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Whittington Newsletter )
QMS, EMS, Information Security, and Six Sigma January 2007
In this Issue
  1. How to Audit an Internal Audit Program
  2. Avoiding Workplace Safety Complacency
  3. QMS Customer Satisfaction Survey
  4. The Ultimate Satisfaction Question
  5. Class Schedule

Greetings!

Welcome to the Whittington & Associates e-Newsletter! Visit and bookmark our web site.

Our newsletters provide guidance on ISO 9001, AS9100, ISO 13485, ISO/TS 16949, TL 9000, ISO 14001, ISO 27001, ISO 20000, and related ISO standards, as well as, Six Sigma.

If you have any questions about the articles appearing in this issue, or you want to suggest topics for future issues, please let us know.


How to Audit an Internal Audit Program

How do you audit an internal audit program? Lets begin by reviewing the definition of an audit from ISO 9000:2005, Fundamentals and Vocabulary, clause 3.9.1. An audit is:

“a systematic, independent, and documented process for obtaining audit evidence and evaluating it objectively to determine the extent to which audit criteria are fulfilled.”

In other words, an audit is a planned, organized, and documented set of activities performed by impartial and objective auditors. The audit process collects evidence from an area to evaluate conformity to the applicable requirements. Audit evidence is factual, not based on opinion or hearsay.

The sources of audit evidence are:

  1. Statements (noted during audit interviews)
  2. Observations (made watching the activities)
  3. Documents (reviewed before and during the audit)
  4. Records (examined to evaluate past conformity)
The primary audit criteria are:
  1. Standard (e.g., ISO 9001:2000)
  2. Company (organization’s requirements)
  3. Customer (as expressed in contracts and orders)
  4. Legal (from statutes and regulations)
According to ISO 9001:2000, clause 8.2.2, internal audits must be conducted at planned intervals to determine if the quality management system conforms to planned arrangements, requirements of the standard, and requirements of the organization.

In addition, internal audits must verify that the quality management system has been “effectively” implemented and maintained. The responsibilities and requirements for planning audits, conducting audits, reporting results, and maintaining records must be defined in a documented procedure.

An audit program includes all the activities needed to plan, organize, and conduct the scheduled audits. The audit program must be planned to consider the status and importance of the areas to be audited, as well as, the results of prior audits.

The audit criteria, scope, frequency, and methods must be defined. Auditors must be selected to carry out impartial and objective audits. This doesn’t mean that you must show organizational independence, just that auditors can’t audit their own work.

Management must ensure that corrective actions are taken without undue delay to eliminate the detected nonconformities and their causes. Follow-up activities must verify that the actions were implemented and report the results.

ISO 9004:2000, Guidelines for Performance Improvements, clause 8.2.1.3, suggests that an organization:
  • Establish effective and efficient internal audits
  • Assess strengths and weaknesses of the QMS
  • Use as management tool for independent view
  • Obtain objective evidence that requirements met
  • Judge effectiveness and efficiency of organization
  • Ensure improvement actions are taken on results
  • Establish flexible audit plans for internal audits
  • Permit changes in emphasis based on evidence
  • Develop plans with input from areas to be audited
  • Consider planning input from interested parties
ISO 9004:2000 also recommends internal audits assess the following subjects:
  • Effective and efficient process implementation
  • Opportunities for continual improvement
  • Capability of processes
  • Effective and efficient use of statistical techniques
  • Use of information technology
  • Analysis of quality cost data
  • Effective and efficient use of resources
  • Process and product performance results
  • Performance measurements: adequacy and accuracy
  • Improvement activities
  • Relationships with interested parties
And, when reporting the audit results, ISO 9004:2000 suggests you share evidence of excellent performance, provide opportunities for recognition, and motivate people.

Remember, these are guidelines, not requirements. A nonconformity report can only be written against a requirement of the standard. However, the absence of a suggested audit practice may identify an opportunity for improvement to include in your audit report.

So, an audit of an internal audit program should be able to answer questions such as:
  • Are scheduled audits conducted as planned?
  • Are all functional areas and shifts being audited?
  • Are the auditors competent and impartial?
  • Do audit reports show the audit procedure is followed?
  • Is the audit schedule adjusted based on past audit results?
  • Is more audit attention given to the high risk areas?
  • Do audits examine both conformity and effectiveness?

Avoiding Workplace Safety Complacency
Safety

Every day in the United States, 15 workers on average lose their lives as a result of injuries or illnesses related to their work. These people leave behind families, friends, and co-workers. The single most common cause is complacency - an attitude that "it won't happen to me."

Too often individuals and companies become complacent when it comes to safety. Managers are satisfied with mediocre safety performance and do not work to improve the environment by raising safety awareness and eliminating the potential for injury. Employees are content and are not attentive to their work environments. They become convinced that management is not concerned about safety. They begin to think they are not responsible for their own safety. Over time, the entire organization gives little meaningful attention to safety.

The result is that employees begin to get in a hurry and take shortcuts on the job. They are more focused on production and getting the job done than getting it done safely. That attitude becomes an organizational norm. Near misses go unreported. No one wants to take the time to fill out forms and employees don't understand the connection between sharing information and eliminating injuries. Managers do not pay attention to reports, so they become unimportant. The number of injuries increases and they become more severe. Everyone becomes frustrated. Employees blame management and management blames employees, yet no one is willing to take action to improve the situation. Unfortunately, it often takes a fatal injury to cause everyone to focus on safety. Don't let this happen to your organization.

Don't Become Distracted By Pressing Issues
Research shows that many incidents occur because people are distracted and do not pay attention to their environment and what is going on around them. Managers often fall into the same trap - they become distracted by pressing issues such as the organization's need to increase productivity, improve quality, and raise profits. They stop paying attention to the importance of safety in the organization and become blinded to the fact that the lack of attention to safety performance is injuring the organization in the long run. In other words, they become complacent.

When managers and supervisors do not make safety a top priority in the organization, it is easy for employees to make personal safety a low priority. Then incidents and injuries occur with increasing frequency. There are two things that must happen to avoid this potentially deadly situation:

1. Managers must renew their commitment to the safety process.
2. Employees must get involved in meaningful safety activities.

Managers - Get Committed!
It takes more than just saying you are committed to safety - you have to put actions behind your words. Managers can demonstrate their commitment to safety in a number of ways. First and foremost, managers must follow the company's safety rules. Then, regularly attend safety meetings. Also, consider the following ideas:

  • Take time to walk around and talk to employees
  • Make it a point to personally review all reports of near misses and injuries
  • Integrate safety into all aspects of management planning
  • Enable employees to get involved in the safety process
Managers at all levels of the organization can have a profound effect on the safety culture of an organization by following these suggestions. Once they see their supervisors and managers taking safety seriously, employees in turn will be more committed than ever. And, nothing energizes an organization's safety improvement efforts more than employee involvement.

Get Employees Involved
First, make employees aware of how they can get involved in the safety process. Involvement can come in many different forms. Encourage employees to get involved in:
  • Reporting all unsafe conditions
  • Attending safety meetings
  • Serving on employee safety committees
  • Planning and leading a safety meeting
  • Participating in incident investigations and facility walk-throughs
  • Engaging in conversations with management to share improvement ideas
Employees whose ideas and involvement are valued will increase safety performance faster than employees who are just simply following the rules. Create opportunities for employees to contribute ideas and information that will lead to safety improvement.

Stamp out Complacency
To create a culture in your organization where injuries are a thing of the past, remind everyone that complacency is a dangerous thing - it's a killer. Find ways to generate interest in finding ways to make safety improvements. Create motivation for positive change in the organization by believing that it's possible to have zero injuries in your organization and communicating that belief to employees. Show employees the relevance of working safe to their jobs, careers, paychecks, and, most importantly, their families. This will create an environment where everyone at every level in the organization will increase their commitment and their involvement in making the workplace injury-free. The result is that everyone can go home every day to their families without injury.

This article was summarized from an article by Deb Porter at The Sideroad.

QMS Customer Satisfaction Survey

The Independent Association of Accredited Registrars (IAAR) is an association of accredited management system registrars operating in North America. The results of their satisfaction survey on the reasons for, and benefits of, quality management standards are posted at their web site.

When asked if their present certification had been a positive experience, 96% said yes. More than 2500 customers responded to questions such as:

Select the one main reason your organization obtained certification to a quality management standard.

Improve quality 14%
Reduce cost 1%
Risk management 1%
Customer mandate 29%
Corporate mandate 9%
Legal reasons 1%
Competitive pressure or advantage 17%
Implementation and control of best practice 10%
Continual improvement based on customer requirements 16%
Other 4%
Total 100%

To see the complete survey results, go to the IAAR Web Site.

The Ultimate Satisfaction Question

Have your customers quit responding to your lengthy satisfaction surveys? Are your response rates too low for adequate analysis and action?

Well, you can’t just give up. You need to know what your clients are thinking. And, you also need to meet the requirements expressed in ISO 9001:2000, clause 8.2.2, Customer Satisfaction.

Fortunately, there is a simpler way of surveying your customers. A measurement tool, called Net Promoter Score (NPS), uses only one question:

On a scale of 1 to 10, how likely is it that you would recommend our company to a friend or colleague?

A study by Satmetrix Systems, in partnership with Fred Reichheld of Bain & Company, determined this single loyalty question can judge individual customer purchase and referral patterns across seemingly disparate industries.

If customers reported they were likely to recommend a particular company to a friend or colleague, then these same customers were also likely to actually repurchase from the company, as well as, generate new business by referring the company by word-of mouth.

If customers reported they were not likely to recommend a company, they were also less likely to engage in actual repurchase or referral behaviors. To see a white paper published on this study, go to the Satmetrix Systems web site.

Ultimate Question
One simple question - Would you recommend us to a friend or colleague? - allows companies to track promoters and detractors and produces a clear measure of an organization's performance through its customers' eyes.

Promoters
Promoters are customers who are so enthusiastic about a firm or brand that they not only increase their own purchases, but also refer their colleagues or friends. Promoters are customers with ratings of 9 or 10 and exhibited the highest rates of purchase and referral behaviors.

Passives
Passive customers are those that were somewhat likely to recommend a company, i.e., ratings of 7 or 8, and exhibited moderate rates of purchase and referral behaviors.

Detractors
Detractors are customers who feel so badly treated that they cut back on purchases, switch to the competition, and warn others to stay away from the company. Detractors are customers with ratings of 1 thru 6 and exhibited the lowest rates of purchase and referral behaviors.

Net Promoter Score
In industry after industry, the "Net Promoter Score" - the percentage of Promoters minus the percentage of Detractors - provided the single most reliable indicator of a company's ability to grow.

Of course, there is more to profitably growing your company than just calculating a score. A successful Net Promoter program includes 5 elements:

  1. Metrics proven to link to growth;
  2. Leadership practices that instill customer focus, passion, and values;
  3. Organizational strategies to ensure adoption;
  4. Integration with core business processes, and
  5. Operational systems to support the initiative.
For more information, go to www.netpromoter.com or www.theultimatequestion.com

Class Schedule

ISO 9001:2000
Understanding ISO 9001:2000
Implementing ISO 9001:2000
Quality System Documentation
ISO 9001:2000 Internal Auditor
ISO 9001:2000 Lead Auditor

ISO 14001:2004
Understanding ISO 14001:2004
Implementing an EMS
ISO 14001:2004 Internal Auditor
ISO 14001:2004 Lead Auditor

ISO/TS 16949:2002
ISO/TS 16949:2002 Internal Auditor
ISO/TS 16949:2002 Lead Auditor
Understanding and Implementing ISO/TS 16949:2002

AS9100B:2004
AS9100 Internal Auditor
Implementing AS9100
AS9100 Lead Auditor

ISO 17799 / ISO 27001
ISO 17799 - Understanding an ISMS
ISO 17799 - ISMS Implementation
ISO 27001 - ISMS Internal Auditor
ISO 27001 - ISMS Lead Auditor

ISO 13485:2003
Understanding ISO 13485:2003
ISO 13485:2003 Internal Auditor
Implementing ISO 13485:2003
ISO 9001 Lead Auditor - ISO 13485 Emphasis

Six Sigma
Introduction to Statistics
Green Belt Certification
Black Belt Certification

Discounts
Enroll and pay for an Atlanta class 30 days in advance and receive a 10% discount. Students at previous Atlanta classes receive a 20% discount on future Atlanta classes.

Books
See our list of ISO 9001, Auditing, and Six Sigma books. Includes book descriptions and links to Amazon.

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