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BRSM
Systems: QMS ISO 9001 (2008) & EMS ISO 14001 (2004)
AssessmentReport/Checklist
Form 009
CLIENT‐ORGANIZATION (NAME): Petro Amout Pooya
Phase II Audit Date(s): 25 to 28 June 2015
Phase I Audit Date(s): 13, 14 June 2015
NAICS (or NACE) CODE IAF 10 / NACE 19.20
NAICS : North America Industry Classification System (if you operate within the EC you may use NACE)
ISO 9001 EXCLUSIONS: 7‐3, 7‐5‐4
Assessment objectives: Assessing organization against QMS ISO
9001:2008, EMS ISO14001:2004 and Iranian
environment regulation of “Green Industry”
ASSESSMENT TEAM INFORMATION
Assessment Team Leader, ATL Mr. Mojtaba Ramzeni
Assessor 2
Assessor 3
Assessor 4
Assessor 5
Assessor 6
Note: Adjusting the language within this form to the type of activity and nature of the organization is acceptable.
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We pursuit to assure that client‐organization adheres to the protection of communities and consumers. This is to
1 follow the intent to the substitution of the word “identify” to the word “determine” as part of the importance to
the processes being capable of achieving desired outputs (including consumer’s well‐being).
2 Scope of activities Production of light and heavy hydrocarbon through gas distillation refinery
Ministry of Industries and mines certificate (No. 3782645)
3 Legal status Department of Environment “Green Industry” (No.28363)ب
Certificate For exporting products customs certificate(s) (EO‐823‐‐ج5)
4 Integrate Quality and Environment Management System
System has been established here from six month ago,
General Documents observed as below:
Requirements – Quality Manual and attachments “Organization chart, process map,
4.1 What is the process identification forms
implementation / As “Master list of documents” date of date of issuing all procedures and
transition date? work instruction is 15 march of 2015
Quality Manual contains EMS related procedures too.
QMS‐EMS system based on Quality Manual, organization mentioned
how they implemented ISO9001:2008 AND ISO14002:2004 CLAUSES in
Documentation their organization through their quality manual.
4.2 Requirements Documents contains:
(includes records) Level1: quality policy and quality manual
Level2: procedures
Level3: work instructions and forms
QMS‐EMS system based on Quality Manual, organization mentioned
how they implemented ISO9001:2008 AND ISO14002:2004 CLAUSES in
their organization through their quality manual or referenced
documents.
Quality manual and attachments “Organization chart, process map,
4.2.2 Quality Manual
process identification forms has been observed.
Exclusions:
7.5.4 customer property, because company accepting customer property
is not in their scope and policy
7.3: all products have global standards and R&D is not in company policy
Organization uses “P01 ‐‐ ”كنترلمستنداتوسوابق as procedure of control of
documents and records, procedures contains requirement of QMS and
there is records as below:
4.2. Control of
Documents
1‐ Record of master list of documents containing last version of
documents and date of issue and revisions.
2‐ record of reviewing Document organization chart with code “PAP‐
C01” date of revision “may 2015”
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Organization uses “P01 ‐‐ ”كنترلمستنداتوسوابق as procedure of control of
documents and records, procedures contains requirement of QMS and
there is records as below:
4.2.4 Control of Records
1‐ records table in ““P01 ‐‐ ””كنترلمستنداتوسوابق which is mentioning where,
when, with who should documents recorded and after keeping what
shall Petro AmoutPouya do with records.
4.3 Environmental planning
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4.4 Environmental implementation and operation
PAP is using organization chart for internal and procedure “P13 ‐‐
’مشارکتومشاوره for external communication and consultant. There is
Communication/ records such as a letter to “fire fighting organization of Arak” to have a
4.4.1 Internal cooperation holding a joint mock fire fighting scenario with letter No.
communication 87463 ب
Internal communication is done by Email and automation system plus
for some issue they use verbal system and telephone.
Yes, procedure with name and code “P14 -- ”ﻛﻨﺘﺮﻟﻌﻤﻠﻴﺎت.which contains
how company controls its Environmental aspects which should be control
plus DOE requirements controls such as water waste control.
Change management is part of this procedure too.
In monthly checklist Mrkhalili should check if there are any change in
PAP-P14
Operational infrastructure process production or resources containing human resource.
4.4.2
Control There is 09 attached forms, There are monthly, seasonally, semi-annually
AR
and annually checklists. And 25 work instructions such work instruction
of maintenance.
I observed monthly checklists of waste and industrial-house-keeping.
There was an Iraqi Driver which was cleaning his vehicles oil in orange
side during site visit.
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1
Consider that in certain global regions other terms apply (e.g.contingency, accident)
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Evaluation and compliance is a part of two procedures:
P12 and P02, in form F01‐p02 and in form F02‐p12 there is a column
for evaluation and compliance of regulations and identified aspects.
There is another work instruction that every company in Iran should
have, which I mentioned in 4.5.1, work instruction code is W05.
Evaluation and
4.5.2
Compliance
Report of Green industry(regulators compliance by a trusted or
accredited lab) of year first quarter 1394 (2015 second quarter) is
observed by me, result shows that next audit is in next six month.
As Mr. Khalili says, because before implementation of EMS system
they have an evaluation and compliance system, so they have fully
compliance with DOE TLV.
5 Management responsibilities
Yes, as documents “7 ‐‐ F03‐P04 ‐‐ ”ماتريساھدافوخطمشی, “2 ‐‐ PAP‐Q01 ‐‐
”خطمشيكيفيت, “8 ‐‐ F04‐P04 ‐‐ ”جدولتجزيھوتحليلدادھھا and total observations
Management
5.1
Commitment
such as interview and performance of system
Management and personnel’s committed to improvement in customer
satisfaction and organization.
Yes, as documents “7 ‐‐ F03‐P04 ‐‐ ”ماتريساھدافوخطمشی, “2 ‐‐ PAP‐Q01 ‐‐
Customer Focus – ”خطمشيكيفيت, “8 ‐‐ F04‐P04 ‐‐ ”جدولتجزيھوتحليلدادھھا and total observations
5.2 (may relate to such as interview and performance of system.
7.2.1 and 8.2.1)
They have 5% growth in customer satisfaction system.
Yes, as documents “7 ‐‐ F03‐P04 ‐‐ ”ماتريساھدافوخطمشی, “2 ‐‐ PAP‐Q01 ‐‐
”خطمشيكيفيت, “8 ‐‐ F04‐P04 ‐‐ ”جدولتجزيھوتحليلدادھھا and total observations
such as interview and performance of system
Environmental and
5.3
Quality Policy It fulfills QMS and EMS requirements and it period of review is annual
Yes, as documents “7 ‐‐ F03‐P04 ‐‐ ”ماتريساھدافوخطمشی, “2 ‐‐ PAP‐Q01 ‐‐
”خطمشيكيفيت, and management review MOM
Objective 2 is increasing customer satisfaction from 59% to 80 %
Planning
Objective 3 is to control and decreas environmental aspects and RPN,
Quality/environme
5.4 index of this objective is RPN’s average became 85, (index was 103
ntal Objectives and
targets when objectives implemented)
Objective 5 is extending green environment Through tree planting
I see recipe of buying 100 trees for this objective and there is a big
garden behind construction area.
5.5 Responsibility, Authority and Communication
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I checked document “كد: F01‐P21 ”شرحوظايفوشرايطاحراز for below
jobs:
Distillation staff
Filler staff
Guard
Maintenance
Responsible for quality control
Responsible for environment
Management representative in both EMS and QMS systems
Job description of Responsible for environment (such as):
Typical work activities (such as):
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Management Mr Abbas Khalili is management representative, he is In‐Border sales
5.5.2
Representative manager.
5.6 Management Review
Reviews confirm audit criteria requirements
Records of management review on date of June 2014 has been
observed such as:
‐ Follow‐up actions on previous management review
‐ Changes affecting the quality management system
5.6.2 Review Inputs
‐ Recommendations for improvement.
‐ Performance of the environmental management system
Inputs meets audits scope needs.
This MOM which is hold on may of 2015 has been signed by top
management and participants.
As the management review MOM, all possible output has been listed,
such as:
5.6.3 Review Output
Hiring new staff for HSE unite
Buying water cycle filters.
6
6.1 Refer to 6.2 ,6.3, 7.4 ,8.2.1
6.2 Human resources
Organization uses Procedure “P21 ‐‐ ”روشاجراييآموزش for training,
objective of procedure is ensuring competence awareness of
organization and effectiveness of trainings.
I checked samples which I took in Job description, all samples met the
requirement such as:
Filler staff : i.e. Mr. Gharaieene which had an effective training course
Competence, on June of 2015 according to record F05‐P21 and F01‐P21
6.2.1
6.2.2
Awareness and Guard: I.e.: Mr. Samadi
Training PM: Mrssaheli
Responsible for quality control: Mrs. Hamidi
Responsible for environment: MrKhalili which have so many trainings
such as Internal audit of management systems based on 19011 on
February of 2015 according to record F05‐P21 and F01‐P21
Management representative in both EMS and QMS systems: MrKhalili
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Infrastructure is effective, they have certification from Ministry of oil and
6.3 Infrastructure ministry of industry and DOE as I mentioned at first of this report
is effective, they have certification from Ministry of oil and ministry of
industry and DOE
6.4 Work Environment they have implemented industrial housekeeping system (5s)
plus certification from labor ministry
7 Product Realization
As “P03 ‐‐ ”روشاجراييتحققمحصول for each inquiry, they give a sample after
validation of customer, they produce with same method. Although as
Mrs.Sadeghisays, there is three standard methods which they use one
method for each inquiry.
These can be consider as Control plan, as company catalogue
Company use time and temperature as on process controls, and at the
end test report shows meeting customer needs like what I will mention
in 7.5.1
Planning of Company, based upon last year’s sales, updates and balances monthly
7.1 Product manufacturing plans (f02‐p03) . If there be a change, the change will
Realization announce to production line as the same form with green font or in
some cases with green pen. Such as a plan for month Aban (around
November) which company shall manufacture 5000 MT D2.
Most critical factors in feed and final product is initial boiling point and
final boiling pointwhich companies laboratory write in forms:
1‐ Raw material f12‐w19
2‐ Final product f20 w19
Final product has two kinds, heavy (IBP more than 75) and light (IBP
between 40 and 75)
7.2 Customer related processes
PAP has a procedure W07, for sales and asking related specification, in
the registering form (f01‐w07) contains these fields:
Determination of Customer Name: Date of receipt of the order: Date Order: The Client:
Requirements Phone: Fax: Analysis: fee: Quantity: Product Type: Description:
7.2.1
Related to the
Product All orders should be EXW.
Company mentioned me I cannot write down name and address of
customers because of confidential reasons.
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For accepting/declining inquiries there are steps as F01‐W07:
1‐Inquiry comes from website or phone calls to sales department.
Review of 2‐ Inquiry approved/disapproved and shall have direct approve from
Requirements managing director
7.2.2
Related to the
Such as customer XXXXXXXX inquiry from Afqanistandemand is D2,
Product
quantity is XX for end of Shamsi month demand of XX (X shows
confidentiality information) I takeShahrivar dispatch as a sample and I
checked records for tractability and identification and delivery time.
Customer communication is done through below channels:
1‐ website (Email)
2‐ Sales department phones
3‐ Sales manager cell phones
4‐ meetings
And company is using magazines and some fairs as it objectives to
Customer extend its market.
7.2.3
Communication
Marketing manager and sales manager are responsible to review and
update website and content of marketing.
There are 2customers in Afqanistan and one customer in UAE which I
could not access details. As sale manager says, Petro AmootPooya have
a gap to fulfill afqanistan demands because of capacity of
manufacturing, and this two customers are royal and can call sale
manager or CEO every time they needed, there were no customer
complaints in recent 1 year
7.3 Design and Development
Design and NA (company declares there is just three standard methods as
7.3.1 Development Iranian petroleum standards IPS 4322) so they do not and cannot
Planning change these production methods.
7.3.2 D & D Inputs NA
7.3.3 D & D Outputs NA
7.3.4 D & D Reviewing NA
7.3.5 Verification NA
Control of (D & D)
7.3.6 NA
Changes
Control of (D & D)
7.3.7 NA
Changes
7.4 Purchasing
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Purchasing method for purchasing and suppliers assessment method.
7.4.2
Information
I checked assessment of some suppliers as below:
1‐ transportation suppliers (sibaways’s grade is A, Araksmilkyway’s grade
is B)
2‐ Feed from Refinery of Imam grade is C (because of distance and
method of payment) and Arak refinery c(because they cannot supply all
their needs and method of payments)
I checked two purchases as below:
3 month contract for supplying 100000 MT each month for D2. Purchase
order came from planning unite to purchasing Department on
10/3/1394 and company has bought inquiry in 14/3/1394 and first
delivery was on 2/4/1394. I checked control forms and test results of this
delivery
Purchase order: 132 on 10/3/1394 signed by CEO
Contract signed by CEO on 14/3/1394 with Imam’s refinery sales
department. Contract No. 7365‐3
Verification of Warehouse permit has been observed with No.436 on 2/4/1394 by Sign
7.4.3
Purchases Of Ms. Sedaghat.
There is Orange area which is a place that containers waiting till test
result came out. (warehouse permit)
Warehouse Recipe No.436 has been checked for this delivery, which
above permission was attached to it.
I took two samples from security book which have been sent recently, I
trace them to the raw materials as below:
1‐ No21, S500 from Khangiran refinery in date of 1394/5/18
a. IBP =75
b. Refinery test report
2‐ No 32, C5 from EElam refinery,
a. IBP=44
b. Refinery test report
Important factor of feed are IBP so petro amoot recheck it to validate
refineries test reports and if result was as same of refinery they accept in
other situations they reject
7.5 Production and Service Provision
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Most critical factors in feed and final product is initial boiling point and
final boiling point which companies laboratory write in forms:
1‐ Raw material f12‐w19
2‐ Final product f20 w19
Final product has two kinds, heavy (IBP more than 75) and light (IBP
between 40 and 75)
Name of product:
500 ml heavy hydrocarbon(2HH234)
The 23980 liters
Flash Point: 56
810 density
Ibp: 149
Fbp: 362 has been adopted in accordance with customer needs.
Product Name: Hydraulic oil (31HO404)
Flash Point 170
Order and control input:
Razi s500 oil refinery
Density 785
Control of Ibp: 74
7.5.1 Production and Fbp: 345
Service Provision Input Product Name:
Light oil
Density: 0.79
Ibp: 142
Fbp: 335
I took two samples from security book which have been sent recently,
and here is final test result:
Note: final test result are results which are taken for each oil tanker
Police No. of order 21 (F205):
3‐ Viscosity test method D‐445, result is 2
4‐ IBP = 153 , IBP 50= is 233 FBP=377
5‐ Quantity = 25290 Kg weighted by digital scales
Note: calibration certificate of scale: -ب2196748
Police No. of order 32 (LH237):
6‐ SP.gr@15 c test method d‐1298 result: 0.730
7‐ IBP = 68 , IBP 50= is 134 FBP=195
8‐ Quantity = 19980 Kg weighted by digital scales
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Validation is Final product testing, as I mentioned earlier, company
plays with temperature and time and depending these two options
final product characteristics will be come out, so company can find out,
just after production
Mrs. Soofidesings procedure and test every 1 hour till she reach
desired results
Validation of Light Hydrocarbon result in date of 27/6/1394 which conclude to stop
Processes for refining and transporting final product to filling bunkers:
7.5.2
Production and
1‐ IBP = 47 FBP=198
Service Provision
Note: calibration certificate of scale: -ب2196748
Heavy hydrocarbondate of 28/6/1394 which conclude to stop refining
and transporting final product to filling bunkers:
1‐ IBP = 140 , IBP 50= is 223
Final products are came from refineries feeds characteristics, Ms.
Sedaghat which is an expert in petroleum fields said “In 80% of
situations, depending the feed will make us to manufacture on of
productions in rest 20% if there is a emergency in delivery, we process it
to our desire product but temperature and time will affect the “prim cost”,
so we prefer to produce final production with least costs”
There is 2 raw material bunkers and 3 final material bunkers, final
Identification and products codes shows bunkers number so in case of “500 ml heavy
7.5.3
Traceability hydrocarbon(02HH234)” it shows raw material came from just Bunker 2,
it is Heavy Hydrocarbon and depend on the date (which was
1394/06/19) it was from Imam’s Refinery. With warehouse permit 856
signed by Ms. Sedaghat)
I take two samples from both heavy and light final product which I
mentioned in 7.4.3 and 7.5
Tracability is not legal requirement but organization mandate it itself
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There is a procedure “W16 ‐‐ ”بازخوردمشتری or customer feedback
including satisfaction and Complaint.
for satisfaction monitoring there is surveys F01‐W16 which sales
Customer department sends them with each dispatch and analyst it every
8.2.1
Satisfaction season.
Average of customer satisfaction is 87% which shows effectiveness of
objectives and a total company performance
There is no record of customer complaints.
There is a procedure “P04 ﻣﻤﻴﺰي داﺧﻠﻲ “ for internal audit
Internal audit is done on 3/25/93 (march of 2014). Program code F01‐
P03 and internal audit checklist with code F02‐P03 and internal audit
reports with code F03‐P03, respectively. There were 4 issued non‐
compliance with corrective action in this respect was observed.
Auditors were independence
8.2.2 Internal Audits
The issue about :
1‐ the lack of supplier evaluation records,
2‐ failure to complete daily reports
3‐Irregular spare parts warehouse
4‐The lack of inventory control on motor oil containersin warehouse
software
Data analysis and monitoring processes have been performed on 20.3.94
by the management representative. The organization has 5 main
processes and 16 activities associated with these processes is defined.
Charts of supplier evaluation, customer surveys and examinations
Monitoring and personnel is attached to this report. Average customer survey with a
8.2.3 Measurement score of 82%, the item "personnel handling the sales department," with
Process a score of 93%, the highest rating survey questions from the perspective
of customers, the highest‐ranked suppliers for “EMEN SAVE” 95% with a
score, the amount of waste 2% for the second 6 months of the year 92,
product return rate was 0.5 percent in the second 6 months of the year
of 93 (last year)
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Most critical factors in feed and final product is initial boiling point and
final boiling point which companies laboratory write in forms:
1‐ Raw material f12‐w19
2‐ Final product f20 w19
Final product has two kinds, heavy (IBP more than 75) and light (IBP
between 40 and 75)
Name of product:
500 ml heavy hydrocarbon(2HH234)
The 23980 liters
Flash Point: 56
810 density
Ibp: 149
Fbp: 362 has been adopted in accordance with customer needs.
Product Name: Hydraulic oil (31HO404)
Flash Point 170
Order and control input:
Razi s500 oil refinery
Density 785
Monitoring and Ibp: 74
8.2.4 Measurement of Fbp: 345
Product Input Product Name:
Light oil
Density: 0.79
Ibp: 142
Fbp: 335
I took two samples from security book which have been sent recently,
and here is final test result:
Note: final test result are results which are taken for each oil tanker
Police No. of order 21 (F205):
3‐ Viscosity test method D‐445, result is 2
4‐ IBP = 153 , IBP 50= is 233 FBP=377
5‐ Quantity = 25290 Kg weighted by digital scales
Note: calibration certificate of scale: -ب2196748
Police No. of order 32 (LH237):
6‐ SP.gr@15 c test method d‐1298 result: 0.730
7‐ IBP = 68 , IBP 50= is 134 FBP=195
8‐ Quantity = 19980 Kg weighted by digital scales
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chart of result of customer feedback as below:
“”Customer satisfaction has increased 5% compared to the prior period,
which strongly can indicates the following:
1. The five percent increase in customer satisfaction since the delivery of
items for the production planning changes, so changes were effective
and objectives fulfilled.
2. ten percent customer satisfaction at the item "sales unite behavior"
because to the "customer relationship course".
3. The decrease of customer satisfaction item because of increasing
prices for oil in worldwide market.
Overall results shows system is working effective.””
8.5 Improvement
Continual Continualimprovement in PAP as its manual is in analysis of data and
8.5.1
Improvement management reviews plus monthly synchronization meetings.
There is a procedure for corrective and Preventive action “P07 ‐‐
8.5.2 Corrective Action
”اقداماصالحيپيشگيرانه
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There are 14 record of corrective and 1 record of preventive action.
I checked corrective action related to internal audit and PDCA cycle has
been done effectively.
Corrective action No CA‐12
Fire extinguisher no p21 is not fulled
Root cause: Carelessness of Mr. abiak
Correction: filling P21
8.5.3 Preventive Action
Corrective action: training course for Mr. Abiak
Effectiveness: grade of Mr. abiak before course was 79 and after course
grade is 95, so training is effective
There is 1 preventive action (code PA‐01 on date of 12/06/1394)
regarding to saving energy in fall and winter of this year regarding to
EMS system which is in P cycle. The start of this preventive action is
personnel suggestion by Mr Akbar Alidaiee.
FORM‐009_V4_QMS‐EMS Issued: July 9, 2003 Revised: March 2013 Page 18 of
19
By exception we indicate the specific Strengths and weakness of the organization in light of the management system of the management system, as we
perceive and seen through processes in reference to requirements of the criteria being ascribed as these apply and relate to the assessment plan and
planning of the assessment. This aspect relates to AVA™ as it does to the protection of consumers in the client-organization’s role within their respective
supply – chain.
Disclaimers: (1) herein, we reiterate that any suggestion or opinion that the assessment team expresses does not construe to be a contractual
requirement. (2) The degree of certainty in conclusions increases by the competence of the assessment team as well as the attestation within the
assessment protocol, values, mission and vision under which we operate for the protection of consumers, still remains a certain level of uncertainty.
Strength Weakness
Export to other countries
Training
Versatile products
Staff turnover
Laboratory
action Request Type I Form-008 – as we indicate and that each of the RA addresses the basic four (4) questions
as seen in Form-008:
action Request Type II Form-008 – as we indicate and that each of the RA addresses the basic four (4) questions
as seen in Form-008:
There was an Iraqi Driver which was cleaning his vehicles oil in orange side during site visit. (soil and water pollution)
END of REPORT
FORM-009 – MS Reporting,
FORM-014 – Opening Meeting Checklist
FORM-008 – RA / AR, as requires
FORM-017 – Closing Meeting Checklist
FORM-018 – OBS, as requires
FORM-005 – Participants of opening & closing meetings
FORM-010 – As requires, recommendation for CoR
FORM-004 – Assessment Plan
FORM-026 – Assessment documents check-sheet,
FORM-007 – Planning onto -004, as process determined
for guidance purpose