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Title

Purpose

The purpose of this procedure is to ensure that effective corrective actions are taken for
all types of defects, non-conformances and potential problems related to Integrated
Management System, and by using error-proofing methods to the extent possible for the
continual improvement of the IMS.
This standard covers the identification, analysis, standardization and implementation of
corrective actions and continual improvement for effectiveness and improvement of
Integrated Management System.

Scope

Document Number

Total Pages
Clauses of Management System Standards Covered

ISO 9001:2015

ISO 14001:2015

OHSAS 18001:2007

Document Authorization
Roles

Name

Designation

Signature

Written by
Reviewed by
Approved by
Document Revision Record
4
3
2
1
0
Rev#

Date of Issue

Initiated by

Revision Contents (reference of change)

Document Distribution List (encircle the relevant)


Departments

QHSE

HR

S&Mkt

FIN

D&S

PR2W

PR4W

DC

SC

PPC

Tick ( )
Signature

1. TERMS & DEFINITIONS


The terms and definitions to be used in the standard are defined below.
N

Terms

Definition

MNT

IT

o
1

Corrective
Action

Controlling
Section

Responsible
Section

Continual
Improvemen
t

Corrective action is generally a reactive process used to fix rootcauses of the problems after they have occurred.
Section/ department responsible for the coordination and control
of the activities related to the development of corrective action
for any type of non-conformities. In case of non-compliance in
HSE, any department/person can highlight/identify opportunity of
improvement.
Responsible section may refer to a function, section or
department responsible for the occurrence or possible
occurrence of the non-conformity.
Any beneficial change in Integrated Management System is
improvement

2. PROCEDURE
2.1.
a.

ROLE AND RESPONSIBILITIES

QHSE Department is responsible for raising corrective actions


b. QSHE Department is responsible for the overall control of corrective Actions for nonconformities detected during the internal, audits, 2nd party audits and 3rd party audits.
c. Responsible department is responsible for root cause of the problem and taking
corrective actions
d. It is responsibility of every employee of the company to report Non-conformities related
to Quality, Health, Safety and Environment to QHSE department so that effective
corrective actions may be taken.
e. Employees are encouraged to report non-conformities

2.2.

PROBLEM IDENTIFICATION

a. The QHSE department and employees shall identify the non-conformities including the
potential problems.
b. The QHSE department shall conduct an initial analysis to evaluate the impact of the
problem.
c. QHSE department shall raise (CAR) Corrective Action Request to the
section/department where the non-conformity is found.

2.3.

ANALYSIS, COUNTERMEASURES AND IMPLEMENTATION

a. The responsible section shall conduct a thorough analysis to determine the root cause
of the problem.
b. An effective corrective action shall be developed based on the result of the analysis
and after determining the root cause of the problem.
c. The responsible section must implement the corrective actions and if necessary must
provide records as evidence of implementation.
d. The responsible section and the controlling section must verify the effectiveness of the
corrective actions taken through actual checking and through the records generated.
e. The responsible section should use error-proofing methods to the extent possible in

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f.

2.4.

their corrective action process.


The responsible section shall implement controls and apply corrective action to similar
processes or products for the elimination of repeated non-conformities.

CONTINUAL IMPROVEMENTS

Departments shall continually improve the effectiveness of the Integrated Management


System through the requirements of the QSHE Policy, QSHE objectives, and audits,
analysis of data, corrective actions, and management review meeting.

2.5.

EVALUATION AND STANDARDIZATION

a. The effectiveness of corrective actions shall be reviewed by the controlling section


and in Management Review meetings. If the corrective action is not satisfactory, then
the responsible section must repeat the process until they come up with the most
effective countermeasure.
b. Once proven effective, the corrective action must be standardized through inclusion in
the documented procedures.

3. SUPPLEMENTARY PROVISION
Corrective Action Request

4. ESTABLISHMENT AND REVISION


This standard shall be established and revised according to procedure for
documented information management.

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