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GapAnalysisChecklist
ISO9001:2015Self-assessment
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Thegapanalysischecklistisoneofthefirsttoolsavailablefromtheauditor’stoolbox.Theself-assessmentquestionswillhelpyoutoidentifygapsbetweenyourexistingQualityManagementSystemandtherequirementsofISO9001:2015.
GapAnalysisChecklist
ISO9001:2015Self-assessment
TableofContents
Guidance
2
AboutthisChecklist
2
SummaryofKeyChanges
2
ProcessApproach
2
ContextoftheOrganization
2
ScopeoftheQualityManagementSystem
3
Leadership
3
RisksandOpportunities
3
ProductsandServices
3
ControlofExternallyProvidedProducts&Services
3
DocumentedInformation
3
Non-conformingProcesses
4
HowtoMaketheChanges
4
ExistingISO9001:2008Documentation
4
Self-assessmentChecklist
6
ContextoftheOrganisation
6
Leadership
8
Planning
10
Support
11
Operation
13
PerformanceEvaluation
16
Improvement
17
Guidance
AboutthisChecklist
ThisgapanalysischecklisthighlightsthenewrequirementscontainedinISO9001:2015,andisnotintendedtocoveralloftherequirementsfromISO9001:2015comprehensively.Theuniqueknowledgeobtainedaboutthestatusyourexistingqualitymanagementsystemwillbeakeydriverofthesubsequentimplementationapproach.Armedwiththisknowledge,itallowsyoutoestablishaccuratebudgets,timelinesandexpectationswhichareproportionaltothestateofyourcurrentmanagementsystemwhendirectlycomparedtotherequirementsofthestandards.
YourorganizationmayalreadyhaveinplaceanISO9001:2008compliantqualitymanagementsystemoryoumightberunninganuncertifiedsystem.Ifthisisthecase,youwillwanttodeterminehowcloselyyoursystemconformstotherequirementsISO9001:2015.Theresultsofagapanalysisexercisewillhelptodeterminethedifferences,orgaps,betweenyourexistingmanagementsystemandthenewrequirements.Notonlywillthisanalysistemplatehelpyoutoidentifythegaps,itwillalsoallowyoutorecommendhowthosegapsshouldbefilled.
Thegapanalysisoutputprovidesavaluablebaselinefortheimplementationprocessasawholeandformeasuringprogress.Trytounderstandeachbusinessprocessinthecontextofeachoftherequirementsbycomparingdifferentactivitiesandprocesseswithwhatthestandardrequires.Attheendofthisactivityyouwillhavealistofactivitiesandprocessesthatcomplyandonesthatdonotcomply.Thelatterlistnowbecomesthetargetofyourimplementationplan.
SummaryofKeyChanges
ProcessApproach
TheprocessapproachwaspromotedbyISO9001:2008andisnowarequirementinitsownright,whichsetsoutthespecificrequirementsfortheadoptionofaprocessapproach.
ContextoftheOrganization
Anewclauseandsubclausesarebeingintroducedrelatingtothecontextoftheorganization.Yourorganizationisnowrequiredtoidentifyandassesallinternalandexternalissuesthatcouldimpactuponyourqualitymanagementsystem’sabilitytodeliveritsintendedresults.Youwillneedtodevelopamethodologytounderstandtheneedsandexpectationsofallinterestedparties.
ScopeoftheQualityManagementSystem
Greateremphasishasbeenplacedonthedefinitionofscopeofthequalitymanagementsystem.Thescopeofqualitymanagementsystemshouldbedeterminedinconsiderationtoyourorganization’scontext.
Leadership
ThepreviouslytitledManagementResponsibilityfromISO9001:2008hasbeenreplacedwith‘Leadership’.Topmanagementarenowrequiredtobeactivelyinvolvedintheoperationofthequalitymanagementsystem.Theremovaloftheroleof‘managementrepresentative’reinforcesaneedtoseethequalitymanagementsystemembeddedintoroutinebusinessoperations,ratherthanoperatingasanindependentsysteminitsownrightwithitsowndedicatedmanagementstructure.
RisksandOpportunities
AllreferencestopreventiveactionhavebeenremovedfromtheISO9001:2015andreplacedwithClause6.1-ActionstoAddressRisksandOpportunities.Yourorganizationisnowrequiredtodetermine,considerand,wherenecessary,takeactiontoaddressanyrisksoropportunitiesthatmightimpactyourqualitymanagementsystem’sabilitytodeliverconformance,orwhichmightadverselyimpactcustomersatisfaction.
ProductsandServices
Theterm‘product’isbeingreplacedby‘productsandservices’.Byincludingspecificreferencetoservicesaswellasproducts,ISO9001:2015reinforcestheideathatqualitymanagementsystemsareapplicabletoalltypesofbusinessandnotjusttoaremanufacturingorsupplyingproducts.
ControlofExternallyProvidedProducts&Services
ISO9001:2008Clause7.4–Purchasinghasbeenreplacedwithclause8.4‘Controlofexternallyprovidedproductsandservices’.Thisclauseaddressesalltypesofexternalprovision,purchasingfromasupplier,orthroughtheoutsourcingofprocesses.Yourorganizationisnowrequiredtotakearisk-basedapproachtodeterminethetypeandextentofcontrolsthatareappropriateforeachexternalproviderandalloutsourcedprocesses.
DocumentedInformation
Requirementsforadocumentedqualitymanual,documentedproceduresandrecordshavebeenremovedandreplacedwiththeterm‘DocumentedInformation’.Thisistheinformationyourorganizationisrequiredtocontrol,retainandmaintain.
Non-conformingProcesses
TheControlofnon-conformingproductsnowincludesnon-conformingprocesses.Yourorganizationisnowrequiredtoevaluatewhetheraprocessisnotconformingtoplannedarrangementsand,wherenecessary,investigatethecauseandtakeactiontopreventrecurrence.
HowtoMaketheChanges
PurchasecopiesofISO9000:2015andISO9001:2015.Readthembothandmakeyourselffamiliarwiththeirlanguageandconcepts.Althoughitiswritteninadense,formallanguage,theclausetitlesinISO9001:2015arefairlyself-explanatory.WesuggestthatyouusethefamiliarPlan-Do-Check-Act(PDCA)methodologytomanageyourorganization’stransitionfromtheoldtothenewrequirements.Thefollowingguidanceprovidesninesimplestepstomakethetransition,usingthePDCAapproach:
Plan:UndertakeagapanalysistounderstandhowtherequirementsaffectyourQMSandthenpreparethetransitionplanbasedontheresults.
Do:ImplementthetransitionplanbyensuringthatthenewrequirementsareembeddedintoyourQMSandyourprocesses.
Check:Evaluatetheeffectivenessofthenewlyimplementedaspectsbyperformingafullsystem(element)audit,reviewthefindingsandimplementanycorrectiveactions.
Act:TakeactiontoaddresstransitionanyproblemsandimprovetheQMSbeforebeginningprocessauditing.
ExistingISO9001:2008Documentation
Theextentofthedocumentedinformationwilldifferfromyourorganizationtoanotherbecauseoftothesizeoforganizationanditsactivities,processes,productsandservices;thecomplexityofprocessesandtheirinteractions,andthecompetenceofpersonnel.InISO9001:2008,thequalitymanualhelpedtoestablishanddocumenttheframeworkofyourorganization'squalitymanagementsystemwhilearticulatingthoseaspectsoftheQMStoanyinterestedparties.
WhilethereisnorequirementforaqualitymanualoranydocumentedproceduresinISO9001:2015,itissuggestedthatiftheyaddvalue,thentheyshouldnotsimplybebinned.YouwillbeexpectedtomaintaintheintegrityoftheQMSduringthetransitionprocess.Youdonotneedtorenumberyourexistingdocumentationtocorrespondtothenewclauses.Itisdowntoeachorganizationtodeterminewhetherthebenefitsgainedfromrenumberingwillexceedtheeffortinvolved.
Neitherdoyouneedtorestructureyourmanagementsystemtofollowthesequenceofandtitlesoftherequirements.ProvidingalloftherequirementscontainedinISO9001:2015aremet,yourorganization’squalitymanagementsystemwillbecompliant.
Ifyourqualitymanualfitsyourbusinessandyourcustomersrequireit,keepit!
Ifyourproceduresareeffectiveanddefinehowyourkeyprocessesoperate,keepthem!
Ifthequalitypolicyandrelatedobjectivesalignwithbusinessstrategy,andtheyarecommunicatedandaddingvalue,keepthosetoo!
Thetypeandextentofdocumentedinformationthatyourorganizationshouldretainandmaintain,inordertobecompliantwithISO9001:2015,clearlydependsonthenatureofyourorganization’sproductsandprocesses.ThefollowingcriteriacanbeusedtoassessthedifferenttypesofISO9001:2008documentsandinformationthatyourorganizationshouldretainandmaintainasdocumentedinformationbydeterminingwhethertheinformation:
Communicatesamessageinternallyorexternally;
Providesevidenceofprocessandproductconformity;
Providesevidencethatplannedoutputswereachieved;
Providesknowledgesharing.
Ifanyoftheabovecriteriaapplytoanytypeofdocumentorinformationwithinyourorganization'sdomain,thenitshouldberetainedandmaintainedasaformof'documentedinformation'asperClause7.5ofISO9001:2015.
Self-assessmentChecklist
ContextoftheOrganisation
Ref
GapAnalysisQuestion
Finding
ImplementationPlan(ifNo)
Yes
No
ISOClause
ProcessOwner
ActionNeeded
DatePlanned
DateActual
1
Haveallexternalandinternalissuesthatarerelevanttoyourorganisation’spurposeandtheachievementofcustomersatisfactionandtheorganisation’sstrategicdirectionbeendetermined?
2
Aretheseissuesreviewedandmonitoredonaregularbasis?
3
HavetheneedsandexpectationsofinterestedpartiesthatarerelevanttotheQMSbeendetermined?
4
WasthescopeofyourQMSdeterminedwhilsttakingintoaccountofalltheexternalandinternalissues,theneedsofinterestedpartiesandthescopeyourproductsandservices?
5
IsyourQMSestablished,anddoesitincludeadescriptionoftheprocessesrequiredandtheirsequenceandinteraction?
6
Havethecriteriaformanagingtheseprocessesandtheirinteractionbeenestablished?
7
Haveallresponsibilities,methods,measurementsandrelatedperformanceindicators,neededtoensuretheeffectiveoperationandcontrol,beenestablished?
Leadership
Ref
GapAnalysisQuestion
Finding
ImplementationPlan(ifNo)
Yes
No
ISOClause
ProcessOwner
ActionNeeded
DatePlanned
DateActual
8
HastopmanagementtakenaccountabilityfortheeffectivenessoftheQMS?
9
HavethepolicyandobjectivesfortheQMS,whicharecompatiblewiththestrategicdirectionoftheorganisation,beenestablishedandcommunicated?
10
Havetheobjectivesbeenestablishedatrelevantdepartmentalandindividuallevelswiththebusiness?
11
HavetherequirementsfortheQMSbeenintegratedintothebusinessprocessesandhavemanagementpromotedawarenessoftheprocessapproach?
12
Havecustomerrequirementsandapplicablestatutoryandregulatoryrequirementsbeendetermined,metandcommunicatedthroughouttheorganisation?
13
HavetherisksandopportunitiesthatarerelevanttotheQMSbeenestablished?
14
HastheorganisationestablishedandcommunicatedtheresponsibilitiesandauthoritiesfortheeffectiveoperationoftheQMS?
Planning
Ref
GapAnalysisQuestion
Finding
ImplementationPlan(ifNo)
Yes
No
ISOClause
ProcessOwner
ActionNeeded
DatePlanned
DateActual
15
HavetherisksandopportunitiesthatneedtobeaddressedtogiveassurancethattheQMScanachieveitsintendedresult(s)beenestablished?
16
Hastheorganisationplannedactionstoaddresstheserisksandopportunitiesandintegratedthemintothesystemprocesses?
17
IsthereadefinedprocessforthedeterminingtheneedforchangestotheQMSandmanagingtheirimplementation?
Support
Ref
GapAnalysisQuestion
Finding
ImplementationPlan(ifNo)
Yes
No
ISOClause
ProcessOwner
ActionNeeded
DatePlanned
DateActual
18
Hastheorganisationdeterminedandprovidedtheresourcesneededfortheestablishment,implementation,maintenanceandcontinualimprovementoftheQMS(includingpeople,environmentalandinfrastructurerequirements)?
19
Ifmonitoringormeasuringisusedforevidenceofconformityofproductsandservicestospecifiedrequirements,hastheorganisationdeterminedtheresourcesneededtoensurevalidandreliablemonitoringandmeasuringofresults?
20
Hastheorganisationdeterminedtheknowledgenecessaryfortheoperationofitsprocessesandachievementofconformityofproductsandservicesandimplementedalessonslearntprocess?
21
HastheorganisationensuredthatthosepersonswhocanaffecttheperformanceoftheQMSarecompetentonthebasisofappropriateeducation,training,orexperienceortakenactiontoensurethatthosepersonscanacquirethenecessarycompetence?
22
HasthedocumentedinformationrequiredbythestandardandnecessaryfortheeffectiveimplementationandoperationoftheQMSbeenestablished?
Operation
Ref
GapAnalysisQuestion
Finding
ImplementationPlan(ifNo)
Yes
No
ISOClause
ProcessOwner
ActionNeeded
DatePlanned
DateActual
23
Isthereadefinedprocessfortheprovisionofproductsandservicesthatmeetrequirementsdefinedbythecustomer?
24
Whenchangesareplannedaretheycarriedoutinacontrolledwayandactionstakentomitigateanyadverseeffects?
25
Areanyoutsourcedprocessesmanagedandcontrolled?
26
Isthereadefinedprocessforreviewingandcommunicatingwithcustomersinrelationtoinformationrelatingtoproductsandservices,enquiries,contractsororderhandling?
27
Isthisreviewconductedpriortotheorganisation’scommitmenttosupplyproductsandservices?
28
Ifyoudesignanddevelopproductsorservices,aretheseprocessesestablishedandimplementedinlinewiththerequirementsofthestandard?
29
Doyouensurethatexternallyprovidedprocesses,products,andservicesconformtospecifiedrequirements?
30
Doyouhavecriteriafortheevaluation,selection,monitoringofperformanceandre-evaluationofexternalproviders?
31
Istheprovisionofproductsandservicescarriedoutincontrolledconditionswhichinclude:
theavailabilityofdocumentedinformationthatdefinesthecharacteristicsoftheproductsandservices;
theavailabilityofdocumentedinformationthatdefinestheactivitiestobeperformedandtheresultstobeachieved?
monitoringandmeasurementactivitiesatappropriatestagestoverifythatcriteriaforcontrolofprocessesandprocessoutputs,andacceptancecriteriaforproductsandservices,havebeenmet?
thepeoplecarryingoutthetasksarecompetent?
32
Doyouhaveeffectivemethodsofensuringtraceabilityduringtheoperationprocess?
33
Wherepropertybelongingtocustomersorexternalprovidersisusedintheprovisionoftheproductorservice,isthiscontrolledeffectively?
34
Ifthereisarequirementforpost-deliveryactivitiesassociatedwiththeproductsandse
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