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14001,
ISO 27001, ISO 20000, ISO 22000, and related ISO
standards, as well as, Six Sigma.
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know.
RASCI Diagrams
The RASCI Diagram can be used to clarify the
roles and responsibilities in cross
functional processes and projects. It helps
determine who is Accountable, Responsible,
Supporting, Consulted, or Informed.
The RASCI Diagram splits activities down to
five types of roles that make up the acronym
RASCI:
R = Responsible: the person(s) who performs
the activity
A = Accountable: the person held accountable
for completion of activity
S = Supporting: the person(s) that provide
support for the work
C = Consulted: the person(s) consulted before
performing the activity
I = Informed: the person(s) informed after
performing the activity
The Accountable person is answerable
for the
correct and thorough completion of the
activity. Each activity can have only one
person with ultimate accountability and
authority. Therefore, only one A is listed
for each activity in the diagram. The A is
assigned to the lowest level of
accountability and is implied at the higher
levels. Accountability cannot be delegated.
The Responsible person(s) performs the
activity. The individual(s) assigned the R is
responsible for implementation and action.
The degree of responsibility is defined by
the Accountable person. Responsibility can be
shared and delegated.
The Supporting person(s) is a resource
allocated to the Responsible person(s).
Unlike Consulted, who may aid in the task,
Supporting may be tasked with work.
The opinion of the Consulted person(s) is
sought before a final decision or action is
taken. Two-way communication is involved.
The Informed person(s) is kept
up-to-date on
progress, decisions, and actions. One-way
communication is involved.
The RASCI Diagram identifies activities
within a process or project as the rows of a
table. The columns identify the involved
individuals. Each row identifies one A and
one or more of R, S, C, and I. You can see a
table example at this Wikipedia
page.
The RASCI Diagram is especially useful when
everyone thinks they are responsible and
accountable, resulting in duplicate effort
and in-fighting. And, its use is also helpful
in the reverse situation when no one seems to
be responsible and some activities are not
"owned".
In some cases, people may think they need to
be consulted, when in reality, they just need
to be told after the fact, i.e., kept
informed. Or, some people really do need to
be consulted, and are not. Without clear
roles, there will be poor communication and
unsatisfactory results.
For more information, see the article by
Steven Bonacorsi at EzineArticles.
Procedure vs. Instruction
What is the difference between a procedure
and an instruction? And, does it
matter?
A procedure is a specified way to carry out
an activity. An instruction provides detailed
directions on how to perform a task.
Procedures and instructions can be
documented, or not. If the activities and
tasks are being carried out by competent
people, written procedures and instructions
may be unnecessary.
The confusion between what is a procedure and
what is an instruction is magnified when
organizations refer to them by different
names. For example, a procedure may be
referred to as a method or plan; an
instruction may be called directions or
guidance.
In some organizations, work instructions are
named "standard operating procedures", which
adds more confusion. The key to
distinguishing between procedures and
instructions is to look at their level of
detail. Procedures describe "what" is done
and instructions describe "how" it is done.
A quality management system can be decomposed
into processes, activities, and tasks. In
other words, a system consists of multiple
processes, each of which includes multiple
activities. Each activity can be further
decomposed into tasks.
For example, a quality manual describes
policies across the entire system. Within
that system are multiple, linked processes,
each with a defined, perhaps documented,
procedure. If an activity within a procedure
needs more of an explanation on how tasks are
performed, an instruction can be written.
So, a procedure is the specified way to carry
out activities making up a process. An
instruction describes the sequence of steps
to perform the tasks making up an activity.
For documented procedures and instructions,
we should be able to look at the text to see
if it is a procedure or an instruction.
An example of text from a procedure might be:
The audit program manager maintains the
audit schedule and assigns qualified auditors
that are independent of the areas to be
audited.
A procedure describes what is done, but
doesn't get down to the details of how it is
done. Since multiple people may be involved
in carrying out the procedure, their titles
are used to clarify their roles.
An example from an instruction might be:
1. Check the box.
2. Enter the value.
3. Drain the tank.
An instruction typically uses action-oriented
verbs to direct or instruct the person to
perform the task. Since the instruction is
"talking" to the person carrying out the
task, the person's title isn't needed.
So, procedures are basically descriptions of
departmental activities. They provide process
overviews and link to work instructions, if
needed, on how to perform selected tasks
within an activity.
Procedures are referenced in the quality
manual and must conform to the policies
stated in that document. A procedure explains
why a process is performed, what is done, by
whom, when it happens, and where it takes
place.
ISO 9001 requires documented procedures for
Document Control (4.2.3), Record Control
(4.2.4), Internal Audits (8.2.2), Control of
Nonconforming Product (8.3), Corrective
Action (8.5.2), and Preventive Action
(8.5.3). Other documented procedures may be
necessary for the effective planning,
operation, and control of the processes
within your quality management system.
Instructions are optional for an ISO
9001-based system (see clause 7.5.1.b), but
they are usually included for consistent
operations. The instructions are written to
give directions in a logical work sequence.
They also take into account the
qualifications of the persons using them.
If you'd like to learn how to write and
control documents, enroll in our Quality
System Documentation course. You can see the course description at our web site.
Auditee Bill of Rights
As an audited organization, do you stand up
for your rights? Or, to avoid conflict, do
you just accept whatever comes your way
during the audit experience?
Maybe it is time for an Auditee Bill of
Rights, so organizations know what they
should expect and demand from their auditors
and certification bodies.
A "bill of rights" is a list of rights that
are considered important and essential by a
group of people. A prime example is the first
ten amendments to the United States
Constitution, referred to as the Bill of
Rights.
However, our Auditee Bill of Rights won't be
a legal document. It will be a list of
economic rights from the perspective that the
auditee is the customer, after all.
Patterned on the "Patient" Bill of Rights in
the healthcare industry, the eight areas of
consumer rights for our Auditee Bill of
Rights are:
1. Choice: The auditee has
the right to choose their certification body,
and within the constraints of the contract,
easily switch to a different certification
body.
2. Information: The auditee has
the right to receive timely, truthful,
accurate, and easily understood audit reports
that describe the audit objectives, scope,
criteria, sampling, and findings. Audit
reports are to address conformity,
effectiveness, areas for improvement, and any
unresolved diverging opinions. In addition,
the auditee is to be kept informed of changes
to applicable standards and certification
body policies.
3. Access: The auditee has the
right to communicate in a timely fashion with
auditors before, during, and after the audit
for an understanding of plans, interpretation
of requirements, explanation of results, and
confirmation that proposed corrective actions
adequately address the reported
nonconformities.
4. Participation: The auditee
has the right to participate in the planning
and performance of the audit, including the
audit agenda, audit team selection, proposed
logistics, audit guides, and feedback on the
audit experience. The auditee will be viewed
as a partner to identify applicable
requirements, provide needed evidence, and
confirm possible findings.
5. Respect: The auditee has the
right to expect considerate, respectful
behavior from the audit team and support
staff at all times and under all
circumstances.
6. Confidentiality: The auditee
has the right for the security and
confidentiality of audit reports to be
protected by all audit team members and
report recipients. All auditee information
maintained by the certification body will be
available for review by the auditee for
possible corrections and changes to the
records.
7. Appeal: The auditee has the
right to a fair and efficient process for
resolving differences, including a rigorous,
written process for internal review and an
independent system for external review. The
documented appeal process will be publically
accessible.
8. Responsibility: In a system
that protects auditee rights, it is
reasonable to expect and encourage the
auditee to assume a supporting role. The
auditee is responsible for providing access
during the audit to areas, people, documents,
and records. The auditee is to announce the
audit in advance, explain its value, and
encourage employees to fully participate with
helpful and truthful responses.
Now that I've proposed an auditee bill of
rights, let's look at each "right" in more
depth.
Choice: The auditee has the
right to choose their certification body, and
within the constraints of the contract,
easily switch to a different certification
body.
You have many choices available. Go to the
ANSI-ASQ National Accreditation Board (ANAB)
web site (http://www.anab.org) to see a list
of certification bodies. While at the web
site, read the article, "Tips for Selecting a
Certification Body".
The International Accreditation Forum (IAF)
provides guidance on the transfer of a
certificate from one certification body to
another. The objective is to maintain the
integrity of the certificate during the
transfer period. You can see the current IAF
GD2:2005 guidance at (www.iaf.nu).
Information: The auditee has
the right to receive timely, truthful,
accurate, and easily understood audit reports
that describe the audit objectives, scope,
criteria, sampling, and findings. Audit
reports are to address conformity,
effectiveness, areas for improvement, and any
unresolved diverging opinions. In addition,
the auditee is to be kept informed of changes
to applicable standards and certification
body policies.
The written audit report should be provided
before the audit team leaves your site.
Certificates should be issued within two
weeks of your organization being recommended
for certification and your submission of
acceptable action plans.
Expect a written nonconformity statement to
describe both the requirement not being met,
as well as, the audit evidence that proves
the nonconformity.
Does your auditor put in a full day's work,
or are you being shortchanged? Does the
auditor conduct the audit where the work is
being done, or do they camp out in the
conference room? Auditors need to adhere to
the audit plan, watch your operations, and
select their own sample of people, documents,
and records.
Your certification body may have identified
that your internal audits need to be more
process-oriented and less clause-by-clause
audits. Are their own audits good models? Or,
do they provide clause-based audit agendas
and reports?
If the auditor isn't assessing by process,
and going downstream to see what internal
customers think about the process results,
then they aren't really evaluating process
effectiveness. And, if they never identify
any opportunities for improvement, are they
really adding value, or just judging
conformity?
Access: The auditee has the
right to communicate in a timely fashion with
auditors before, during, and after the audit
for an understanding of plans, interpretation
of requirements, explanation of results, and
confirmation that proposed corrective actions
adequately address the reported
nonconformities.
You should know who at the certification body
administers your account and schedules your
auditors. You should be provided their
contact information, as well as, the contact
information for the assigned auditors.
You should be made to feel comfortable
contacting the auditor to discuss the
upcoming audit, as well as, later for
explanations of nonconformities and the
acceptability of corrective actions.
Participation: The auditee has
the right to participate in the planning and
performance of the audit, including the audit
agenda, audit team selection, proposed
logistics, audit guides, and feedback on the
audit experience. The auditee will be viewed
as a partner to identify applicable
requirements, provide needed evidence, and
confirm possible findings.
Does your auditor send you an audit plan in
advance, or is the agenda developed after the
auditor arrives? ISO 17021 requires
certification bodies to communicate and agree
upon the plan with your organization before
the audit.
ISO 17021 also requires certification bodies
to identify the auditors, and when requested,
to provide background information on the team
members so your organization can possibly
object to the selection of a specific auditor
and have the team reconstituted based on
valid objections.
To minimize travel costs, the auditor visit
to your geographic area should be
synchronized with other audits to include
multiple organizations in one trip.
For continuity, you should expect the same
lead auditor to be assigned for your three
year recertification period, as well as, to
avoid having to training multiple auditors on
your system. However, you should be willing
to accept a new lead auditor after the
recertification to introduce a fresh auditor
perspective.
And, does the certification body request
feedback on your level of satisfaction with
the audit process and auditor competence? If
not, are they afraid of what you might say?
Respect: The auditee has the
right to expect considerate, respectful
behavior from the audit team and support
staff at all times and under all
circumstances.
The certification body and auditors should
remember that your organization is the
customer. Therefore, they should want to
provide outstanding service and support to
gain your loyalty and continued business.
They can begin by promptly responding to your
phone calls and emails.
Auditors should be respectful during
interviews and meetings. They should avoid
appearing to criticize people when
identifying process nonconformities. The
focus should be on the process, not the
person. They are fact finding, not fault
finding.
Although you requested the audit, and it is
hopefully beneficial, the auditor's visit is
somewhat disruptive. Employees will be unable
to fully perform their jobs while being
interviewed. As a result, the auditors should
respect your valuable time and come prepared
to efficiently and effectively assess your
system.
Confidentiality: The auditee has
the right for the security and
confidentiality of audit reports to be
protected by all audit team members and
report recipients. All auditee information
maintained by the certification body will be
available for review by the auditee for
possible corrections and changes to the
records.
You should expect the certification body to
safeguard the confidentiality of the
information they obtain or create during the
performance of your audit. And, information
about your organization should not be
disclosed to a third party (other than the
accrediting body) without your written
consent.
As you may know, the code of conduct for
third party auditors does not allow them to
offer consulting advice. This is to ensure
they do not inadvertently share proprietary
information, to encourage the client to
develop their own corrective actions, and for
the auditors to remain impartial in future
audits.
You should refrain from asking the auditors
for their suggestions on how to fix a
problem. Respect their code of conduct. And,
if you encounter an auditor that wants to
offer unsolicited consulting advice, you
might have a valid concern that some of your
proprietary approaches could become
suggestions for other clients.
Appeal: The auditee has the
right to a fair and efficient process for
resolving differences, including a rigorous,
written process for internal review and an
independent system for external review. The
documented appeal process will be publically
available.
If you are unable to resolve differences with
the auditor, you can appeal to the
certification body. If the issue is still not
resolved to your satisfaction, you can then
appeal to the ANSI-ASQ National Accreditation
Board (ANAB).
ISO 17021 describes the requirements for an
appeals-handling process and
complaints-handling process to be used by a
certification body.
Responsibility: In a system that
protects auditee rights, it is reasonable to
expect and encourage the auditee to assume a
supporting role. The auditee is responsible
for providing access during the audit to
areas, people, documents, and records. The
auditee is to announce the audit in advance,
explain its value, and encourage employees to
fully participate with helpful and truthful
responses.
Your management team must communicate their
support of the audit program throughout the
organization. Attitudes are contagious.
Management must ensure that timely and
effective corrective action is taken on each
nonconformity to avoid the same problem
repeating over and over again.
Your organization should notify the
certification body without delay of any
matters that may affect the capability of
your quality management system to continue to
meet the requirements of the applicable
standard.
A Perfect Order?
Four industry associations have joined forces
to create a set of metrics for gauging the
performance of execution in production plants
and warehouses.
The associations are the Manufacturing
Enterprise Solutions Association (MESA)
International; Order Fulfillment Council
(OFC); Supply Chain Execution Systems and
Technologies Group (SCE Group) of the
Material Handling Industry of America (MHIA);
and Warehousing Education and Research
Council (WERC).
The group's first paper was a report,
"Improving Order Execution Performance: A
Holistic View of Metrics across Plant and
Warehouse," which introduces the framework
that the four associations will benchmark.
The framework categorizes the metrics in six
major performance areas:
Customer Metrics
1. order fulfillment
2. mass customization (flexibility)
Internal Metrics
3. inventory management
4. execution productivity
General Metrics
5. quality and compliance
6. business and financial
According to the collaborative paper from the
group, a perfect order index is a compilation
score which measures the result of each of
four major components of a perfect order:
delivered on-time (% of orders arriving
at final destination at agreed upon time)
shipped complete (% of orders shipped
with all lines and units)
shipped damage free (% of orders shipped
in good and usable condition)
correct documentation (% of orders with
accurate invoice and required
documents)
The perfect order index is computed by
multiplying each component for a total score,
e.g., if the score is 95% for each of the
four components, then the perfect order index
would be 81.5%.
MESA, OFC, SCE and WERC said they will start
using these metrics in 2009. The resulting
research will be an extension of the current
WERC Watch benchmarking studies, as well as,
MESA's Metrics that Matter series.
The paper is available to members of the four
organizations and can be purchased by
non-members. You can find the links for MESA,
OFC and SCE at MHIA, and WERC at the Links page of the Whittington &
Associates web site.
Hazmat Security Plan
The Pipeline and Hazardous Materials Safety
Administration (PHMSA), within the Department
of Transportation, has proposed a
modification to its current security plan
requirements for the transportation of
hazardous materials.
The proposed change was published in the
Federal Register as 49 CFR Part 172,
"Hazardous Materials: Risk-Based Adjustment
of Transportation Security Plan Requirements;
Proposed Rule".
PHMSA, in consultation with the
Transportation Safety Administration (TSA) of
the Department of Homeland Security (DHS), is
proposing to modify its current security plan
requirements governing the commercial
transportation of hazardous materials by air,
rail, vessel, and highway.
Based on an evaluation of the security
threats associated with specific types and
quantities of hazardous materials, the
proposed rule would narrow the list of
materials subject to security plan
requirements, and reduce associated
regulatory costs and paperwork burden.
The proposed rule also would clarify certain
requirements related to security planning,
training, and documentation, and incorporate
and build on recent international standards
governing hazardous materials security.
Under PHMSA regulations, a security plan must
include an assessment of possible
transportation security risks and appropriate
measures to address the risks. Specific
measures implemented as part of the plan may
vary with the level of threat at a particular
time.
Also, PHMSA set a performance standard
providing offerors and carriers the
flexibility necessary to develop security
plans addressing their individual
circumstances and operational environments.
At a minimum, the security plan must address
personnel security, unauthorized access, and
in-route security.
The proposal responds in part to a petition
from the Council on Safe Transportation of
Hazardous Articles (COSTHA). COSTHA
recommended that PHMSA incorporate into its
security plan requirements the less extensive
list of high consequence dangerous goods in
the United Nations Model Regulation on the
Transport of Dangerous Goods. A second
petition from the American Trucking
Association sought to have PHMSA expand the
list of covered materials.
PHMSA decided to use the UN Recommendations
as a starting point for its proposal. PHMSA
notes that most entities that have commented
on pre-proposal documents agreed that the
list of materials for which security plans
are required should be revised to include
only those materials that pose a significant
security threat in transportation.
Most of the existing requirements for
security plans apply to hazmats that must be
placarded. Among the proposed changes, PHMSA
would remove security plan requirements for a
variety of low-hazard explosives, some
flammable gases and liquids under a threshold
amount in a single package, spontaneously
combustible materials below a threshold
amount, and some oxidizing materials
(excluding perchlorates and ammonium
nitrate).
In the same proposal, PHMSA is seeking to
make additional changes to the security plan
regulations, including adding or clarifying
requirements that the security plan is to be
reviewed at least annually and updated if
necessary, and that in-depth security
training occur at least every 3 years, or
sooner if the security plan is revised.
PHMSA's proposed amendments to the hazmat
security plan requirements are available at
the BLR
Environmental Document Center. Note: Type
in 94669 when prompted for the document number.
Whittington & Associates provides training, consulting and auditing services for
management systems based on
ISO 9001, ISO/TS16949, ISO/TS 29001, TL 9000, AS9100, ASS9110, AS9120, ISO 13485,
ISO 27001, ISO 20000, and ISO 14001.