Professional Documents
Culture Documents
System: QMS ISO 9001 (2008)
Assessment Report/Checklist
Form 009
CLIENT‐ORGANIZATION (NAME): National Brain Mapping Laboratory
North Karegar Ave., After Jalal Highway, College of
PHYSICAL LOCATION(s):
Engineering, Tehran, Iran
Stage II Audit Date(s): 24 Aug 2016
Stage I Audit Date(s): 15 Aug 2016
NAICS (or NACE) CODE 86.9
EXCLUSIONS:
7.3‐7.5.2
Assessment objectives: Third party assessment of requirements of QMS ISO
9001 (2008), is met in companies management system, as
well as legal requirements
ASSESSMENT TEAM INFORMATION
Assessment Team Leader, ATL Gita Zarsazi
Assessor 2 Mastoore Azari(TE)
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.
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).
Presenting Knowledge‐based Neuro‐Imaging, Signaling and Stimulation Services
2 Scope of activities:
for Brain Mapping Research.
BRSM requires that the organization’s legal obligations and regulatory are met. Technical
Legal status supervisor is main responsible for executing and monitoring of these regulations
ok
3
Obligatory applicable standard which
organization has to follow
Moh regulations
4 Quality Management System
sample of organization processes: 'order throw receipt', with process
Indicator/index: 'service time', acceptance level/criteria: 'according to order',
Quality Management Owner of the Process: 'Dr. Ay', and 'customer' is input to this process. Output form
4.1 this process is used in 'customer' .next process is 'purchasing', with process Ok
System
indicator/index: 'conformity purchase', acceptance level/criteria: 'Min: 90%', Owner
of the Process: 'Mr. Tayeb', and 'warehouse' is input to this process . Output form
this process is used in 'warehouse' .next process is 'PM', with process
indicator/index: 'active device days', acceptance level/critteria: 'Min: 90%', Owner
of the Process: 'Dr. Hosseinzadeh', and 'order throw receipt' is input to this process .
Output from this process is used in 'order throw receipt' .The structure of the
documentation is compatible with standard requirements regarding size and
Documentation requirements OK
complexity of organization. the Quality Manual: Q7‐1‐0 is in place, Quality
Objectives: G7‐3‐1 and Policy: O7‐1‐0 backed with documented procedures and
work instructions/SoPs, control forms and planning records, as well as Regulatory
documents , such as; '' are in place.
Clause observation
record control procedure was reviewed during assessment with Document ID: W7‐
2‐0, Revision and Date: 00, Jul 2016 Approved by: Dir. Ay. Record control has
following features; method of identification: ok and obsolete seal stamp. Method of
defining distribution: distribution table in master list. Method of retrieving of
4.2.4 Control of Records records: hard/soft copy archive. Method of disposing of records: when a new record OK
is in place the old one is collected and torn. all samples reviewed records wre
Legible and Readily identifiable. As evidence records of project reception form seen
issued at: 95‐5‐2 which is kept in hard copy archive.
5 Management responsibility
the Top Management, Dr. Ay has communicated to the organization the importance
Management of meeting customer as well as statutory and regulatory requirements, through
5.1,2 policy, objectives and providing resources
Commitment/Customer Focus
5.4 Quality Objectives OK
based on the evidences that top management is committed, it proves that
top 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:G7‐1‐0, to meet
5.5.1 Responsibility and Authority
IMED regulations a Technical Expert has been appointed as Technical Supervisor.
Top Management has appointed Mr. Mazloominas 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 OK
Clause observation
management on the performance of the quality management system and any need
5.5.2 Management Representative for improvement , promotion of awareness of regulatory and customer
requirements throughout the organization., Internal communications are mostly;
verbally, Face to Face, In writing, Via automation/email, The communication is
5.5.3 Internal Communication effective and efficient according to the complications and size of organization.
5.6 Management review
The latest management review was conducted on 95/02/20Records of
Management review minute observed, Management review was recorded in
5.6.1 Management review 1. Participants in the latest Management review session: Dr. Ay and Dr.
ghadiri and Dr. hosseinzade and Mr. mazloomin.all inputs to management
review were reviewed such as Customer feedback, service conformity, Status
of preventive and corrective actions, Follow‐up actions from previous
OK
management reviews, changes and improvements and regulatory updates.
5.6.2 Review input
Following items has been significant outputs of Management review:
preparation of "teamyar" ERP software. 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 Human
6.1 Provision of Resources
resource procedure with Document ID of W6‐1‐0, Version:00 issued in Jul
2016 , approved by Dr. Ay. records of qualifications and competence needed
6.2 Human Resources
for positions affecting quality observed during audit; competency needs L9‐4‐
0. records of trainings conducted for positions affecting quality observed
during audit; Training plan F6‐2‐0. records of trainings evaluations for
training conducted observed during audit; evaluation training form F6‐4‐0.
6.2.1 responsibilities
The organization keeps the educational records of staff affecting quality,
Type of Record: college degree. The organization keeps the Training records
of staff affecting quality, Type of Record: Training Certificates. The NC
organization keeps the Experience and skills records of staff affecting quality,
Type of Record: Resumes. Name of the staff profile reviewed , baradarian,
Position: technical QC. Training was planned but no record was provided
that the training has been conducted in the planned dates. Training was
6.2.2 mpetence, Awareness, and Trai nplanned but no record was provided that the training has been conducted in
the planned dates. There is no any personnel training records
Clause observation
Preventive maintenance of machines affecting quality is directed by PM
work instruction with Document ID of W2‐1‐0, Version:00 issued in Jul 2016
, approved by Dr. Ay. Records of Planned maintenance and services needed
for Machines affecting quality observed during audit; MAINTENANCE PLAN
L2‐1‐0. Records of services and repairs done for Machines affecting quality
observed during audit; MRI Daily check list F2‐2‐0. Each machine has a
record of the history of repairs and services done for it recorded in repair
log.Each machine is identified when are out of work recorded in Repair tag.
Sample of Machines taken as evidence during audit. Name of the
machine/device reviewed: MRI, Machine ID: no ID. This machine/device is
used for Brian imaging. Planned Services considered for this machine
6.3 Infra structure observed during audit: Helium level, Planned intervals: every 1 days. OK
Records of repairs done in 95‐5‐5, observed during audit: water pressure.
Name of the machine/device reviewed: EEG, Machine ID: no ID. This
machine/device is used fo brian signaling. Planned Services considered for
this machine observed during audit: headset power bank charging, Planned
intervals: every 1 month. Name of the machine/device reviewed: TMS,
Machine ID: no ID. This machine/device is used for brain stimulation.
Planned Services considered for this machine observed during audit: cable
visual control, Planned intervals: every 1 month.
7.2 Customer‐Related Processes
Clause observation
The company reviews the service requirements through formal
documented communications with customer. The documented
record observed during assessment for service requirement was;
order no.:
1, dated 95‐5‐13, for customer: Mrs. Shirvalilo, sample of requested service
requirements: MRI, and also The company reviews the service requirements
Review of requirements through informal communications or verbally with customer. according to F1‐
7.2.2 OK
related to the service/service 18‐0 ID.: 1 date: 95.5.13:
all Org. requirements for acceptance the project reviewed by MRI's
Technical Exp. (Mrs. Karimi) Including:
quantity, times, kind of animals, kind of projects, equipment needs, time
table and …, Where service requirements are changed, the organization
properly ensures that relevant documents are amended and that relevant
personnel are made aware of the changed requirements.
The organization effectively communicates with customers in relation to
7.2.3 Customer Communication service information, for feedback from clients and complaints, please refer ok
to 8.2.1, for advisory notice refer to 8.5.1
7.3 Design and Development
Design and Development Excluded
7.3.1 E
Planning
Design and Development Excluded
7.3.2 E
Inputs
Design and Development Excluded
7.3.3 E
Outputs
Design and development Excluded
7.3.4 E
review
Design and development Excluded
7.3.5 E
verification
Design and development Excluded
7.3.6 E
validation
Control of design and Excluded
7.3.7 E
development changes
7.4 Purchasing
Clause observation
The organization has established documented procedure to ensure that
purchased service conforms to specified purchase requirements in;
Purchasing control, with Document ID: P4‐1‐0, approved by Dr. Ay, Date; Jul
2016. The organization evaluates and selects suppliers based on their ability
to supply service 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 6
months, and suppliers, in grade: 'B' every 6 months, and suppliers, in grade:
'C' every 6 months, Latest suppliers’ evaluation has been done in 95.5. ,
7.4.1 Purchasing Process OK
Records of suppliers' evaluation were provided in purchase dept. Sample of
criteria: quality ‐ fee ‐ delivery ‐ train ‐ . Supplier’s acceptance criteria; 0.72.
Sample suppliers evaluation observed during audit; miaad net, results of
evaluation for this supplier: 24. Sample observed; technic pardaz, results of
evaluation for this supplier: 22. Sample observed; Mr. Ekrami, results of
evaluation for this supplier: 68. , NC observed, some supplier was not
evaluated, e.g.: siemens
7.5 Serviceion and Service Provision
Information that describes the characteristics of the service, are available ,
Documented procedures, documented requirements, work instructions, and
reference materials and reference measurement procedures as necessary
Serviceion and Service are available, for The implementation of monitoring and measurement
7.5.1 please refer to 7.6 and 8.2. The labeling record provides data on amount OK
Provision
manufactured and amount distributed. as for 120 to 150 times MRI services
, amount manufactured is: 0 , amount distributed is: 0
7.5.2
Validation of processes for excluded
7.5.2 OK
serviceion and service
Clause observation
7.5.3 identification and The organization has identified the service throughout service ok
traceability realization, and established documented procedure. Document name:
Order throw receipt, Document code/version: P1‐1‐1, Approved by:
Dr. Ay, Dated: Jul 2016. The organization identifies
services/parts/material by 'Reception ID'. Each customer report is
identified of status. The organization has established documented
procedures for traceability, it defines the extent of service
Traceability and the records required. Document name: Order throw
receipt, Approved by: Dr. Ay. Organization controls and records the
Unique identification of the service. Sample service taken: 'Mrs.
Shirvaliloo project', Reception ID: 1, Date produced: 95.5.13. Each
report is traceable to MRI device, shift: , The organization identifies
the service status with respect to monitoring and measurement
requirements. The identification of service status is maintained
throughout whole processes to ensure that only service that has
passed the required inspections and tests by authorized staff is
dispatched to customers.
8 Measurement, analysis and improvement
The organization plans and implements the monitoring, measurement,
analysis and improvement processes needed. which includes; conformity of
the service, conformity and effectiveness of the quality management
system, it also includes of use of analytic statistical techniques. Documented
8.1 General procedures for implementation and control of the application of statistical OK
techniques is 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
8.2.1 customer satisfaction OK
Feedback, Procedure code: W7‐12‐0, Approved by: Dr. Ay, Dated: Jul 2016.
Source of customer requirements fulfillment monitoring: complaints and
satisfaction.
Clause observation
The responsibilities and requirements for planning and conducting audits,
and reporting results and maintaining records is provided in a documented
procedure. Procedure name: Internal audit, Procedure code: W7‐4‐0,
Approved by: Dr. Ay, Dated: Jul 2016. The organization conducts internal
audits at planned intervals. Records observed in: audit plan for 1395. Internal
audits are conducted every 6 Months. Latest internal audit was conducted in
8.2.2 Internal audit 95‐05. Latest internal audit was conducted by Mr. mazloomin, Dr. Ay. OK
Auditors did not audit their own work.sample of NCs observed in the report:
PM planning. Corrective action followed up after the NCs raised, CAR no. 2
for PM planning recording. Internal audit has been recorded in: internal audit
Checklist.
Clause observation
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: Analysis of data, Procedure code: P12, Approved by:
tadayon, Dated: Jun‐2016. Records of the results of the analysis of data
observed. Records observed in: data analysis report. Process name: 'order
8.4 Analysis of data throw receipt', , Process index: 'service time', Process criteria: 'according to OK
order', Process outcome/result: '"0" delay'. Process name: 'purchasing', ,
Process index: 'conformity purchase', Process criteria: 'Min: 90%', Process
outcome/result: '100%'. Process name: 'PM', , Process index: 'active device
days', Process criteria: 'Min: 90%', Process outcome/result: '100%'.
8.5 Improvement
The organization has established documented procedures for the issue and
Implementation of advisory notices. Records of all customer complaint
investigations are maintained .Records of complaint investigation observed
8.5.1 continual improvement in: no record. Corrective action taken: . The organization has established OK
documented procedures for notification of adverse events to regulatory
authorities.
FORM‐009_V4_QMS MDD Issued: July 9, 2003 Revised: March 2013 11 of 1
Clause observation
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
khowlede worker internal Communication
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:
* there is no any personel training records
* some supplyer was not evaluaed, e.g.: siemens