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ISO 9001:2008

Clause 8.2.2

PR018 Internal Audit Procedure

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Approvals

The signatures below certify that this procedure has been reviewed and accepted, and demonstrates that the signatories are aware of all the requirements contained herein and are committed to ensuring their provision.

Name Signature Position Date

Prepared by Jacky Moat HR Support 11/04/12

Reviewed by David Dye HR Director/Quality

Manager

11/04/12

Approved by Quality Meeting 15/05/12

Amendment Record

This procedure reviewed to ensure its continuing relevance to the systems and process that it describes. A record of contextual additions or omissions is given below:

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Contents

CONTENTS 3

P018 INTERNAL AUDIT PROCEDURE 4

1.INTRODUCTION &PURPOSE 4

2.REFERENCES 4

3.TERMS &DEFINITIONS 4

4.APPLICATION &SCOPE 4

5.REQUIREMENTS 4 6.PROCESS 4 6.1 Audit Planning 5 6.2 Audit Preparation 5 6.3 On-site Audit 5 6.4 Wrap-up Meeting 6 6.5 Follow-up 6 6.6 Reporting 6 6.7 Review 6 6.8 Records 6

6.9 Audit Process Matrix 7

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PR018 Internal Audit Procedure

1. Introduction & Purpose

The purpose of this procedure is to define the Foundation’s process for undertaking internal audits in order to assess the effectiveness of the application of ISO 9001:2008 and also to define the responsibilities for planning and conducting audits, reporting results and retaining associated records.

2. References

Reference Title & Description 8.2.2 Quality System Manual F018-3 Internal Audit Check List F018-5 Internal Audit Report

3. Terms & Definitions

Term ISO Clause Definition

Non-conformity 3.6.2 Non-fulfilment of a requirement

Preventive Action 3.6.4 Action taken to eliminate a potential non-conformity Corrective Action 3.6.5 Action taken to eliminate the cause of a non-conformity

Audit 3.9.1 A systematic, independent documented process for obtaining and evaluating audit evidence objectively to determine the extent to which audit criteria are fulfilled

4. Application & Scope

The scope of this procedure is focused on assessing the effectiveness of the Foundation’s QMS. Where such processes are found to be deficient, the audit will lead to improvement in those processes.

By applying the principles of auditing, outlined by ISO 19011:2002, the Foundation ensures that all internal audits are conducted with due professional care, integrity and independence. All conclusions derived from the audit are based upon objective and traceable evidence.

5. Requirements

An audit of the QMS is conducted at planned intervals to:

Determine whether the QMS conforms to planned arrangements Determine whether the QMS is properly implemented and maintained Provide information on the results of audits to Top Management

6. Process

Internal auditing is undertaken at least once annually. The maximum interval between audits is 12 months on an annual cycle with all departments audited. Audits may be completed with a greater frequency if determined by the Quality Management Representative or as determined by:

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ISO 9001 requirements Customer complaint QMS requirements Quality objectives/policy Corrective actions Statutory/legal requirements Management decisions Concerns raised by 3rd parties Results of 3rd party audits Employee concerns

Management Review concerns

6.1 Audit Planning

The Quality Management Representative is required to: Establish and communicate internal audit schedule Establish and implement internal audit plan Appoint audit team leader where required Select audit team, see 6.1.1 below Assign audit duties to the auditor team

6.1.1 Audit Team Evaluation & Selection

To ensure impartiality and objectivity, the audit team will include personnel from departments not directly associated with the area/department being audited.

Audit team members are selected on the basis of: Education: secondary or higher

Relevant work or other Experience

Relevant Training: provided in-house or externally Audit Experience: demonstrable knowledge/skills

6.2 Audit Preparation

The Audit Team is required to:

Review relevant management system documents and records

Determine their adequacy with respect to the audit criteria and with ISO 9001:2008 Review and prepare the internal audit checklist

Arrange audit appointment

Issue the audit checklist to the responsible manager

6.3 On-site Audit

The Audit Team is required to: Conduct opening meeting

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Sample and observe process inputs/outputs

Record objective evidence to verify process compliance or non-conformance Generate audit findings

6.4 Wrap-up Meeting

The Audit Team Leader and responsible manager are required to:

Review audit conclusions and discuss recommendations for improvement

Decide whether any non-conformances observed should be included in correction reports or solved immediately Minor areas of non-conformance are taken care of immediately

Prepare an audit report

Review audit report with the responsible manager

Corrective actions are reviewed by the responsible manager and close out action is agreed upon The audit leader and responsible manager sign off audit report

6.5 Follow-up

The Auditee/Responsible Manager is required to:

Ensure corrective actions are implemented and are closed-out within the agreed timeframe Ensure non-conformances are closed-out within the agreed timeframe

Ensure the status of corrective actions and any non-conformances are kept up-to-date

6.6 Reporting

The Quality Management Representative is required to:

● Review audit conclusions

● Indentify trends

● Make recommendations for improvement

● Finalise the internal audit report

● Issue internal audit report to Top Management

6.7 Review

Top Management is required to:

● Consider and act upon audit findings during the management review process

● Use the internal audit report to promote best practice

● Ensure records are maintained

6.8 Records

All documentation and records generated by the internal audit process are managed in accordance with ISO 9001:2008 Clauses 4.2.3 & 4.2.4.

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6.9 Audit Process Matrix

Action

Responsibility

Output

6

.1

P

la

n

n

in

g

Establish and communicate internal audit schedule Quality Management Representative Establish and implement internal audit plan

Appoint the audit team leader where required Select the audit team

Assign audit duties to the auditor F018-3

6

.2

Pr

ep

ar

at

io

n

Review relevant QMS documents and records Audit Team

Determine their adequacy with respect to the audit criteria Review relevant requirements of ISO 9001:2008

Review and prepare the internal audit checklist Arrange audit appointment

6

.3

Aud

it

Sample and observe necessary process inputs/outputs Audit Team Record objective evidence to verify process compliance

Generate and record audit findings

6

.4

W

ra

p

-u

p

m

e

e

ti

n

g

Decide whether any non-conformance observed should be included in correction reports or whether they can be solved immediately

Audit Team Leader and Responsible Manager Minor areas of non-conformance are taken care of immediately, while a

conclusion for the audit as a whole is written down

An audit report is prepared which is examined together with the manager

responsible for the area in question F018-5

Corrective actions are reviewed by the manager responsible and close out action is agreed upon

The audit leader and responsible manager sign off audit report The reports are given to the QMR & the responsible manager

6

.5

Fo

llo

w

-up

Ensure corrective actions are closed-out within the agreed timeframe Responsible Manager

Ensure non-conformances are closed-out within the agreed timeframe Ensure status of corrective actions and non-conformances communicated to the QMR

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Action

Responsibility

Output

6

.6

Rep

o

rt

in

g

Review audit conclusions Quality Management

Representative Indentify trends

Make recommendations for improvement Finalise internal audit report

Issue internal audit report to Top Management

6

.7

Re

vi

ew

Consider and act upon audit findings during Management Review Top Management

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6.10 Internal Audit Process Map

Audit Considerations • ISO 9001 requirements • Customer feedback • QMS requirements • Quality objectives/policy • Corrective actions • Statutory/legal requirements • Management decisions • 3rd party concerns • Results of 3rd party audits • Employee concerns • Management Review Additional Considerations • Status • Importance • Frequency Document review Conduct audit Verify close-out at follow-up meeting Recommendations for improvement Management review Non-compliance found? Close-out corrective actions NO UPDATE Review audit findings

Quality Management Representative

Audit Team Responsible Manager Top Management

YES

Initiate corrective actions Devise audit plan

Prepare audit schedule

Assign audit duties F018-3

Prepare audit checklist

Prepare audit report F018-5

Provide feedback on audit

References

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