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BRSM
Systems: QMSMDD ISO 13485 (2003)
Assessment Report/Checklist
Form 009
CLIENT‐ORGANIZATION (NAME): Sahand Bahamin Teb Co.
PHYSICAL LOCATION(s):
Unit No. 1, No. 4, Torkamanestan St., Tehran, Iran
Stage II Audit Date(s):
21 & 22 Sep 2016
Stage I Audit Date(s): 23 Aug 2016
NAICS (or NACE) CODE MD1102, MD1405, MD1301, MD1302
Assessment objectives: Third party assessment of requirements of QMSMDD
ISO 13485 (2003), is met in companies management
system, as well as legal requirements
ASSESSMENT TEAM INFORMATION
Assessment Team Leader, ATL Milad Pourhasan
Assessor 2 Mohammad reza Khoshgoo
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.
Clause observation
We pursuit to assure that client‐organization adheres to the protection of communities and consumers. This is to follow the intent to the
1 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: Sale and After sale services of cardiac and respiratory diagnostic and
treatment equipment and monitoring accessory systems and ESU
accessories.
BRSM requires that the organization’s legal obligations and regulatory are
Legal status met. Technical. supervisor is main responsible for executing and monitoring
3 of these regulations
Obligatory applicable standard which
MOH regulations, ISIRI 7324, ISIRI 7843
organization has to follow
4 Quality Management System
sample of organization processes: 'sale', with process indicator/index: 'increasing',
acceptance level/criteria: '3%', Owner of the Process: 'sale manager', and
'Warehouse' is input to this process. Output form this process is used in 'customer'
.next process is 'services', with process indicator/index: 'complaint', acceptance
level/criteria: '2%', Owner of the Process: 'service manager’ and 'customer' is input to this ok
Quality Management process. Output form this process is used in 'customer' .next process is
4.1 'training', with process indicator/index: 'effectiveness', acceptance level/criteria:
'95%', Owner of the Process: 'train', and 'organization dept.' is input to this process. Output
form this process is used in 'organization dept.' .The structure of the documentation is
compatible with standard requirements regarding size and complexity of organization. the ok
Quality Manual: M42200QM01 is in place, Quality Objectives: F54100QM01 and Policy:
F53100QM01 backed with documented procedures and work instructions/SoPs, control
forms and planning records, as well
Documentation requirements As Regulatory documents, such as; 'after sale services procedure' is in place.
Document control is in place ; Document control procedure was reviewed during
assessment with Document ID: P42300QM01, Revision and Date: 02, April 2016
Approved by: Mrs. Vahedi. it provide a system to review and approve documents for
adequacy prior to issue.it provide a system to review and approve documents for adequacy
prior to issue and re‐approve and update when in use. It provides a method of revision
status identification and prevention of obsolete document to be used. Method of
identification: ok and obsolete seal stamp. ,Obsolete documents
Are kept in QA archive. Documents are always available at the point of access as in services
dept.; technical repair work instruction was available. All sample reviewed documents are
4.2.3 Control of Documents Legible and Readily identifiable. Applicable national or local regulations were identified. ok
Applicable local and national documents were listed in master list annex of quality manual.
Sample of applicable local and national documents listed: ‐. External documents were
identified. Applicable external documents were listed in master list annex of quality manual.
Sample of external documents listed: manufacturer technical repair work instruction. The
records related to tested medical device samples are kept for 10 years (services life time).
Records of sample device tested, observed: cardiac system. tested at: Aug 2015
Clause observation
Record control procedure was reviewed during assessment with Document ID:
P42400QM01, Revision and Date: 01, April 2016 Approved by: Mrs. Vahedi. Record control
has following features; method of identification: ok and obsolete seal stamp. Method of
defining distribution: according to list of organization forms. Method of retrieving of
records: backup of sharefolder electronic file every week. Method of disposing of records:
4.2.4 Control of Records ok
when a new record is in place the old one is collected and torn. All samples reviewed
records were Legible and Readily identifiable.as evidence records of cardiac system seen
issued at: Aug 2015 which is kept in each dept. of org...
5 Management responsibility
the Top Management, Mr. Hooshmand has communicated to the organization the
Management importance of meeting customer as well as statutory and regulatory requirements,
5.1,2
Commitment/Customer Focus through policy, objectives and providing resources
Quality Policy has been documented, with ID: F53100QM01, Version: 1
Issued: April 2016 Approved by, MD. Quality policy was communicated to staff, as ok
staff was asked they were aware of the policy. Staff asked; Mr. mousavi. Sample of
Policy items: targets and commitment for legal requirements. The policy includes
5.3 Quality Policy commitment to comply with requirements and to maintain the effectiveness of the
quality management system. The policy is reviewed every year, it provides a
framework for objectives
Quality Objectives have been documented, with ID: F54100QM01, Version: 3
Issued: April 2016 Approved by, MD. Quality objectives are in line with quality
policy. The objectives are SMART. Sample objectives: starting to producing new
product, Time to fulfill the objective: end of 2017, Objective indicator: production of
mattress, Objective goal: start product line, another sample objectives: increase of
internal knowledge, Time to fulfill the objective: end of 2016, Objective indicator:
Training time, Objective goal: 20 man/hours
ok
based on the evidences that top management is committed, it proves that top
5.4 Quality Objectives management ensures that the planning of the quality management system is
carried out in order to meet the requirements given in qms documentation system,
as well as the quality objectives, and the integrity of the quality management
system is maintained when changes to the quality management system are
planned and implemented
5.5 Responsibility, Authority and Communication
Top management has defined responsibilities and authorities which are documented and
communicated within the organization. Top management has established the interrelation
of all personnel affecting quality, with independence and authority necessary to perform
their tasks. As seen in O‐Chart: F55100QM01, to meet IMED regulations Mr. Hooshmand has
5.5.1 Responsibility and Authority been appointed as Technical Supervisor. With License number: 9202011‐
1452088/298513Top Management has appointed Mrs. Vahedi Management representative.
some of the main job duties of MR are as follows: , Establish and Implement processes
needed for the QMS and maintained, Report to top management on the performance of the ok
quality management system and any need for improvement , promotion of awareness of
5.5.2 Management Representative regulatory and customer requirements throughout the organization., Internal
communications are mostly; verbally, Face to Face, In writing, Via automation/email, The
communication is effective and efficient according to the complications and size of
Internal Communication organization.
5.5.3
Clause observation
5.6 Management review
The latest management review was conducted on 95.04.10Records of Management
review minute observed, Management review was recorded in P56000QM01.
5.6.1 Management review Participants in the latest Management review session: Mr. Hooshmand and Mrs.
Vahedi and Mrs. Hooshmand and Mr. reza.all inputs to Management review were
reviewed such as Customer feedback, product Conformity, Status of preventive and
corrective actions, Follow‐up actions from previous management reviews, changes
and improvements and regulatory updates. Following items has been significant ok
outputs of Management review: resource providing for mattress production.
5.6.2 Review input Management Review sessions are held every 6 months.
5.6.3 Review output
6 Resource Management
Training and competence of staff affecting quality is directed by Training process
6.1 Provision of Resources
with Document ID of P62200QM03, Version: 02 issued in April 2016, approved by
Mrs. Vahedi. Records of qualifications and competence needed for positions
6.2 Human Resources affecting quality observed during audit; Job description F55100TR03. Records of
trainings conducted for positions affecting quality observed during audit; annually
training plan F62200TR01. records of trainings evaluations for training conducted
observed during audit; Ok
Evaluation effectiveness training form F62200TR05. The organization keeps the
6.2.1 responsibilities educational records of staff affecting quality, Type of Record: BS, Ms., and PhD. The
organization keeps the Training records of staff affecting quality, Type of Record:
Training Certificates. The organization keeps the Experience and skills records of
staff affecting quality, Type of Record: licenses. For sample, following evidence has
been reviewed during HR audit; Name of the staff profile reviewed, Mrs. Vahedi,
Competence, Awareness, and Position: MR. Education record was in Place: BSc Of Marketing. Training planned
6.2.2
Training observed during audit for external Observed during audit for external trading.
Records of Training effectiveness evaluation done in 95.1.28 observed during audit
for external trading, evaluation result: 0.95.
NC: Training records for some personal such as after sale service personnel was not nc
observed.
Clause observation
Preventive maintenance of machines affecting quality is directed by Preventive
Maintenance procedure with Document ID of P63000PM01, Version: 03 issued in
April 2016, approved by MD.
Based on scope of activity the maintenance For PC.
Records of Planned maintenance and services needed for Machines affecting quality
observed during audit; marketing PC identification for maintenance F630000PM01.
Records of services and repairs done for Machines affecting quality observed during
audit; upgrade of PC RAM F630000PM01. Each machine has a record of the history ok
of repairs and services done for it recorded in repair records. Each machine is
6.3 Infra structure identified when out of work is recorded in ‐. Sample of Machines taken as evidence
during audit. Name of the machine/device reviewed: PC, Machine ID: Marketing‐PC‐
02. This machine/device is used of in marketing dept... Planned Services
considered for this machine observed during audit: Defragmentation of HDD,
Planned intervals: every 12 Months.
There is no IMED regulation for this kind of Medical Devices, company uses 5s and
6.4 Work Environment PM to ensure work environment is good for manufacturing. ok
Record of 5S for February 2016 of housekeeping checklist has been observed.
Record of PM for entrance door on November 2016 has been observed.
7 Product Realization
In accordance the scope of activity (import sale and after sale eservices), the
organization has planned and developed the processes needed for services and
production realization. Planning of product realization is in consistent with the
requirements of the other processes of the quality management system.
In planning product realization, the organization has determined the following:
Quality objectives and requirements for the product; processes, documents, and
resources specific to the product; required verification, validation, monitoring,
inspection and test activities specific to the product and the criteria for product
acceptance which is explained further in the report. The output of this planning is
suitable for the organization’s method of operations. Risk management
P71000QM01 is the name of the documented requirement established for
throughout product realization, With Document code/Version; rev: 01 approved
by MD, Date; April 2016. Members of the Risk assessment team/committee;
Hooshmand, Vahedi, reza. According to P71000QM01, Risk levels have been
7.1 Planning of product realization considered as follows; Intolerable risk level is: upper 60, ALARP Risk level is: upper ok
60 and Acceptable risk level is: lower 60. sample of risks hazards evaluated by
organization: , sample 1, Hazard: reuse of blood pressure , RPN / Risk Level:
60, Control Method: Labeling and advisory notice , RPN / Risk Level after
Control: 42, sample 2, Hazard: ECG's resident electricity, RPN / Risk Level: 18,
sample 3, Hazard: electrify leakage for ESU, RPN / Risk Level: 70, Control Method:
checking validation records and supplier assessment RPN / Risk Level after control:
40 .Since the activity Scope the organization is importing the production list which
also has IMED approved where checked.
Clause observation
The organization has determined requirements specified by the customer, The
organization has determined requirements not stated by the customer but
Determination of necessary for specified or intended use, such as Statutory and regulatory
7.2.1 requirements related to the requirements related to the product, and any additional requirements determined ok
product/service by the organization.
7.2 Customer‐Related Processes
The company reviews the product requirements through formal documented
communications with customer. The documented record observed during
assessment for product
Requirement was; invoice, dated 95.03.26, for customer: Velayat clinic, sample of
requested product requirements: ECG channels (2) without WiFi system, and also
The company reviews the product requirements through informal communications
or verbally with customer. in velayat clinic case: pre‐invoice date was 95.3.26 and ok
Review of requirements final‐invoice date was
7.2.2
related to the product/service 95.4.29
final invoice ID: 979 for one EDG tow channels without WiFi systems that
package is including: 20 chest lead, one blood pressure
Device S.N: 20005, Where product requirements are changed, the organization
properly ensures that relevant documents are amended and that relevant
personnel are made aware of the changed requirements.
The Commercial Manager is responsible for approving customer orders.
The organization effectively communicates with customers in relation to product
7.2.3 Customer Communication information, for feedback from clients and complaints, please refer to 8.2.1, for ok
advisory notice refer to 8.5.1
7.3 Design and Development
Design and Development excluded E
7.3.1
Planning
Design and Development
7.3.2
Inputs
Design and Development
7.3.3
Outputs
Design and development
7.3.4
review
Design and development
7.3.5
verification
Design and development
7.3.6
validation
Control of design and
7.3.7
development changes
7.4 Purchasing
Clause observation
The organization has established documented procedure to ensure that purchased
product conforms to specified purchase requirements in; Internal and External
Purchase, with Document ID: P74100PU01 /2, approved by MD, Date; April 2016.
The organization evaluates and selects suppliers based on their ability to supply
product in accordance with the organization’s requirements, the Criteria for
selection, evaluation and re‐evaluation has been established , The organization
evaluates suppliers periodically, for grade: 'a' every 12 months, Latest suppliers
evaluation has been done in June
2016., Records of suppliers' evaluation was provided in shiping company. Sample of ok
7.4.1 Purchasing Process criteria: quality ‐ responsive ‐ delivery ‐ fee ‐ certificates. Supplier’s acceptance
criteria; over 70. Sample suppliers evaluation observed during audit; rah bar asan
co., results of evaluation for this supplier: Grade: 'a', 85. Sample observed; sanjrsh
mizan co., results of evaluation for this supplier: Grade: 'a', 85.
Purchasing information describing the product to be purchased is in place in QMS,
records of the purchase information is provided in purchasing order, sample of
7.4.2 Purchasing information purchase data for purchased item: disposable pressure meter with following ok
specification; Urodynamic,qauantity 1400,Before May 2016, observed.
The organization has established inspection and verifies purchased products meet
specified purchase data requirements, records of the purchase verification and
Verification of purchased controls are provided in packing list, company uses validated suppliers and asses
7.4.3 ok
product them regularly, such as Checking 16030322 CE validity, for each cargo, company
uses packing list and invoice to verify traceability
And quality of material, such as validity of invoice 47226 for importing Disposable
Pressure meter, Pulse oximeters and Washer‐Disinfectors done by IEI on 10/4/1395
(June 2016). IMED permission for import is 1978125474ب132 on 11/4/1395 (June
2016) for Invoice 47226, with 16030322 Serial number, observed as sample for
traceability.
7.5 Production and Service Provision
7.5.1 Production and Service Provision
Information that describes the characteristics of the product, are available ,
Documented procedures, documented requirements, work instructions, and
reference materials and reference measurement procedures as necessary are
available, Suitable equipment is in place , for The implementation of monitoring
and measurement please refer to 7.6 and 8.2, The implementation of release, ok
7.5.1.1 General requirements delivery and post‐delivery activities, is explained further in the report.
Clause observation
The organization has identified service responsibilities between distributors and
users and service activities carried out by the organization.
Service personnel trained by organization, but the IFU are enough.
The organization has formed a system for receiving customer demands so as to
determine whether customer complaints and rules are handled.
Date of order: Nov 2015
Product S/N: 759104
7.5.1.2.2
Service records has been filled by Mr. Maziar, Training to client representative has
been done. Equipment has been delivered and received successfully by Mrs. ok
Mohtasham.
Record of two samples observed:
Installation activities
The organization has established documented requirements, as necessary, for
performing servicing activities and verifying that they meet the specified
requirements in; service report form, with Document ID: P75123AS01‐R00,
approved by MD, Date; April 2016. The responsibility for servicing and repairs
have been defined in service report form, Mousavi is responsible for repairs and
servicing of the medical device. Tools designed for special purpose for repairs and
service of the medical device is validated through service and repairs activities. All
7.5.1.2.3
test and measuring devices used in service and repairs activities were calibrated.
Servicing activities Such as; multimeter. Customers are backed up technically through training and ok
technical support. Servicing personnel are competent and trained for the job. As;
there is train certificate from brace manufacturer for any product services. Sample
record of service/repair of medical device observed. Name of the record:
F75123AS01‐R00, name of device serviced/repaired: changing
monitoring accessory, serviced/repaired at : Tabriz Aalinasab Hospital, date:
94.4.1, service performed by mosavi. The service/repair done, validated through
feedback from customer.
7.5.2 Validation of processes for production and service provision
Organization has defined criteria for review and approval of the processes ok
7.5.2.1 General requirements Organization has set specific methods and procedures for such processes.
E
Particular requirements for excluded
7.5.2.2
sterile medical devices
7.5.3 Identification and traceability
The organization has identified the product throughout product realization, and
established documented procedure. Document name: identification and
traceability, Document code/version: P75300WA01‐R01, Approved by: MD, Dated:
April 2016. The organization identifies products/parts/material by
7.5.3.1 Identification 'Recording and archive customer link with product SN and sales invoice'. The ok
organization ensures that medical devices returned to the organization are
identified and distinguished from conforming product.
7.5.3.2 Traceability
The organization has established documented procedures for traceability, it
defines the extent of product traceability and the records required. Document
name: identification and traceability, Approved by: MD. Organization controls and
records the unique identification of the product.
7.5.3.2.1 General Sample product taken: 'ECD', Serial number: 300H1307007P, Date produced: ok
94.2.22. Final product is traceable to following items: operation, time produced,
Purchased Material, shift, for the sample taken it is tracked
excluded
Particular requirements for E
active implantable medical
7.5.3.2.2
devices and implantable
medical devices
The organization identifies the product status with respect to monitoring and
measurement requirements. The identification of product status is maintained ok
throughout whole processes to ensure that only product that has passed the
7.5.3.3 Status identification required inspections and tests by authorized staff is dispatched to customers. Refer
to 8.2.4
The organization identifies, verifies, protects and safeguards customer
7.5.4 Customer property property provided. Sample customer property observed: ECG SN. ok
300H1307007P belonged to Tabriz Aalinasab hospital, the item is in the
company for repair, the item was observed in repair zone.
The organization has established documented method for preserving the conformity
of product during internal processing and delivery to the intended destination,
Documented Procedure name: warehouse process, document code: P75500WH01‐
R02, Approved by: MD, Dated: April 2016. The company has following storages: Raw
material, Semi product, Final product. Preservation method includes: Identification,
Handling, Packaging, Storage and protection. Sample product: ECG, taken from
producer. Identification method for the sample taken: label, Handling method for
the sample taken: with hand, Packaging method for the sample taken: in
manufacturer packaging. Storage and protection method for the sample taken: in
Rack. There is sufficient inventory stock of the sample taken as required in the ok
7.5.5 Preservation of product system. There are currently 12 8 of ECG in the storage. Minimum inventory stock
/order point for this product is 5. Storage records checked in warehouse software.
The organization has established documented procedure procedures to ensure
that monitoring and measurement is carried out in a manner that is consistent with
the monitoring and measurement requirements. Procedure name: calibration
device, Procedure code: P76000QC01‐R02, Approved by: MD, Dated: April 2016.
Calibration plan is recorded/planned in: device calibration plan, with document
code: P76000QC01. Calibration status is recorded in: millimeter, with document
code: 12075014700. Devices are identified for their calibration status. Type of
status identification record: calibration label. Name of the tool/device reviewed
:millimeter, device ID:
12075014700. This device is used for volt meter, calibration status:
Calibrated. Last date of calibration: 95.04. Planned intervals: every 12
Months. Next due date of calibration: 96.4. The device is calibrated externally by ok
Mizan Sanjesh Abzar, Calibration certificate No.NACI/lab/694. All measuring devices
observed have been calibrated in range required by standard and application.
Control of monitoring and Evidence observed: calibration is out sourcing. Calibrations are traceable to
7.6 international applicable standards. Measuring devices are safeguarded from ok
measuring devices
adjustments that would invalidate the measurement results. Evidence observed:
there is not adjustment like that. Measuring devices are protected from damage and
deterioration during handling, maintenance and storage. Evidence observed:
keeping in box. The organization takes appropriate action on the equipment and any
product affected by out of calibration measuring device. Evidence observed: not any
record yet. , The organization confirms and makes sure that any computer software
used in measurements satisfies the intended application requirements. This has
been undertaken prior to initial use. After 3 more samples taken all were calibrated.
Name of the device: DC power supply, Calibration status: Calibrated. Calibration
Certification No.: 21128496. ‐ Name of the device: digital multimeter, Calibration
status: Calibrated. Calibration Certification No.: 12075014700. ‐ Name of the device:
digital oscilloscope, Calibration status: Calibrated. Calibration Certification No.:
20080711.
8 Measurement, analysis and improvement
The organization plans and implements the monitoring, measurement, analysis and
improvement processes needed. Which includes; conformity of the product,
conformity and effectiveness of the quality management system, it also includes of
use of analytic statistical techniques. Documented procedures for implementation
8.1 General ok
and control of the application of statistical techniques are in place.
8.2 Monitoring and measurement
The organization monitors information relating to whether the organization has
met customer requirements. The organization has established documented
procedure for feedback system Procedure name: customer feedback, Procedure
code: P8210SA02‐R02, Approved by: MD, Dated: April
8.2.1 Feedback 2016. Source of customer requirements fulfillment monitoring: website, ok
customers/ consumers/ MOH.
The Feedback forms for Sarem and Ghaem Hospital on 95/03 (June 2016) were
observed.
The responsibilities and requirements for planning and conducting audits, and
reporting results and maintaining records are provided in a documented procedure.
Procedure name: internal audit, Procedure code: P82200QM02‐ R02, Approved by:
MD, Dated: April 2016. The organization conducts internal audits at planned
intervals. Records observed in: audit plan of May 1395. Internal audits are
conducted every 12 Months. Latest internal audit was conducted by Mrs. Vahedi,
Mansouri. Auditors did not audit their own work. Sample of NCs observed in the
8.2.2 Internal audit ok
report: Repair forms of sarem Hospital for ECG was not filled out completely. .
Corrective action followed up after the NCs raised training of personnel, and filling
the form. Internal audit has been recorded in: Audit checklist (F8200QM02).
The organization uses methods for monitoring and measurement of the quality
Monitoring and measurement management system processes to ensure that processes reach to planned
8.2.3 ok
of processes results. The planned results are achieved. Examples: Sale index :increasing ,
Criteria:3% , Result 3.5%, responsible of process :Commercial Manager ,Period
of measuring index every six month , Services index :complaint Criteria
2%(annually ) , Result 1.8% training index: effectiveness Criteria 95% annually,
Result 96% delivery time index delay time, Criteria maximum 2 days ,Result
:average 1.5 days
8.2.4 Monitoring and measurement of product
The Test criteria and quality control is documented in QC procedure, With
Document code: P82410QC01‐R02, Approved by: MD, Dated: April 2016. the
organization check the input products in accordance incoming control form
(F74300QC01R01) and packing list QC records for Disposable pressure transducer
where check the date Jun 2016 items such as color checking :ok Quantity:250,
8.2.4.1 General requirements Packing statues: ok , serial number(160303221) expiration date : Feb2019 ok
Also ECG (brand M4medical, Plish Company) QC records and Packing list date July
2016 serial number15120522 were observed.
Excluded
Particular requirement for
active implantable medical E
8.2.4.2
devices and implantable
medical devices
There is a documented procedure to identify, control and prevent unintended use
or delivery of non‐conforming products. Procedure name: control of non‐
conformity product, Procedure code: P83000QC01‐R02, Approved by: MD, Dated:
April 2016. Controls and related responsibilities and authorities for dealing with
nonconforming product has been defined in procedure.mosavi are authorized to
deal with non‐conforming products. Sample non‐conforming products/records
observed: there is some wrong in part list of suppler. Nature of Non‐conformity of
the product is recorded, quantity. The non‐conforming product observed in:
'warehouse'. The non‐ conforming are identified by: visual. the non‐conforming
products are
ok
Properly identified throughout the process. The non‐conforming products are
properly released by designated person. Released by: mousavi. When
Control of nonconforming nonconforming product is detected after delivery or use has started, the
8.3 organization takes actions appropriate to the effects, or potential effects, of the
product
nonconformity. sample records of actions taken: base on the procedure
if the non‐conformities arrive after delivery, they fill the form after sale
form.as an example: there was noise in ECG product send to Iran mehr
Hospital date Feb 2016, they changed the board and Printer Roller. .
rework adverse event has been observed such as: If alpha board has faced any
problem the whole board shall be changed
The organization has established documented procedures to determine collect
and analyze appropriate data to demonstrate the suitability, effectiveness and
improvement of its quality management system. Procedure name: Data analysis
table, Procedure code: F84000QA01‐R02,
Approved by: MD, Dated: April 2016. Records of the results of the analysis of data
observed. Records observed in: ‐. Process name: 'sale', , Process index:
'increasing', Process criteria: '3%', Process outcome/result: '3.5%'. Process name:
'services', Process index: 'complaint', Process criteria: '2%', Process ok
outcome/result: '1.8%'. Process name: 'training', , Process index:
8.4 Analysis of data 'effectiveness', Process criteria: '95%', Process outcome/result: '96%'. Process
name: 'delivery time', , Process index: ' ', Process criteria:
'Maximum 2 days', Process outcome/result: 'average 1.5 days'. with
Comparison of characteristics and trends of processes with previous results the
system is proved to be improving. Corrective actions have been considered for
processes not meeting their criteria requirements. Data regarding, Suppliers,
Feedbacks and conformity of products: the Planed result are achived.as an example
since the sales index are achieved, they have
decided in next period they increase the index
8.5 Improvement
Clause observation
The organization has established documented procedures for the issue and
implementation of advisory notices. Procedure name: advisory notice, Procedure
code: P71000QM03 R02, Approved by: MD, Dated: April 2016. No need to
corrective action as the records suggests that, The organization has established
documented procedures for notification of adverse events to regulatory authorities. ok
8.5.1 General Adverse event documented procedure: Recall and emergency situation.
P82100SA01 R01. The organization also established feedback procedure in case of
improvement Customers’ feedback procedure: P82100SA02 R02.
Clients will be trained by installer about advisory notice and there are labels and
manual of equipments such as:
Read manual before use
The organization has established a documented procedure for Corrective action.
Procedure name: corrective/ preventive process, Procedure code: P85200QA02‐
R02, Approved by: MD, Dated: April 2016. Sample corrective action: Repair forms of ok
8.5.2 Corrective action sarem Hospital for ECG was not filled out completely.
. Cause of nonconformity: lack of knowledge. Action taken was evaluated and it
was effective.
The organization has established a documented procedure for Preventive action.
Procedure name: corrective/ preventive process, Procedure code: P85200QA02‐ ok
R02, Approved by: MD, Dated: April 2016. There has been no preventive action
taken yet in the organization.
8.5.3 Preventive action
By exception, we indicate the specific Strengths and weakness of the organization in light 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
Accreditation Body 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
5s ‐ Lauout High turnover
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 AR addresses the basic four (4) questions as seen in Form‐008:
Training records for some personnel such as after sale service personal was not observed.