Assessment Report
Hughes Safety Showers Limited
Assessment dates Assessment Location(s) Report author Assessment Standard(s)
23/06/2022 to 23/06/2022 (Please refer to Appendix for details) Stockport (000) Denis Taylor ISO 9001:2015
Page 1 of 25
Assessment Report.
Table of contents Executive summary … 4
Changes in the organisation since last assessment … 4
NCR summary graphs … 5
Your next steps … 6
NCR close out process … 6
Assessment objective, scope and criteria … 7
Statutory and regulatory requirements… 7
Assessment participants … 7
Assessment conclusion … 8
Findings from previous assessments … 9
Findings from this assessment … 12
Opening Meeting. Changes to the Organisation, QMS, Quality Policy and Scope:… 12
Context of the Organisation, Risks and Opportunities, Objectives and Targets: … 12
Management Review and Internal Audits: … 13
Non-conformity and Correctives Action, Customer Satisfaction and Complaints: … 14
Tank Showers and Test Bed: … 14
Technical Design and Document Control: … 15
Purchasing and Supplier Management: … 16
Minor (1) nonconformities arising from this assessment. … 17
Next visit objectives, scope and criteria … 19
Next visit plan … 20
Appendix: Your certification structure & ongoing assessment programme … 21
Scope of certification … 21
Assessed location(s) … 21
Certification assessment programme … 22
Expected outcomes for accredited certification … 23
Definitions of findings: … 24
How to contact BSI … 24
Notes … 24
Page 2 of 25
Regulatory compliance … 25
Assessment Report.
Page 3 of 25
Assessment Report.
Executive summary
During the course of this visit, the quality management system has demonstrated that it is supporting the achievement of the explicit intended outcomes.
The organisation’s strategy is “To be the most trusted EHS partner to distributors and customers worldwide”.
During the course of the visit, relevant quality risks and opportunities were seen to have been identified and effectively managed.
The QHSE Manager confirmed the effectiveness of the system as seen through the eyes of clients.
Particular strengths of the system identified was the openness and attitude of the employees interviewed.
Of the three non-conformances open from the last audit one was closed and two remain open for review at the next audit.
One area of weakness was identified and this were as follows;
- Calibration
The organisation is already aware that the system is not being used to full effect, and this was seen during the audit.
A number of opportunities for improvement have been identified. Although these are not followed up at future visits, they may offer significant opportunities to strengthen the system, so please do consider their merits.
Changes in the organisation since last assessment
The following changes in relation to organisation structure and key personnel involved in the certified management system were noted: The appointment of a new Operations Manager starting 27th June 2022. The appointment of a new Production Manager. The appointment of a new Supply Chain Manager.
No change in relation to the audited organisation’s activities, products or services covered by the scope of certification was identified.
There was no change to the reference or normative documents which is related to the scope of certification.
Page 4 of 25
NCR summary graphs
Areas of the standard(s) where BSI recorded findings
Assessment Report.
Which standard(s) BSI recorded findings against
Page 5 of 25
Where BSI recorded findings
Assessment Report.
Your next steps
NCR close out process
Corrective actions with respect to nonconformities raised at the last assessment have been reviewed. Actions were not found to be effectively implemented in all areas. Such areas, identified in subsequent sections of the report, will be further reviewed for closure at the next assessment. A minor nonconformity requiring attention was identified. This, along with other findings, is contained within subsequent sections of the report. A minor nonconformity relates to a single identified lapse, which in itself would not indicate a breakdown in the management system’s ability to effectively control the processes for which it was intended. It is necessary to investigate the underlying cause of any issue to determine corrective action. The proposed action will be reviewed for effective implementation at the next assessment.
Please refer to Assessment Conclusion and Recommendation section for the required submission and the defined timeline.
Page 6 of 25
Assessment Report.
Assessment objective, scope and criteria The objective of the assessment was to conduct a surveillance assessment and look for positive evidence to verify that elements of the scope of certification and the requirements of the management standard are effectively addressed by the organisation’s management system; that the system is demonstrating the ability to support the achievement of statutory, regulatory and contractual requirements and the organisation’s specified objectives as applicable with regard to the scope of the management standard; to confirm the ongoing achievement and applicability of the forward strategic plan and where applicable to identify potential areas for improvement of the management system.
The scope of the assessment is the documented management system with relation to the requirements of BS EN ISO 9001: 2015 and the defined assessment plan provided in terms of locations and areas of the system and organisation to be assessed.
BS EN ISO 9001: 2015 Hughes Safety Showers Limited management system documentation
Statutory and regulatory requirements The risk process identifies the Legal and Regulatory requirements for the business and these are reviewed at the management review meeting.
Updates to legislation are received through associations to The Compliance People and Technical Seats on EN Standards and Ansi Standards. Assessment participants
Name
Position
Gary Kaill
Paul Darlington
David Ward
James Hamilton
Toni Lock
QHSE Manger Managing Director Tank Showers Team Leader Engineering Manager Group Financial Controller
Opening meeting X
X
Closing meeting X
X
X
Interviewed(processes)
X
X
X
Page 7 of 25
Assessment Report.
Assessment conclusion
BSI assessment team
Name
Denis Taylor
Assessment conclusion and recommendation
Position
Team Leader
The audit objectives have been achieved and the certificate scope remains appropriate. The audit team concludes based on the results of this audit that the organisation does fulfil the standards and audit criteria identified within the audit report and it is deemed that the management system continues to achieve its intended outcomes.
RECOMMENDED - Corrective Action Plan Required (‘Minor’ findings only): The audited organisation may be recommended for continued certification, based upon the acceptance of a satisfactory corrective action plan for all ‘Minor’ findings as shown in this report. Effective implementation of corrective actions will be reviewed during the next surveillance audit.
Please submit a plan through the BSI Connect Portal detailing the nonconformity, the root cause, correction and your proposed corrective action, with responsibilities and timescales allocated. The plan is to be submitted no later than 01/07/2022. If the corrective action plan is not received by this date you may be putting your certification status at risk.
For any questions please contact your local BSI office, referencing the report number 3394466.
One non-conformance for Management Review to be reviewed at the next surveillance audit.
Use of certification documents, mark / logo or report
The use of the BSI certification documents and mark / logo is effectively controlled.
Page 8 of 25
Assessment Report.
Findings from previous assessments
Finding Reference Certificate Standard Location reference
Category
2014882-202101-N3
Certificate Reference
FM 14474
ISO 9001:2015
Clause
9.3.1
0008915578-000
Minor
Area/process:
Management System
Details:
The current process for management review does not ensure the QMS is adequately reviewed for suitability, adequacy and effectiveness.
At present an annual review meeting is held (last conducted Jan 2020). The annual review typically concludes that the system is effective, however the impartial review informally conducted by the management team would indicate to the contrary e.g. lack of ownership of processes, documentation not reviewed and updated effectively.
Objective Evidence:
Cause
Monthly top management reviews take place. It is understood that the organisation will consider an agenda matrix, to ensure full coverage of requirements. Will follow up at the next audit. Annual Management Review is not fit-for-purpose.
Correction/containment
Monthly top management reviews take place. It is understood that the organisation will consider an agenda matrix, to ensure full coverage of requirements. Will follow up at the next audit. Annual Management Review is not fit-for-purpose.
Corrective action
Monthly top management reviews take place. It is understood that the organisation will consider an agenda matrix, to ensure full coverage of requirements. Will follow up at the next audit. Annual Management Review is not fit-for-purpose.
Closed?
No
Monthly top management reviews take place. It is understood that the organisation will consider an agenda matrix, to ensure full coverage of requirements. Will follow up at the next audit. Annual Management Review is not fit-for-purpose.
Justification
09/12/2021 Good progress, however, 2022 Dploy review forthcoming, which may incorporate Management Review elements.
23-06-22 Top Management conduct monthly meetings and elements of the QMS are discussed. There are to be rolled out into a formal set of minutes and will be reviewed annually in the January audits.
Page 9 of 25
Assessment Report.
2142637-202112-N1
Certificate Reference
FM 14474
ISO 9001:2015
Clause
4
0008915578-000
3284875
Minor
Finding Reference Certificate Standard Location reference Assessment Number
Category
Area/process:
Context/issues, risks and opportunities; Interested parties and needs and expectations
Details:
Context of the organisation has not been fully realised.
Objective Evidence:
Cause
JREMEA-HS-FM-026 00 Risk and Opportunities (Oct 2018).xlsx (4.1) Interested parties register 2020.xlsx (4.2)
- The above two docs are overdue a review.
Correction/containment
Corrective action
Closed?
No
Justification
23-06-2022 The document still requires a review as it is dated 15-04- 2020.
Page 10 of 25
Finding Reference Certificate Standard Location reference Assessment Number
Category
2142637-202112-N2
Certificate Reference
FM 14474
ISO 9001:2015
Clause
10.2
Assessment Report.
0008915578-000
3284875
Minor
Area/process:
Internal audit and nonconformity and corrective action; Objectives and performance improvement
Details:
Nonconformity and corrective action has not been fully realised.
Objective Evidence:
Cause
04 2021 Packing - Internal Audit (Sep 2021).pdf - 1 x minor NC raised
- The NC has not been taken through the full corrective action process Inc. root cause.
The process was not followed as specified within the procedure.
Correction/containment
A review of the process was conducted and it determined that photography was not a real requirements. Therefore the procedure would be amended,
Corrective action
Procedure QMS025 Packing was updated to remove the requirement for photography issue 1.1P dated 24-03-2022.
Closed?
Yes
Justification
Procedure witnessed and the photography section removed.
Page 11 of 25
Assessment Report.
Findings from this assessment
Opening Meeting. Changes to the Organisation, QMS, Quality Policy and Scope: The opening, meeting was conducted with those specified above. The organisation has seen several changes since the last visit from BSI and these are defined as follows: The appointment of a new Operations Manager starting 27th June 2022. The appointment of a new Production Manager. The appointment of a new Supply Chain Manager. The Quality Management System has not seen any significant changes and is currently at version 1.2J. The Quality Policy is a controlled document within the QMS and meets the requirements of the standard. The Policy is displayed throughout the organisation on various notice boards. The scope was read out at the meeting and agreed to be current however this is under review as the organisation provide a service to the equipment at customer’s sites.
Finding Reference Certificate Standard Location reference Assessment Number
Category
2203367-202206-I1
Certificate Reference
FM 14474
ISO 9001:2015
Clause
4.3
0008915578-000
3394466
Opportunity for Improvement
Area/process:
Opening Meeting. Changes to the Organisation, QMS, Quality Policy and Scope
Details
Define the wording for the scope and forward to BSI for amendment to the certificate and plan.
Context of the Organisation, Risks and Opportunities, Objectives and Targets: The Context of the Organisation was provided dated 15-04-2020. There is a non-conformance open that shows the document to be requiring a review. This is left open as the review will be conducted at the Management Review Meeting planned for November 2022.
Risks and Opportunities are part of the above document and was required on the 23-03-2022. Any changes required to this process will be conducted at the next Management Review Meeting. A total of 16 Risks were identified and a total of 7 opportunities.
Objectives and targets are set by Group and then rolled down to the relevant departments. The objectives are defined as follows: Detail of Objective Cost of Escaping Defects < £13,200 Average time to close NCR > 14 days Customer NCRs > 9 per month
Page 12 of 25
Maintain certification to BS EN ISO 9001:2015 Quality Standard Internal Audit Schedule Compliance
The above objectives are measured and reported on a monthly basis, a colour coded system of tables and graphs are used to pictorially identify any trends or shortfalls.
Assessment Report.
Management Review and Internal Audits: The Management Review process is conducted formally annually, although a meeting is conducted by Top Management monthly and the elements are discussed in this meeting. The plan has been changed to cover the topic annually in the January audit.
The internal audit process was demonstrated using the following documents: Audit Schedule for 2021/2022 provided that covers the QMS audited over a twelve month period. Purchasing and Stores Engineering Service Packing Sales Manufacturing - Showers and Tanks Manufacturing Fabrication QMS Systems A separate spreadsheet shows all of the clause sections of the standard cross referenced to the audit programme thus ensuring that all clauses are audited.
Audit reports as follows: ~ 05-2022 Sales dated 20-10-2021 no issues identified. ~ 06-2022 Manufacturing - Showers and Tanks dated 10-01-2022 no issues identified.
Finding Reference Certificate Standard Location reference Assessment Number
Category
2203367-202206-I2
ISO 9001:2015
0008915578-000
3394466
Opportunity for Improvement
Certificate Reference
Clause
FM 14474
9.3.1
Area/process:
Management Review and Internal Audits
Details
The monthly meeting elements of the QMS are to be rolled into a formal set of minutes for the annually review conducted in January visits.
Page 13 of 25
Assessment Report.
Non-conformity and Correctives Action, Customer Satisfaction and Complaints: The process was demonstrated using the following documents: ~ Non-conformance Register showing all forms of issues from Non-conformances, OFI’s and Customer Complaints. ~ From 26-05-2021 thorough to today a total of nine OFI’s recorded, one Non-conformance and all of these are closed out. ~ Corrective actions are recorded on the register as notes and a series of measures are specified against each issue. ~ Supplier Non-conformance raised against Abtech for BPG6 EEXE Junction Box M20&M25. ~ Issue recorded as incomplete parts without earthing bolts.
Customer Satisfaction is recorded as ~ No evidence could be provided at this time.
Customer Complaints QMS015 Complaints Process Revision 1.3 dated 23-12-2020. ~ No customer complaints have been recorded for this period.
Tank Showers and Test Bed: The process was demonstrated using the following documents: ~ All projects are built to a specification identified by the model number. ~ Test Document / Atex Equipment Register is photocopied from an original and can barely be read. ~ Sample witnessed Hughes Job Reference 109043 2/3 dated 23-06-2022. ~ Production schedule shows all projects through the department with the following titles identified: ~ Job No. Customer, Quantity, Product Code, Product Name, Due, Frames, Tanks, Tops, Legs, Promised Delivery Date. ~ All work is allocated to individuals for the appropriate build and or test. ~ Projects are tested as per the design criteria and the following equipment used to verify: ~ Fluke Multimeter Serial Number 38050340WS Calibrated 10-06-2021 next due 09-06-2022. ~ Thermometer Serial Number 32538520425 RS Components Certificate No. 1602116 dated of expiry 14-10-2019. ~ Test results are recorded on the Test Document/Atex Equipment Register. ~ Job Sheet witnessed 0000109121 Despatch dated 08-07-2022 Description 01393J783 Job Pack consist of Job Sheet and BOM.
Page 14 of 25
Finding Reference Certificate Standard Location reference Assessment Number
Category
2203367-202206-I3
Certificate Reference
FM 14474
ISO 9001:2015
Clause
7.5.1
Assessment Report.
0008915578-000
3394466
Opportunity for Improvement
Area/process:
Tank Showers and Test Bed
Details
Reprint the original document and circulate for use.
Technical Design and Document Control: The process was demonstrated using the following documents: The products are split into two defined product ranges. Standard Product and Engineered Solutions. ~ Document Packs are created for all types of projects and these consist of Specifications, BOM’s and where required Drawings. ~ Workload is controlled by Microsoft Trello. The projects are allocated to individuals and the stages controlled e.g. Approvals, Drawings on Hold, Comments Returned, Drawing in Progress etc. ~ Designs are checked internally by another engineer and not the person designing the project. ~ BOM’s are also checked and authorised to minimise errors. ~ PDM Database controls the parts required for the projects. ~ PDF Directory stores the latest drawing for access purposes for all departments. ~ Data Card for all drawings show the controls of issues, dates, names, etc. ~ Sample witnessed Sales Order No. 10967 ~ Sample drawing Model No. EXP-SD-18GS/85G Outdoor Self-draining Emergency Safety Shower with Eye/Facewash Fountain. Drawn by AV dated 20-06-22, Checked by JH dated 23/06/22, Approved by JH dated 23-06-22. Drawing Number 109167-01 Revision A. ~ Email quotes received and this equates to the specification for the customer. ~ Work-to Lists create the job cards. ~ On approval from customer enter details onto Sage system and this controls the BOM for selection and or ordering purposes. BOM Accuracy is a KPI that the department are measured on and currently the results are scored as follows: ~ BOM Discrepancies vs Completed. ~ BOM Discrepancies KPI. ~ BOM Discrepancies by Value Stream. ~ BOM Discrepancies in Prem. ~ BOM Discrepancies in EXP. ~ BOM Discrepancies in Tanks. ~ BOM Discrepancies Heated.
Page 15 of 25
Assessment Report.
Purchasing and Supplier Management: The process was demonstrated using the following documents: All purchasing is controlled by the Sage Operating Software. MRP reports are run overnight to ensure that stocks are maintained and new components ordered. BOM’s are controlled by the software and when released the system defines the shortages and places orders. All suppliers are listed on Sage and are approved from a historical basis. ~ Sample witnessed Drawing Number 10257 Fabrication made internally by the division. ~ Sample Abtech BPG6 Junction Box.
Page 16 of 25
Minor (2) nonconformities arising from this assessment.
Assessment Report.
Finding Reference Certificate Standard Location reference Assessment Number
Category
2203367-202206-N1
Certificate Reference
FM 14474
ISO 9001:2015
Clause
7.1.5.2
0008915578-000
3394466
Minor
Area/process:
Tank Showers and Test Bed
Statement of non- conformance:
The process was not effective
Measurement traceability When measurement traceability is a requirement, or is considered by the organisation to be an essential part of providing confidence in the validity of measurement results, measuring equipment shall be:
a) calibrated or verified, or both, at specified intervals, or prior to use, against measurement standards traceable to international or national measurement standards; when no such standards exist, the basis used for calibration or verification shall be retained as documented information; b) identified in order to determine their status; c) safeguarded from adjustments, damage or deterioration that would invalidate the calibration status and subsequent measurement results.
The organisation shall determine if the validity of previous measurement results has been adversely affected when measuring equipment is found to be unfit for its intended purpose, and shall take appropriate action as necessary.
Ensure that all equipment is calibrated as specified and ensure that supporting certificates and labels are affixed to the equipment.
Clause requirements
Objective Evidence
Cause
Correction/containment
Corrective action
Page 17 of 25
Assessment Report.
Finding Reference Certificate Standard Location reference Assessment Number
Category
2203367-202206-N2
Certificate Reference
FM 14474
ISO 9001:2015
Clause
7.1.5.2
0008915578-000
3394466
Minor
Area/process:
Tank Showers and Test Bed
Statement of non- conformance:
The process was not effective
Measurement traceability When measurement traceability is a requirement, or is considered by the organization to be an essential part of providing confidence in the validity of measurement results, measuring equipment shall be:
a) calibrated or verified, or both, at specified intervals, or prior to use, against measurement standards traceable to international or national measurement standards; when no such standards exist, the basis used for calibration or verification shall be retained as documented information; b) identified in order to determine their status; c) safeguarded from adjustments, damage or deterioration that would invalidate the calibration status and subsequent measurement results.
The organization shall determine if the validity of previous measurement results has been adversely affected when measuring equipment is found to be unfit for its intended purpose, and shall take appropriate action as necessary.
Ensure that all equipment is calibrated as specified and ensure that supporting certificates and labels are affixed to the equipment.
Clause requirements
Objective Evidence
Cause
Correction/containment
Corrective action
Page 18 of 25
Assessment Report.
Next visit objectives, scope and criteria
The objective of the assessment is to conduct a surveillance assessment and look for positive evidence to verify that elements of the scope of certification and the requirements of the management standard are effectively addressed by the organisation’s management system; that the system is demonstrating the ability to support the achievement of statutory, regulatory and contractual requirements and the organisation’s specified objectives as applicable with regard to the scope of the management standard; to confirm the ongoing achievement and applicability of the forward strategic plan.
The scope of the assessment is the documented management system with relation to the requirements of BS EN ISO 9001: 2015 and the defined assessment plan provided in terms of locations and areas of the system and organisation to be assessed.
BS EN ISO 9001: 2015 Hughes Safety Showers Limited management system documentation Please note that BSI reserves the right to apply a charge equivalent to the full daily rate for cancellation of the visit by the organisation within 30 days of an agreed visit date. It is a condition of registration that a deputy management representative be nominated. It is expected that the deputy would stand in should the management representative find themselves unavailable to attend an agreed visit within 30 days of its conduct.
Page 19 of 25
Assessment Report.
Next visit plan
Date
Auditor
Time
Area/process
Clause
05/12/2022
Jane Simms
09:00
Opening Meeting
09:15
QMS Objectives, targets and management programmes
09:30
Management review
10:00
Internal audits QMS
10:30
Changes in context, interested parties and needs and expectations
10:45
Nonconformity and corrective action
11:00
Risks and Opportunities
11:15
Order Processing UK
11:45
Order processing Decontamination
12:30
Lunch
13:00
Assembly: Premier
13:30
Goods receiving/stores
14:00
Packing & Despatch
14:30
Resource, Competence, training and awareness
15:00
Report Preparation
16:00
Closing Meeting
Page 20 of 25
Appendix: Your certification structure & ongoing assessment programme
Assessment Report.
Scope of certification
FM 14474 (ISO 9001:2015) The design, development, manufacture and supply of industrial safety showers, eyebaths, decontamination units, cubicles and peripheries to company or customer specifications.
The design, development, manufacture and supply of industrial safety showers, eyebaths, decontamination units, cubicles and peripherals to company or customer specifications.
Assessed location(s) The audit has been performed at Central Office.
Stockport / FM 14474 (ISO 9001:2015)
Location reference Address
Visit type
Assessment number
Assessment dates
0008915578-000 Hughes Safety Showers Limited Whitefield Road Bredbury Stockport SK6 2SS United Kingdom
Continuing assessment (surveillance)
3394466
23/06/2022
Deviation from audit plan
Yes
Reason for deviation from audit plan
Due to departments not being available the plan was swapped to suit Order Processing UK swapped to Tank Showers and Test Bed Order Processing Decontamination swapped to Technical Design and Document Control
Total number of Employees
80
Effective number of Employees Scope of activities at the site The design, development, manufacture and supply of
80
industrial safety showers, eyebaths, decontamination units, cubicles and peripherals to company or customer specifications.
Assessment duration
1 day(s)
Page 21 of 25
Certification assessment programme
Assessment Report.
Audit1 Audit2 Audit3 Audit4 Audit5 Audit6
01/22
07/22
01/23
07/23
01/24
07/24
Certificate number - FM 14474 Location reference - 0008915578-000
Business area/location
Date (mm/yy):
Duration (days):
QMS Objectives, targets and management programmes
Management review
Internal audits QMS
Changes in context, interested parties and needs and expectations
Risks and Opportunities
Customer satisfaction/complaints
Technical Design & Dev & drawing control
Servicing dept. (site visit once in cycle or office review of controls) - Not yet added to scope of certification
Goods receiving/stores
Purchasing/Supplier Management & Contractor control
Fabrication
Assembly: Tank showers Plus test bed
Assembly: Premier
Assembly: EXP
Order processing Export
Packing & Despatch
1
X
X
X
X
X
X
1
X
X
X
X
X
X
X
X
Resource, Competence, training and awareness
Nonconformity and corrective action
X
X
Order processing Decontamination
Order Processing UK
Leadership and commitment top management discussion
Recertification by strategic review
Page 22 of 25
1
X
X
X
X
X
X
X
X
X
X
X
X
1
X
X
X
X
X
X
X
X
X
1
X
X
X
X
X
X
X
X
X
X
X
X
1
X
X
X
X
X
Assessment Report.
Expected outcomes for accredited certification What accredited management system certification means? To achieve an organisation’s objectives related to the Expected Outcomes intended by the management systems standard, the accredited management system certification is expected to provide confidence that the organisation has a management system that conforms to the applicable requirements of the specific ISO standard.
In particular, it is to be expected that the organisation • has a system which is appropriate for its organisational context and certification scope, a defined policy appropriate for the intent of the specific management system standard and to the nature, scale and impacts of its activities, products and services over their lifecycles, is addressing risks and opportunities associated with its context and objectives; • analyses and understands customer needs and expectations, as well as the relevant statutory and regulatory requirements related to its products, processes and services; • ensures that product, process and service characteristics have been specified in order to meet customer and applicable statutory/regulatory requirements; • has determined and is managing the processes needed to achieve the Expected Outcomes intended by the management system standard; • has ensured the availability of resources necessary to support the operation and monitoring of these products, processes and services; • monitors and controls the defined product process and service characteristics; • aims to prevent nonconformities, and has systematic improvement processes in place including the addressing of complaints from interested parties; • has implemented an effective internal audit and management review process; • is monitoring, measuring, analysing, evaluating and improving the effectiveness of its management system and has implemented processes for communicating internally, as well as responding to and communicating with interested external parties.
What accredited management systems certification does not mean? It is important to recognize that management system standards define requirements for an organisation’s management system, and not the specific performance criteria that are to be achieved (such as product or service standards, environmental performance criteria etc.).
Accredited management systems certification should provide confidence in the organisation’s ability to meet its objectives related to the intent of the management system standard. A management systems audit is not a full legal compliance audit, and does not necessarily ensure ethical behaviour or that the organisation will always achieve 100% conformity and legal compliance, though this should of course be a permanent goal.
Within its scope of certification, accredited management systems certification does not imply or ensure, for example: • that the organisation is providing a superior product and service, or • that the organisation’s product and service itself is certified as meeting the requirements of an ISO (or any other) standard or specification.
Page 23 of 25
Assessment Report.
Definitions of findings:
Nonconformity: Non-fulfilment of a requirement.
Major nonconformity: Nonconformity that affects the capability of the management system to achieve the intended results. Nonconformities could be classified as major in the following circumstances: • If there is a significant doubt that effective process control is in place, or that products or services will meet specified requirements; • A number of minor nonconformities associated with the same requirement or issue could demonstrate a systemic failure and thus constitute a major nonconformity.
Minor nonconformity: Nonconformity that does not affect the capability of the management system to achieve the intended results.
Opportunity for improvement: It is a statement of fact made by an assessor during an assessment, and substantiated by objective evidence, referring to a weakness or potential deficiency in a management system which if not improved may lead to nonconformity in the future. We may provide generic information about industrial best practices but no specific solution shall be provided as a part of an opportunity for improvement.
How to contact BSI
Visit the BSI Connect Portal, our web-based self-service tool to access all your BSI assessment and testing data at a time that’s convenient to you. View future audit schedules, submit your corrective action plans and download your reports and Mark of Trust logos to promote your achievement. Plus, you can benchmark your performance using our dashboards to help with your continual improvement journey.
Should you wish to speak with BSI in relation to your certification, please contact your local BSI office – contact details available from the BSI website: https://www.bsigroup.com/en-GB/UK-office-locations/
Notes
This report and related documents are prepared for and only for BSI’s client and for no other purpose. As such, BSI does not accept or assume any responsibility (legal or otherwise) or accept any liability for or in connection with any other purpose for which the Report may be used, or to any other person to whom the Report is shown or in to whose hands it may come, and no other persons shall be entitled to rely on the Report. If you wish to distribute copies of this report external to your organisation, then all pages must be included.
Page 24 of 25
Assessment Report.
BSI, its staff and agents shall keep confidential all information relating to your organisation and shall not disclose any such information to any third party, except that in the public domain or required by law or relevant accreditation bodies. BSI staff, agents and accreditation bodies have signed individual confidentiality undertakings and will only receive confidential information on a ‘need to know’ basis.
This audit was conducted through document reviews, interviews and observation of activities. The audit method used was based on sampling the organisation’s activities and it was aimed to evaluate the fulfilment of the audited requirements of the relevant management system standard or other normative document and confirm the conformity and effectiveness of the management system and its continued relevance and applicability for the scope of certification.
As this audit was based on a sample of the organisation’s activities, the findings reported do not imply to include all issues within the system.
Regulatory compliance
BSI conditions of contract for this visit require that BSI be informed of all relevant regulatory non- compliance or incidents that require notification to any regulatory authority. Acceptance of this report by the client signifies that all such issues have been disclosed as part of the assessment process and agreement that any such non-compliance or incidents occurring after this visit will be notified to the BSI client manager as soon as practical after the event.
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Project: Q-21699 - Saipem COMP2 Folder: Zipped