CORRECTIVE ACTION
SCHOOL OF MEDICAL SCIENCES
UNIVERSITI SAINS MALAYSIA
MS ISO9001:2015
CORRECTIVE ACTION
(PPSP/QMS/CA)
Edition 1
Effective date: 1 January 2018
CONTENTS :
1. Aim
2. Scope
3. Reference
4. Definition
5. Abbreviation
6. Procedure
7. Flow Chart
8. Record
9. Appendix
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1. AIM
To ensure that actions are taken to correct the quality systems that affect the product and do not meet the specified requirements and to eliminate the cause of nonconformities to prevent recurrence.
2. SCOPE
This procedure is to be applied to all QMS activities and product that do not conform to the specified requirements.
3. REFERENCE
1. PGIS (PPSP/PG/IR1)
2. UGIS (PPSP/MD/ IR4)
3. Control of Record (PPSP/QMS/CR)
4. Internal Audit (PPSP/QMS/IA)
4. DEFINITION
Customers : refers to students, lecturers or patients that utilize services or products in PPSP in relation to teaching activities.
Product: Program Curriculum
Teaching materials: These are materials related to teaching and learning activities namely lecture notes, FLM, PBL Triggers , infrastructure (lecture halls, seminar rooms, laboratory /AVA facilities, etc) .
Services : Any service related to academic activities.
5. ABBREVIATION
HOD - Head of Department
HOU - Head of Unit
PF - Pengerusi Fasa
UGIS - Undergraduate Information system
PGIS - Postgraduate Information System
PC - Program chairman
BC - Block co-ordinator
PK - Departmental Quality Coordinator
DC - Departmental Document Controler
Cur - Curriculum Committee
JKPS - Jawatankuasa Pengajian Siswazah
TD - Deputy Deans
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6. PROCEDURE
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ACTIVITY
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RESPONSIBILITY
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6.1
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Review the nonconformities
6.1.1 Review the nonconformities obtained from:
a. Results of audit (internal & external)
b.Customer complaints
c. Results of examinations
d. Meeting (department / school / university)
e. Information System (UGIS and PGIS)
6.1.2. Record the nonconformities (according to the issues;Academic/Non academic ) using the CAF except for 6.1.1a (Nonconformities from any audits to be handled using NCR Form (PPSP/IA/NCR/07-2009/01).
6.1.3 Submit all the records to the relevant authorities for assessment status of non-conformities
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Staff
Staff
Staff
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6.2
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Identify the root causes of nonconformities
6.2.1 Discuss the respective matter according to the issues and determine the causes of nonconformitiers.
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PF/PC/AR/BC
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6.3
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Evaluate the need for action to ensure that nonconformities do not recur
Consider their causes:
6.3.1 recurrence/ long standing /complicated
6.3.2 new/simple, easily managed
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PF/PC/AR/BC/TDs
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6.4
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Determine and implement action needed
Performed corrective actions to ensure that nonconformities do not recur through the respective/relevant methods such as:
a. Direct & indirect encounter with the customers
b. Group teaching/revision
c. Remedial classes for students
d. Send reports/reminder through letter/electronic media to the identified source/ causative person/authority
e. Refer to relevant authorities
Note: for non-conformities in internal audit cases, refer to PPSP/QMS/IA
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PF/PC
HOD/HOU/
AR/BC/TDs
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6.5
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Record results of action taken
Fill in the CAF to record results of action taken (refer to PPSP/QMS/CR).
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AR/PF/PC/BC
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6.6
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Review effectiveness of corrective action taken
6.6.1 Evaluate corrective actions taken through:
a) Feedback from customers
b) Survey results
c) Exam/assessment results
d) Dialogue/meeting with relevant staff/customers
If not effective, re-evaluate and plan action
6.6.2. Discuss with the Top Management during MRM.
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HOD/HOU//TDs
PK/DC
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7. FLOW CHART : summary of corrective action
8. RECORD
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Document
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Registration no
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Storage
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Duration
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location
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Responsibility
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Borang Tindakan Pembetulan (CAF)
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PPSP/QMS/CA/CAF/R1
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10 years
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Respective dept/unit
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Document controller
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9. APPENDIX
9.1 Amendment Record (PPSP/QMS/CA/L1)
9.2 Borang Tindakan Pembetulan (CAF) (PPSP/QMS/CA/L2)
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