Audit Report Entry for Egyptian Ship Repair & Building Company (Ministry of defense)
Audit Type:
1St Stage
Initial
Recertification
SV1
SV2
Pre-Audit
Strength Point:
Top management commitment Company HSE drills Top management commitment has been observed during the audit, by providing all possible recourses.as well as attend the opening and closing meetings The company top management has been observed to do his best to improve the service of the company include the infrastructure improvement The company has conducted many drills regarding the HSE such as evacuation drill
Audit Objectives:
Area for Improvement:
The issues defined need to be enhanced to clearly reflect them to business. The defined interested parties need to be enhanced as well as the requirements need to be clearer. The process approach needs to be enhanced to ensure the integration of the QMS, EMS and OHSMS within the business process. The achievement plan needs to be enhanced.
Observation:
Responsibilities for Environment are not clearly defined, Job descriptions for the IMS have been reviewed for different position related to the IMS different responsibilities. The job descriptions not clearly reflect the actual experience, skills, and knowledge within employees and need to be more precise within technical managers. Risk assessment and aspect assessment does not reflect clearly the activities specially for environmental aspect and impact. The company has defined many objectives to be achieved this year, such as enhance the performance safety teams and protecting environment from pollution and harmful emissions,. All objectives plans have been reviewed with defined achievement crteria. All objectives need to be enhanced by measurable tasks. Evidence of competence and also the criteria of planning the training needs are not clearly defined The company established channels for communication within organization levels. However, some topics are not clearly communicated within employees such us management review results and HSE objectives. Company developed work instructions for the activities which is published in workplaces. Also, PPE’s are provided to employees. However, operational control was not clearly implemented in some areas The criteria for selecting and evaluating suppliers need to be clearer. The internal audit program has been reviewed, and sample of the audits conducted have been reviewed.one NCR Last IA dated 22/09/2023. The IA program doesn't clearly define how the frequencies of auditing have been determined.
Minor NCR:
NA
Major NCR:
NA
Man Days:
Team Leader Recommandations:
The management system of the organization being audited, is recommended to SV1 of ISO 9001:2015, ISO 14001:2015 and ISO 45001:2018
Audit Findings
Clause No.
Requirements/Departement
Evidence
Result
Delete
Understanding the organization and its context
Issue related to each department has been reviewed. The issue shows relation to department activities, aspects and hazards. The issues defined need to be enhanced to clearly reflect them to business.
Delete
Understanding the needs and expectations of workers and other interested parties
Department interested parties have been reviewed to be determined on the interested party form. The form shows the requirements of the interested parties. Requirements are related to business, aspects and hazards. The defined interested parties need to be enhanced as well as the requirements need to be clearer.
Delete
Determining the scope of the QMS, EMS and OHSMS
Company has defined the scope related to its IMS as defined on the application. The scope has been verified through the planning and implementation cheek.
Delete
QMS, EMS and OHSMS and their processes
The process approach has been reviewed for each department. The process related to IMS has been observed, the input, output, resources, control and KPI. The process approach needs to be enhanced to ensure the integration of the QMS, EMS and OHSMS within the business process.
Delete
Leadership and commitment
Top management commitment has been observed during the audit, by providing all possible recourses.as well as attend the opening and closing meetings
Delete
Quality, Environment and health & safety policy
The integrated management policy (QMS, EMS and OHSMS) policy has been reviewed and observed.
Delete
Organizational roles, responsibilities and authorities
Responsibilities for Environment are not clearly defined, Job descriptions for the IMS have been reviewed for different position related to the IMS different responsibilities. The job descriptions not clearly reflect the actual experience, skills, and knowledge within employees and need to be more precise within technical managers. During the reviewing Job description of (Welder) and (HSE specialist), found that it did not reflect to real competence of employees working in these positions. And the environmental responsibilities for HSE specialist are not added.
Delete
Consultation and participation of workers
Interviewing with employees and technicians showed participation/consultation evidence.
Delete
Actions to address risks and opportunities
Risk assessment and aspect assessment does not reflect clearly the activities specially for environmental aspect and impact. Legal registers for the law 4/ 1994 need to be clearly identified.
Delete
Quality, environment and health & Safety objectives and planning to achieve them
The company has defined many objectives to be achieved this year, such as enhance the performance safety teams and protecting environment from pollution and harmful emissions. All objectives plans have been reviewed with defined achievement crteria. All objectives need to be enhanced by measurable tasks.
Delete
Planning of changes
NA
Delete
Resources
The company recently hired 2 HSE engineers as to improve HSE performance Calibration plan QA 61/2023 Calibration certificate for magnetic yoke S/N 546 MT (USED IN TUG SAFAGA2)
Delete
Competence
Evidence of competence and also the criteria of planning the training needs are not clearly defined
Delete
Awareness
Safety awareness have been conducted to several department as preservation department on firefighting processes.
Delete
Communication
The company established channels for communication within organization levels. However, some topics are not clearly communicated within employees such us management review results and HSE objectives.
Delete
Documented information
The company has development documented information control procedure for controlling the company procedures and records as well as the external origin documents such as standards and codes. QA has developed a master list of documents and records.
Delete
Operational planning and control
- the company use MS PROJECT program for planning safaga2 -Company developed work instructions for the activities which is published in workplaces. Also, PPE’s are provided to employees. However, operational control was not clearly implemented in some areas: 1. Some employees and contractors were moving without any PPE’s in workshops 2. PPE assessment need to be enhanced 3. Smoking areas were not clearly defined 4. Car speed in within the company was not clearly defined 5. Housekeeping needs to be enhanced 6. More attention to be paid for fall protection in the sea 7. Coordination needs to be enhanced between clinic and HSE department
Delete
Determination of requirements for products and services and Emergency preparedness and response
-Reviewing the contract for the construction and supply of 2 marine tug to the General Authority of Red Sea Ports )Terms and specifications book For the 2 marine tug ( - The company has conducted many drills regarding the HSE such as evacuation drill dated 11/6/2023 and oil spilling drill on ship 22/2/2023. Also, the company has established and renews many protocols for firefighting cooperation, such as with ENF dated 24/10/2022. Also, the company approved the firefighting system from the Navy deface, fire department.
Delete
Design and development of products and services
This clause is excluded due to the company activities which doesn't include any design activity. The company receives the design and manufacturer according to design and class supervision.
Delete
Control of externally provided processes, products and services
- Approving to supply wires by Alzaky contractor. The contractor with code no. 111/2023. The contractor was evaluated in supplier evaluated doc. With grade 10/10
Delete
Production and service provision
Unit 2 bottom production related to Tug safaga production as a sample and noted that qc plan during production
Delete
Release of products and services
Final product tug Yassen QC report (72)yard no.164 dated 10/8/2022 to BV Launching certificate
Delete
Control of nonconforming outputs
NA
Delete
Monitoring, measurement, analysis and evaluation
KPI for Monitoring and measurement QC operations during 1st. half 2023 Customer survey (1) 16/5/2022 for ship Dkhlla 7 and ship krair 1
Delete
Internal audit
The internal audit program has been reviewed, and sample of the audits conducted have been reviewed.one NCR Last IA dated 22/09/2023. The IA program doesn't clearly define how the frequencies of auditing have been determined.
Delete
Management review
Management review report no 1/10/2023
Delete
General
The company top management has been observed to do his best to improve the service of the company include the infrastructure improvement
Delete
Nonconformity and corrective action
The numbers of CA taken is 1 with safety dep., the root causes and the corrective action taken. the corrective action was to buy wires from an approved supplier Alzaki by 25/9/2023
Delete
Continual improvement
The company has established a tool of improvement through the policy, objectives, IA, management review and corrective action
Delete
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