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Integrated Management System Manual

Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 0 of 33
QQAQCENVXXXX-5003X

XXXXXX Q-5 EXTERNAL AUDIT PREPARATION


PROCESSINTERNAL AUDIT PPROCESSQ-4
CHEMICAL & WASTE EMERGENCY RESPONSE
PLANNING PROCESS

Approval & Revision Management

Name & Designation Signature

Siti Nursakinah Bt. Abdul Hadi


Prepared by Environment OfficerSaleza Bt. Salehan
Assistant QA&QC EngineerManager

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 1 of 33
QQAQCENVXXXX-5003X

Ilangko Ramasamy
Management RepresentativeMr. Anuar
Reviewed by SakminMr. Ilangko Ramasamy
Management Representative / SHEQ
Manager
Fan Boon Heng
Approved by Managing DirectorMr. Fan Boon Heng
Managing Director

Revision History

Rev. No. Date Details of changes


00 17/08/2012 Initial Issue
01 16/11/2012 Revised IMS
02 04/08/2014 Change Coding No. & Logo
03 X05x/05xx/2017xxx Change to ISO 9001:2015 and ISO 14001:2015 version
x

Rev.
00
01
02

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Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 2 of 33
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Contents
Approval & Revision Management 0
Revision History 1
1.1 Environmental Impact Aspect Process 3
1.1.1 Purpose 3
1.1.2 Scope 3
1.1.3 References 3
1.1.4 Abbreviations 3
1.1.5 Procedures 4
1.1.6 Records / Forms 5
Approval & Revision Management 0
Revision History 1
1.1 XXXInternal Audit Process 3
1.1.1 Purpose 3
1.1.2 Scope 3

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Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 3 of 33
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1.1.3 References 3
1.1.4 Abbreviations 3
1.1.5 Procedures 4
1.1.6 Records / Forms 6
Approval & Revision Management 0
1 Q QUALITY PROCESS 2
1.1 Q-5 EXTERNAL AUDIT PREPARATION PROCESS 3
1.1.1 Q-5-1 Review Documents & Handbook 4
1.1.2 Q-5-2 Train Internal Auditors & Process Owner 8
1.1.3 Q-5-3 Internal Audit 12
1.1.4 Q-5-4 Gap Analysis & Result Reporting 16
1.1.5 Q-5-5 Improve and Close Gaps 20

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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Q QUALITY PROCESS
Lead Main No ISO From Input / Linked To

Quality G-3, Q, Q-1-5,


Q-1-1 ISO 12 Management Q-Review Q
Q AP
QA - Data & Document Management Q, Q-1-5, Q-1-6,
Q-1-2 ISO 12 Q, RP Q-1-5, RP
System RP
Q, P, T,
Q-1-3 ISO 12 QA - Create Method Statement / SOP Q-1-2 Q, P, T, E, S
E, S
QA - Qualification of External Business
QA & QC Q-1-4 ISO 12 C-1-1, Q C-1-1, AP C-1-1, Q-1-5
Partner
Q-1
Q-1-5 ISO 12 QA - Archive & Record Q, RP Q Q, Q-1-6, RP
Q-1-6 ISO 12 QA - Communication Management Q, RP G Q, Q-1-5, RP
QA - Equipment Utilization, Inspection & QSH Q-3, Q, Q-1-8, Q-1-6,
Q-1-7 ISO 12 Q, RP
Test Plan QE Q-4, AP Q-1-5, HR C-2
Q-1, Q-2, Q-
Q-1-8 ISO 12 QC - Monitoring Q Q, Q-2, Q-1-5
3, AP
Q-1-9 ISO 12 QC - Operational QC Q, RP AP Q, Q-1-5, RP
Q, Q-2, Q-1-5,
Q-2-1 N.A. Regular Improvement Meetings Q
G-3
Continiuous
Q, G,
Improvement Q-2-2 ISO 12 Correction & Corrective Action Q, G, AP Q, Q-2-4, G, AP
RP
Process
Q, G, Q, G, Q-2-4, Q-
Q-2 Q-2-3 ISO 12 Preventive Action AP
RP 1-6, C-2, AP
Q-2-4 ISO 12 Control of Nonconformity Q, G Q Q, Q-2, Q-1-6, G
Q, QSH, G, Q, Q-1-6, Q-1-5,
Q-3-1 ISO 12 SH Risk Management Q
AP HR C-2
Q, Q-1-5, Q-1-6,
Q-3-2 ISO 12 Emergency Response Planning Q
Safety & Q-3-3, HR C-2
Health Emergency Preparedness Training & Q, Q-1-5, Q-1-6,
Q-3-3 ISO 12 Q, HR HR
Management Drill HR C-2
& Control Q, Q-1-5, Q-1-6,
Q-3-4 ISO 12 Incident Investigation & Report Q, G, AP G, Q, AP
Q-3 G, G-3, AP
Q-3-5 ISO 12 QC - SH Monitoring Q Q, AP Q, Q-2, Q-1-5
Q, Q-1-5, Q-1-6,
Q-3-6 ISO 12 SH Data & Statistic Report Q
G
Q, QSH, G, Q, Q-1-6, Q-1-5,
Q-4-1 ISO 12 Environmental Risk Management Q
AP HR C-2
Q, Q-1-5, Q-1-6,
Chemical and Waste Handling & Q, HR C-2,
Q-4-2 ISO 12 Q Q-4-1, Q-4-3,
Management AP
HR C-2
Environmental Chemical & Waste Emergency Q, Q-1-5, Q-1-6,
Q-4-3 ISO 12 Q
Management Response Planning Q-3-3, HR C-2
& Control Environmental, Chemical & Waste Q, Q-1-5, Q-1-6,
Q-4-4 ISO 12 Q, HR HR
Q-4 Training & Drill HR C-2
Q, Q-1-5, Q-1-6,
Q-4-5 ISO 12 Incident Investigation & Report Q, G, AP G, Q, AP
G, G-3, AP
Q-4-6 ISO 12 QC - Environmental Monitoring Q Q, AP Q, Q-2, Q-1-5
Q, Q-1-5, Q-1-6,
Q-4-7 ISO 12 Environmental Data & Statistic Report Q
G
Prepare for Q-5-1 ISO 12 Review Documentation & Handbook Q Q, Q-1-5, Q-2-4
External Audit Q, Q-5-3, Q-1-5,
(9000,14000,1 Q-5-2 ISO 12 Train Internal Auditors & Process Owner Q HR C-2
HR C-2
8000) G,C,Q,B,P,T, Q, Q-1-5, Q-1-6,
Q-5 Q-5-3 ISO 12 Internal Audit Q
E,S Q-2-4
Q, Q-1-5, Q-1-6,
Q-5-4 ISO 12 Gap Analysis & Result Reporting Q
Q-2
Q-5-5 ISO 12 Improve and Close Gaps Q, Q-5-5 Q, Q-2, AP Q, Q-1-5, Q-1-6,

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 5 of 33
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G, AP

1.1 Q-5 EXTERNAL AUDIT PREPARATION PROCESS

Main No ISO From Input / Linked To

Q, Q-1-5, Q-2-
Q-5-1 ISO 12 Review Documentation & Handbook Q
4
Q, Q-5-3, Q-1-
Prepare for Q-5-2 ISO 12 Train Internal Auditors & Process Owner Q HR C-2
5, HR C-2
External Audit
Q, Q-1-5, Q-1-
(9000,14000,18 Q-5-3 ISO 12 Internal Audit Q G,C,Q,B,P,T,E,S
6, Q-2-4
000)
Q-5 Q, Q-1-5, Q-1-
Q-5-4 ISO 12 Gap Analysis & Result Reporting Q
6, Q-2
Q, Q-1-5, Q-1-
Q-5-5 ISO 12 Improve and Close Gaps Q, Q-5-5 Q, Q-2, AP
6, G, AP

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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1.1.1 Q-5-1 Review Documents & Handbook

Q LEAD PROCESS : QUALITY GR

Q-5 MAIN PROCESS: PREPARE FOR EXTERNAL AUDIT GR

Q-5-1 PROCESS: Review Documents & Handbook GR

1.1.1.1 PROCESS Q-5-1


Review Documents & Handbook

1.1.1.2 Purpose
This process Making sure all the document & handbook comply to ISO standard.

1.1.1.3 Scope
Yearly ISO Compliance Audit

1.1.1.4 Reference
ISO 9001: 2008
Clause 8.2.2 Internal Audit

ISO 14001:2004
Clause 4.5.5 Internal Audit

OHSAS 18001:2007
Clause 4.5.5 Internal Audit

1.1.1.5 Responsibility
Q Manager

1.1.1.6 Distribution List


Distribute Information about this process, train and review this process with:
Training or /Workshop: All Processes Owner, Internal Auditors
Inform: All Employees

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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1.1.1.7 Process Workflow Structure

Workflow Description Responsible

INITIATING Q Manager
PROCESS Q internal process

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Integrated Management System Manual
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(Quality Process)
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As basic input for the process executions following items are listed:
All internal document
INPUT Handbook Q Manager
Updated version of ISO Standard
Other information and items can be included according process needs.

Verify the actual company structures, process and business with the last ISO
ACTION Q Manager
handbook

Compliant to each other and ISO ? (Y/N)

DECISION N: Go On N Q Manager

Y: Create compliance Report archive it

N
Create Non Compliance Reports Q Manager
ACTION

N
INITIATE Q, Q-2-4 CIP & NCR Q Manager
PROCESS

ARCHIVE Archive / Save on Database Q Manager

1.1.1.8 Templates & Forms

Templates and Forms are given in (Address Link : Network/Signalling/Document Control/Internal Forms )

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Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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1.1.1.9 Records documents & data as outcome of the process

All produced documents and records of this process will be handled according Q-1-2 and Q-1-5:

Following document coding, title and location


Retention time 7 years
HR retention time is long as employee employed
Location is in the respective department or determined department or archive for paper
according electronic database

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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1.1.2 Q-5-2 Train Internal Auditors & Process Owner

Q LEAD PROCESS : QUALITY GR

Q-5 MAIN PROCESS: PREPARE FOR EXTERNAL AUDIT GR

Q-5-2 PROCESS: Train Internal Auditors & Process Owner GR

1.1.2.1 PROCESS Q-5-2


Train Internal Auditors & Process Owner

1.1.2.2 Purpose
This process will ensure to have a list of qualified internal auditor and train the process owner
about the internal audit process.

1.1.2.3 Scope
Internal ISO team

1.1.2.4 Reference
ISO 9001: 2008
Clause 8.2.2 Internal Audit

ISO 14001:2004
Clause 4.5.5 Internal Audit

OHSAS 18001:2007
Clause 4.5.5 Internal Audit

1.1.2.5 Responsibility
Q Manager

1.1.2.6 Distribution List


Distribute Information about this process, train and review this process with:
Training or /Workshop: All Processes Owner, Internal Auditors
Inform: All Employees

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 11 of 33
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1.1.2.7 Process Workflow Structure

Workflow Description Responsible

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Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
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(Quality Process)
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INITIATING
Q initiated internal training Q Manager
PROCESS

As basic input for the process executions following items are listed:
Internal & external guidelines on audit
INPUT Q Manager
List of potential internal auditor
Other information and items can be included according process needs.

ACTION Schedule and invite internal auditors and process owner Q Manager

Schedule confirmed ? (Y/N)

DECISION N: Reschedule Q Manager

Y: Go On

Need for external consultant ? (Y/N)

DECISION N: Go On Q Manager

Y: Select and invite for the process use C-1-1

Training for internal auditors and process owner according the actual ISO and Q Manager
ACTION
process organization short exam HR

Training result sufficient ? (Y/N)

DECISION N: Repeat the training Q Manager

Y: Go On

Q Manager
ACTION Report Result and Evaluation, ready for internal audit
HR

ARCHIVE Archive / Save on Database Q Manager

1.1.2.8 Templates & Forms

Templates and Forms are given in (Address Link : Network/Signalling/Document Control/Internal Forms )

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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1.1.2.9 Records documents & data as outcome of the process

All produced documents and records of this process will be handled according Q-1-2 and Q-1-5:

Following document coding, title and location


Retention time 7 years
HR retention time is long as employee employed
Location is in the respective department or determined department or archive for paper
according electronic database

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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1.2 Chemical & Waste Emergency ResponseQ-5-3 Internal


AuditXXXX Process Process

Q LEAD PROCESS : QUALITY

Q-5 MAIN PROCESS: PREPARE FOR EXTERNAL AUDIT

Q-5-3 PROCESS: Internal Audit

1.2.1 PROCESS Q-5-3


Internal Audit

1.2.2 Purpose
This process classify, manage and create guidelines how to identify, store, handle and
dispose chemical and scheduled wastes on a regular base.This process is checking the
degree of compliance all process in the company to ISO standards (9001, 14001 & 18001)To
ensure the degree of compliance of all process in the company are effectively implemented
and maintained according to ISO 9001, ISO 14001 and OHSAS 18001 standard.

1.2.3 Scope

1.2.4 All chemical and waste identified generated by Global Rail Sdn. Bhd.
Scope
Each round of
audit shall cover every department activities and process if necessary at least once a year.

1.2.5 References
ISO 9001: 201508
Clause XXX8.2.2 9.2 Internal Audit

ISO 14001:201504
Clause XXX4.5.59.2 Internal Audit

OHSAS 18001:2007
Clause XXXX4.5.54.5.5 Internal Audit

1.2.6 ResponsibilityAbbreviations
EOASST -
Environment OfficerAssistant
.
EMDC - Environment ManagerDocument Control

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ERPHR - Emergency Response PlanHuman Resources


IA - Internal Audit
ISO - International Organization for Standardization
MR - Management Representative
NCR - Non-Conformance Report
OHSAS - Occupational Health and Safety Assessment Series
PROC - Process
QAQC - Quality Assurance Quality Control
SHEQ - Safety, Health, Environment and Quality

1.2.7 Procedures

Q manager

Distribution List

Distribute Information about this process, train and review this process with:

Training or /Workshop: All Processes Owner, Internal Auditors

Inform: All Employees

1.2.8
RECORDS / PERSON
ITEM DESCRIPTION PROCESS FLOW / ACTIVITIES
FORMS INCHARGE

1.11.0 To create ERP as per law and


regulationPlanning
Internal Quality Audit shall be
conducted for at least once a year.

1.21.1
Draft of ERP include :
a) Review/improvement report
b) External advice & regulation

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Integrated Management System Manual
Date: 0405XX-
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System ManualInternal Audit P Process Owner: Q
(Quality Process)
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RECORDS / PERSON
ITEM DESCRIPTION PROCESS FLOW / ACTIVITIES
FORMS INCHARGE
c) Incident report
FORM-SHE- EOInfo
d) Identified access route 020N/A MR
e) Identified person in charge
and their responsibilities
N/A
f) Identified fire fighters
g) Identified first aiders
(1.2)
h) Identified all of the - Yearly
emergency materials and Internal Audit
equipment (spill kit Planning
especially for chemical spill) (1.3)
- Approved
i) Identified the chemical
Trained
response personnel
Auditor List
j) ERP Organization Chart
k) Emergency contact number
l) Finalized flow chart of the
procedure
Other information and items can be
included according process needs.
MR shall ensure the Internal Quality
Audit plan establish.

1.31.2 Draft is sent to EM for EMAsst.


review.Schedule shall be prepared MR / QAQC
and approved before generate the Engineer
details of audit program. The
schedule shall indicate the propose
month for the audit and the areas.

1.41.3 The draft is accepted. Therefore : EO / QE /


a) ERP is created DCMR /
b) EO to send ERP to Q and Asst. MR
DC for document
registration
Auditors are selected from amongst
the organizations staff. Only
qualified and trained auditors are
allowed to conduct the audit.
Training shall follow (PROC-HR-
001 : Training Process)

1.51.4 The draft is rejected. Therefore :


a) EO to find additional or EO / EMMR
external information. & Asst. MR
b) EO to make correction and _(1.4)

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RECORDS / PERSON
ITEM DESCRIPTION PROCESS FLOW / ACTIVITIES
FORMS INCHARGE
refer to certified consultant. - Internal
c) EO to resubmit the ERP to Audit
EM Program
Audit program shall be prepared and
approved by MR.

1.61.4. Create Training and Drill Material for


1 the corresponding ERP.Audit _N/A EOInfo
program shall covered :
Audit scope/areas
Audit date and time
Audit location
Lead auditor
Auditor/Audit team
Auditee

1.71.4. Conduct training :


2 a) To communicate with HR for
drill realization
b) To involve all of the staffs
including top management
c) To brief first each persons
responsibilities
d) To brief on the ERP
tentative N/A EOInfo
e) To ensure compliance to
ERP prepared
f) To ensure compliance to
law and regulation
g) If required, invite local
authorities for professional
advice.
The auditor shall be independent of
the area to be audited and not
having direct responsibility for that
area.

1.8 Conduct Drill EO

1.9 Drill accepted?

(1.5)
1.101.5 Drill is accepted. Therefore : - Notify by
Create drill report and include email or any EOAsst.
suggestions or comments for future others QAQC
improvement. method Manager /
Notify the auditor and auditee QAQC
regarding of the approved Audit Engineer
Program.

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Integrated Management System Manual
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RECORDS / PERSON
ITEM DESCRIPTION PROCESS FLOW / ACTIVITIES
FORMS INCHARGE

1.11 Drill is rejected. Therefore : EO


Back to 1.8 and repeat the process.

1.12 Circulate the report and hold post


mortem on the drill done. EO

1.13 Ensuring efficiency of training :

a) To communicate with HR
b) To have continuous training EO / HR
on the staffs
c) To evaluate staffs after 3
months

1.14 ERP shall be carried whenever there


are changes to the:-
a) New process (e.g. new
machinery/ activity);
b) New development or
modified activities; EO
c) New product and/ or
purchasing of any new
materials/ chemicals
d) Changes to the organization
building
e) New location of activity, and
f) Or at least once a year

1.15 ERP is to be updated. Back to


START. EO / EM

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RECORDS / PERSON
ITEM DESCRIPTION PROCESS FLOW / ACTIVITIES
FORMS INCHARGE

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Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 20 of 33
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This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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QQAQCENVXXXX-5003X

Process Workflow Structure

Workflow Description Responsible

Initiated by Q
INITIATING
Q Manager
PROCESS Audit at least once a year.

As basic input for the process executions following items are listed:

Internal auditor list

Internal audit checklist


INPUT Q Manager
Internal & external guidelines

Checklist

Other information and items can be included according process needs.

ACTION Schedule and invite internal auditors and process owner Q Manager

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
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Schedule confirmed ? (Y/N)

DECISION N: Reschedule Q Manager

Y: Go On

Need for external consultant ? (Y/N)

DECISION N: Go On Q Manager

Y: Select and invite for the process use C-1-1

Prepare for internal audit implementation


Q Manager
Audit Criteria:
PREPARE
AP
Audit is carried out base on the departmental procedure and ISO 9001, ISO
14001 as well as OHSAS 18001 standards.

Execute internal audit

Audit Method: Q Manager


ACTION
Carried out by observing, checking, questioning, listening AP

On a sampling basis on the activities audited.

ACTION Result report Q Manager

ARCHIVE Archive / Save on Database Q Manager

Existing Non Conformities ? (Y/N)

N: Go On ready for Audit


Q Manager
DECISION Y: Create list of deviations
AP, Q-2
>>> INITIATE NCR, CIP Q

ARCHIVE Archive / Save on Database Q Manager

Templates & Forms

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 23 of 33
QQAQCENVXXXX-5003X

Templates and Forms are given in (Address Link : Network/Signalling/Document Control/Internal Forms )

Records documents & data as outcome of the process

All produced documents and records of this process will be handled according Q-1-2 and Q-1-5:

Following document coding, title and location

Retention time 7 years

HR retention time is long as employee employed

Location is in the respective department or determined department or archive for paper

according electronic database

Q-5-4 Gap Analysis & Result Reporting

Q LEAD PROCESS : QUALITY GR

Q-5 MAIN PROCESS: PREPARE FOR EXTERNAL AUDIT GR

Q-5-4 PROCESS: Gap Analysis & Result Reporting GR

PROCESS Q-5-4

Gap Analysis & Result Reporting

Purpose

This process will report the result of internal audit and make analysis of it.

Scope

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 24 of 33
QQAQCENVXXXX-5003X

ISO

Reference

ISO 9001: 2008

Clause 8.2.2 Internal Audit

ISO 14001:2004

Clause 4.5.5 Internal Audit

OHSAS 18001:2007

Clause 4.5.5 Internal Audit

Responsibility

Q Manager

Distribution List

Distribute Information about this process, train and review this process with:

Training or /Workshop: All Processes Owner, Internal Auditors

Inform: All Employees

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 25 of 33
QQAQCENVXXXX-5003X

Process Workflow Structure

Workflow Description Responsible

INITIATING
Initiated by Q Q Manager
PROCESS

INPUT As basic input for the process executions following items are listed: Q Manager

Audit snag list

NCRs

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 26 of 33
QQAQCENVXXXX-5003X

Other information and items can be included according process needs.

ACTION Consolidate and prioritize list of NCR and deviations Q Manager

Review NCRs - accepted ? (Y/N)

DECISION N: Modify List and Priority of NCR Q Manager

Y: Go On

External Consultant necessary ? (Y/N)

DECISION N: Go On Q Manager

Y: select and Integrate into the management program

Create Report of Deviations and NCR


ACTION Q Manager
Create Correction and Corrective Action implementation plan

ARCHIVE Archive / Save on Database Q Manager

Review action plan o.k. ? (Y/N)

N: improve planning
DECISION Q Manager
Y: Go On

ACTION Final Implementation Plan Q Manager

PROCESS INITIATE: COM Q-2 to all AP Q Manager

ARCHIVE Archive / Save on Database Q Manager

Templates & Forms

Templates and Forms are given in (Address Link : Network/Signalling/Document Control/Internal Forms )

Records documents & data as outcome of the process

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 27 of 33
QQAQCENVXXXX-5003X

All produced documents and records of this process will be handled according Q-1-2 and Q-1-5:

Following document coding, title and location

Retention time 7 years

HR retention time is long as employee employed

Location is in the respective department or determined department or archive for paper

according electronic database

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 28 of 33
QQAQCENVXXXX-5003X

Q-5-5 Improve and Close Gaps

Q LEAD PROCESS : QUALITY GR

Q-5 MAIN PROCESS: PREPARE FOR EXTERNAL AUDIT GR

Q-5-5 PROCESS: Improve and Close Gaps GR

PROCESS Q-5-5

Improve and Close Gaps

Purpose

This process will review the internal audit report & analysis and make proposal for any corrective action before
the external audit and initiate the necessary steps to improve and become compliant.

Scope

ISO

Reference

ISO 9001: 2008

Clause 8.2.2 Internal Audit

ISO 14001:2004

Clause 4.5.5 Internal Audit

OHSAS 18001:2007

Clause 4.5.5 Internal Audit

Responsibility

Q Manager

Distribution List

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 29 of 33
QQAQCENVXXXX-5003X

Distribute Information about this process, train and review this process with:

Training or /Workshop: All Processes Owner, Internal Auditors

Inform: All Employees

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 30 of 33
QQAQCENVXXXX-5003X

Process Workflow Structure

Workflow Description Responsible

Q Manager
INITIATING
Q internal preparation process with impact on AP
PROCESS G

As basic input for the process executions following items are listed:

Corrective action
INPUT Q Manager
External updated & new standard

Other information and items can be included according process needs.

Q Manager
Implementation plan similar to WBS for all processes and procedures affected
PREPARE
by NCRs AP

DECISION Review Implementation Plan Preparation accepted ? (Y/N) Q Manager

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 31 of 33
QQAQCENVXXXX-5003X

N: Improve the implementation plan

Y: Go On

Q Manager
ACTION Implementation
AP

ACTION INITIATE: CIP Q-2 Q Manager

ACTION Progress report and Result Communication to Implementation Team Q Manager

ARCHIVE Archive / Save on Database Q Manager

Review progress and ISO compliance given ? (Y/N)

N: Back to Implementation
DECISION Q Manager
Y: Go On

ACTION Final Implementation Report Q Manager

PROCESS COM all processes ready for audit Q Manager

ARCHIVE Archive / Save on Database Q Manager

1.2.9

1.2.10 Records / Forms

FORM-IA-002 - Yearly Internal Audit Planning


FORM-IA-001 - Approved Trained Auditor List
FORM-IA-003 - Internal Audit Program
FORM-IA-004 - Internal Audit Checklist

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.
Integrated Management System Manual
Date: 0405XX-
(Quality Process)XXXXXXIntegrated Management 0805XX-20142017X
System ManualInternal Audit P Process Owner: Q
(Quality Process)
Doc. Coding No. : PROC-
Rev. No. : 0203 Page: 32 of 33
QQAQCENVXXXX-5003X

FORM-HR-003 - Attendance Sheet


FORM-IA-005 - Internal Audit Summary Report
FORM-SHEQ-014 - Non-Conformance Report
FORM-DC-026 - Non-Conformance Report Log Sheet

Templates & Forms

Templates and Forms are given in (Address Link : Network/Signalling/Document Control/Internal Forms )

Records documents & data as outcome of the process

All produced documents and records of this process will be handled according Q-1-2 and Q-1-5:

Following document coding, title and location

Retention time 7 years

HR retention time is long as employee employed

Location is in the respective department or determined department or archive for paper

according electronic database

This document is the property of Global Rail Sdn Bhd. No dissemination or use allowed without prior written permission.

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