator renewal. Project was to break out the footings for the new elevator as would be standing at a different
degree angle to the existing one.
Request for service was within the existing financial framework agreement.
Potentially up against 5 other contractors within the framework.
Initial details documented using the Tender Tracker.
Detailing contacts agreed and method of communication.
Outline scope of works.
London Underground tender document pack.
Initial risk assessment in terms of risk to D & D is undertaken by Paul and Graham and a project of this value
is notified to David (MD) at the outset.
At this stage the Pricing Document is built up over a lengthy period, in this case up to 3 weeks of work to
complete the 15K line document.
Very complex, and includes an “Adjudication” by the MD when looking at commercial margins etc.
1. The Internal NCR form QF06, would benefit from clearly recorded “Root
Cause” analysis.
2. Similarly, the Complaints form QF22 would benefit from clearly recorded
“Root Cause” analysis.
3. Clause 4.1 refers - External Issues well established and listed – Consider also
any environmental and Neighbourly issues.
4. 6.3 Planning of changes to the QMS - Although there is a reference within
QP03 4.1.4, this paragraph needs to reference QP01 4.11
5. Please ensure plant sent for repair is taken off the available stock on the plant
register. Example: Grinder 073 was in repair bay at time of audit, but showing
as available on the plant register.
No corrective action requests have been identified at this audit of either Major or Minor status, therefore
certification renewal and transition to ISO9001:2015 is recommended.
My thanks to Deborah, David and all at D & D for the help and hospitality during the audit.
Date Time Auditor Organisational and Functional Units/ Processes and Key Contact
Activities
25/7/16 9.00 MJS Opening meeting Deborah Cox
Documentation study against ISO9001:2015
Stage 1 report
Feedback from stage 1 DC & David Farrow
1.00 Lunch
1.30 Review of Business plan, Risk management, DC & DF
Context, interested parties.
Strategic plan “
Resource management DC
4.30 End day 1
26/7/16 9.00 MJS Project review - Estimating Paul Pullen.
Site h/s audits “
11.30 Warehouse & Plant control Mark
12.00 Complaints / feedback management DC
Internal audit & Management review “
Data analysis and performance management “
2.30 PAT & Calibration of tools Mark
3.00 Business & Disaster Planning DC
3.30 Prepare report -
4.30 Closing meeting DC & DF
Notes to Client:
Times are approximate and will be confirmed at the opening meeting prior to commencement of the audit.
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SGS auditors reserve the right to change or add to the elements listed before or during the audit depending on the results of on-site
investigation.
A private place for preparation, review and conferencing is requested for the auditor’s use.
Please provide a light working lunch on-site each audit day.
Your contract with SGS is an integral part of this audit plan and details confidentiality arrangements, audit scope, information on follow
up activities and any special reporting requirements.
Product/service X O O O O O O
requirements Tender/Enquiry’s, Contract
Sales/Contract specification 8.2
Review Samples
Change management
Document & Drawing X O O O O O O
Specifications, CAD Drawings 8.3
controls
Planning, Machine set up, run X O O O O O O
Service provision 8
times, quality control.
Purchasing/Supplier X O O O O O O
control, Goods- Verification of Suppliers
in/inspection Goods-in Inspection
8.4 8.5 8.6 8.7
HSPPD Certificate of conformance
Non-conforming Identification & traceability
outputs
Resource X O O O O O O
Management:
Infrastructure/environ
ment
People - Training Work environment
records Personnel 7
Competence/knowled qualification/awareness
ge Performance reviews
Calibration/measuring
resources
Communication
General Notes:
In column 1, list the departments, processes, activities or other functional units, as defined by the organisation. These should be the same departments and/or processes identified on the audit plan.
In column 2, list the primary or critical aspects, objectives and/or KPIs applicable to the department, process or activity.
In column 3, list all the elements of the applicable standard that relate to each activity or process defined in column 1 (each element of the standard must be listed at least once).
For planned visits, indicate with an “O” in the box for each process to be covered. For each completed visit, mark “X” in the box for each department or process covered
If nonconformities are identified, note the number of minors and/or majors identified in each department or process.
For integrated contracts please record level of the integration of the client’s IMS in the ‘General notes’ section.
Location(s): Basildon
Management System:
The organization has made significant changes to its management system or small refinements?
Small Refinements Significant Changes
Upper Management are actively involved in the operation of the Quality System
Management Active Management not active
Registration History
The number of corrective actions raised by SGS over the registration period decreases
SGS Corrective Actions decrease SGS Corrective Actions constant or increase
Do major corrective actions (if any) appear in Year One only?
No Majors, or in Y1 only Major Corrective Actions in Y2 and/or Y3
Integrated Audits Only – Confirm the current level of integration: N/A Basic High
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Based on the above categories,
the client’s Management System is: Well Developed Satisfactory
Other information relevant to the planning and execution of the Renewal visit:
Other notes or comments relating to the planning and execution of the Renewal visit:
Other additional notes or comments relating to the planning and execution of the Renewal visit:
Certificate Details:
Yes No
Has the level of integration changed since the last audit? n/a 9001 only
I confirm that I have verified the EAC/NACE/TAC shown on page 2 of this report to be correct
and accurately reflect the client’s scope of certification.
It was necessary for me to change the number of employees on page 2 of this report
It was necessary for me to change the company name on Page 2 of this report
FUA Required? (If yes, give units and date) Yes Date: No
Additional comments New certificate required for
ISO9001:2015 – Now on annual
surveillance.
Client Details:
Only record contact detail changes below, otherwise leave blank
Telephone No
Fax No
Contact Name
Position
Website
Invoicing Address
I confirm the invoicing address has been confirmed with the client
Air £
Rail £
Taxi £
Parking £4.00
Car £
Toll £
Incidental Expenses £
Days to invoice client (Minimum of 2 hours for Major CAR close out) 2 days
LTD Co. ONLY – Your SGS Purchase Order Number for this visit