KPA/MR/FM/008:

CORRECTIVE ACTION REQUEST (CAR) FORM CAR NO.__ 1____OF__4____ DEPARTMENT: AUDIT DATE: 22ND MAY, 2012 Area under review: Control of monitoring & measuring equipment Requirement:
The organization shall determine the monitoring and measurement to be taken and the monitoring and measuring equipment needed to provide evidence of conformity of product/ service to determine requirements. Where necessary to ensure valid results, measuring equipment shall (a) be calibrated or verified, or both at specified intervals, or prior to use, against measurement standards traceable to international or national measurement standards.

AUDIT NO: KPA/MR/IA/008 Clause of normative document: 7.6 (a) of ISO 9001:2008

Nonconformity/evidence:
Some of the medical measurement equipment at Bandari Clinic are not being calibrated

Signed: Auditor: _______ Category: MAJOR

_____ Auditee ___ ___ MINOR

__

Root Cause: (how/why did this happen?): Correction (fix now) with completion dates:

Corrective Action (to prevent recurrence) with completion dates:

Signed: Auditee_____________ Date of completion __ _

Auditor ________________

Follow up (to be completed by the auditor): Action fully completed Action partially completed No action taken Details:

Signed Auditor

. Name

Date

Signed . Auditee Name Date Effectiveness of corrective action ( to be completed during the next audit by auditor): Was the corrective action taken effective? Details: YES NO

Signed Auditor

Name

. Date

KPA/MR/FM/008:

CORRECTIVE ACTION REQUEST (CAR) FORM CAR NO.__ 2____OF__4____ DEPARTMENT: AUDIT DATE: 22ND MAY, 2012 Area under review: Provision of Resources Requirement:
The Organization shall determine and provide resources needed a) To implement and maintain the quality management system and continually improve its effectiveness, and b) To enhance customer satisfaction by meeting customer requirements

AUDIT NO: KPA/MR/IA/008 Clause of normative document: 6.1 of ISO 9001:2008

Nonconformity/evidence:
The ambulances currently in use are not fully equipped for effective medical emergencies

Signed: Auditor: _______ Category: MAJOR

_____ Auditee ___ ___ MINOR

__

Root Cause: (how/why did this happen?): Correction (fix now) with completion dates:

Corrective Action (to prevent recurrence) with completion dates:

Signed: Auditee_____________ Date of completion __ _

Auditor ________________

Follow up (to be completed by the auditor): Action fully completed Action partially completed No action taken Details:

Signed Auditor

. Name

Date

Signed . Auditee Name Date Effectiveness of corrective action ( to be completed during the next audit by auditor): Was the corrective action taken effective? Details: YES NO

Signed Auditor

Name

. Date

KPA/MR/FM/008:

CORRECTIVE ACTION REQUEST (CAR) FORM CAR NO.__ 3____OF__4____ DEPARTMENT: AUDIT DATE: 22ND MAY, 2012 Area under review: Infrastructure Requirement:
The Organization shall determine, provide and maintain the infrastructure needed to achieve conformity to product / service requirements. Infrastructure includes, as applicable a) Buildings, workspace and associated utilities b) Process equipment (both hardware and software), and c) Supporting services (such as transport, communication or information systems)

AUDIT NO: KPA/MR/IA/008 Clause of normative document: 6.3 of ISO 9001:2008

Nonconformity/evidence:
The multiple cracks within Kipevu Dispensary are both unsafe and dangerous to staff working within the building and its environs. The issue was raised in a departmental meeting held on 14th May, 2012 and has been communicated to the relevant authority time and again but nothing has been done

Signed: Auditor: _______ Category: MAJOR

_____ Auditee ___ ___ MINOR

__

Root Cause: (how/why did this happen?): Correction (fix now) with completion dates:

Corrective Action (to prevent recurrence) with completion dates:

Signed: Auditee_____________ Date of completion __ _

Auditor ________________

Follow up (to be completed by the auditor): Action fully completed Action partially completed No action taken Details:

Signed Auditor

. Name

Date

Signed . Auditee Name Date Effectiveness of corrective action ( to be completed during the next audit by auditor): Was the corrective action taken effective? Details: YES NO

Signed Auditor

Name

. Date

KPA/MR/FM/008:

CORRECTIVE ACTION REQUEST (CAR) FORM CAR NO.__ 4____OF__4____ DEPARTMENT: AUDIT DATE: 22ND MAY, 2012 Area under review: Work Environment Requirement:
The Organization shall determine and manage the work environment needed to achieve conformity to product / service requirements NOTE: The term work environment relates to those conditions under which work is performed including physical, environmental and other factors (such as noise, temperature, humidity, lighting or weather)

AUDIT NO: KPA/MR/IA/008 Clause of normative document: 6.4 of ISO 9001:2008

Nonconformity/evidence:
The excessive noise within the Kipevu Dispensary and lack of running water for the last one month makes it difficult for staff working under these conditions to conform to the provision of quality medical care services

Signed: Auditor: _______ Category: MAJOR

_____ Auditee ___ ___ MINOR

__

Root Cause: (how/why did this happen?): Correction (fix now) with completion dates:

Corrective Action (to prevent recurrence) with completion dates:

Signed: Auditee_____________ Date of completion __ _

Auditor ________________

Follow up (to be completed by the auditor): Action fully completed Action partially completed No action taken Details:

Signed Auditor

. Name

Date

Signed . Auditee Name Date Effectiveness of corrective action ( to be completed during the next audit by auditor): Was the corrective action taken effective? Details: YES NO

Signed Auditor

Name

. Date