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QUALITY MANUAL
Version No. 1
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This Quality Manual (QM) is authorized for use in Philippine Science High School
(PSHS) System. It is prepared for the purpose of defining the institution’s
interpretations of the ISO 9001:2015 international standard, as well as to demonstrate
how the institution complies with that standard and relevant national and international
laws and regulations.
It describes the quality management system of PSHSS, specifically the scope, which
covers the academic and support services provided by the institution. It is established
in line with the institution’s objectives and commitment to total customer satisfaction.
It is intended for office and academic use, and serves all PSHSS management,
teaching and non-teaching employees, as well as assessors from an independent
quality certification body.
1. DISTRIBUTION
The copy holders of this manual are documented in the Document Approval and
Distribution Matrix.
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released to third parties with approval of management. Document is uncontrolled unless otherwise marked; uncontrolled documents
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2. ACCOUNTABILITY
Controlled copies of this manual are considered accountable items. Holders of the
controlled copies shall be required to surrender their copies to the Quality
Management System Office (QMSO) upon their resignation or retirement from the
institution.
This manual may be reproduced for other PSHSS Management and employees or
outside parties upon approval of the QMR. All reproduction shall be considered
uncontrolled copies. Employees issuing uncontrolled copies of this manual shall be
held accountable for their use. (See QM 13.1, “Control of Documented Information”)
The QMSO shall be the sole issuer of the authorized revision to this manual. It shall
provide recipients of the controlled copies of this manual with amendments or any
updates.
The recipients of the manual shall not put hand-written notes on the manual. This is
to avoid misinterpretation by the reader.
If there is a new version of the Quality Manual, the QMSO shall retrieve the
controlled copies of the current version and replace these with the latest version.
The QMSO shall be responsible for disposing superseded version of the controlled
copies.
4. FEEDBACK
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TABLE OF CONTENTS DECEMBER 5, 2016
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BRIEF HISTORY OF PSHSS DECEMBER 5, 2016
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The Philippine Science High School (PSHS) System is an attached Agency of the
Department of Science and Technology (DOST) whose mandate is to offer on a free
scholarship basis a secondary course with special emphasis on subjects pertaining to
the Sciences and Mathematics with the end view of preparing its students for a Science
career. This is according to Section 2 of Republic Act 3661 that established the first
Philippine Science High School campus in 1964.
The first Philippine Science High School campus was established in Diliman, Quezon
City under Republic Act No. 3661, known as the PSHS Charter signed by President
Ferdinand E. Marcos. The school opened on September 5, 1964 at a rented building
owned by the Philippine Government Employees Association along Elliptical Road,
Diliman, Quezon City. It was only in 1970 that the school moved to its present campus
along Agham Road, Diliman, Quezon City.
To further expand the opportunities for students gifted in science, mathematics and
technology in Visayas and Mindanao, the PSHS Mindanao Campus and the PSHS
Visayas Campus were created through Executive Order No. 1090 signed by President
Ferdinand E. Marcos on February 5, 1986. From then on, several regional campuses
followed.
It was in 2001, that the PSHS System Law was further amended by R.A. No. 9036
which consolidated the power and authority over all PSHS System campuses into a
single Board of Trustees (BOT) to ensure uniform policy coordination, standards and
management.
Currently, the PSHS System has one main campus (MC) in Diliman, Quezon City and
16 regional campuses: Southern Mindanao Campus (SMC), Western Visayas Campus
(WVC), Eastern Visayas Campus (EVC), Cagayan Valley Campus (CVC), Central
Mindanao Campus (CMC), Bicol Region Campus (BRC), Ilocos Region Campus (IRC),
Central Visayas Campus (CVisC), Cordillera Administrative Region Campus (CARC),
Central Luzon Campus (CLC), SOCCKSARGEN Region Campus(SRC), CARAGA
Region Campus (CRC), CALABARZON REGION CAMPUS, Zamboanga Peninsula
(ZRC), and MIMAROPA Region Campus (MRC).
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Vision
We are the leading science high school in the Asia Pacific Region preparing our
scholars to become globally-competitive Filipino scientists equipped with 21st
century skills and imbued with the core values of truth, excellence, and service to
nation.
Mission
The Philippine Science High School, operating under one System of Governance
and Management, provides scholarships to students with high aptitude in science
and mathematics.
The PSHS System prepares its students for careers in Science and Technology
and contributes to nation building by helping the country attain a critical mass of
professionals and leaders in Science and Technology.
Under the keen guidance of its Board of Trustees and the Executive Committee, and
effective leadership of the Campus Director, the PSHS looks into the future with much
hope and optimism in attaining its mission and vision.
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TERMS AND DEFINITIONS DECEMBER 5, 2016
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PSHSS adopts the following terms and definitions within its Quality Management
System. Where no definition is provided, the agency typically adopts the definitions
provided in ISO 9000: Quality Management – Fundamentals and Vocabulary. In
some cases, specific procedures or documentation may provide a different definition to
be used in the context of that document; in such cases, the definition will supersede
those provided for in this Quality Manual or ISO 9000.
General Terminology
Services – refers to the services being provided to the customers aside from the
curricular offerings (e.g. library, dormitory, canteen, guidance and counseling,
medical, etc.)
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captured evidence of an activity having been done. This can refer to manuals,
forms, references and records of the institution.
Risk Assessment – the process of evaluating the risk(s), taking into account the
adequacy of any existing controls, and deciding whether or not the risk(s) is
acceptable. It is the overall process of risk identification, risk analysis and risk
evaluation.
Acceptable Risk – the risk that is tolerable or that has been reduced to a level
that can be tolerated by the organization.
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PSHSS SERVICE PROCESS DECEMBER 5, 2016
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PSHSS ORGANIZATIONAL CHART DECEMBER 5, 2016
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BOARD OF TRUSTEES
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Office of the
Executive Director
Executive
QMS Office
Committee
Planning
QMS Council
Office
Secretariat
Office
Budget
Admissions Office Accounting Unit
Management Unit
Cash Procurement
Management Unit Unit
General Services
IT Unit
Management Unit
Records
Management Unit
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Office of the
Executive
Director
Executive QMS
Committee Council
Office of the
Campus
Director
Student
QMS Office Discipline
Office
Planning Management
Office Committee
Health
Registrar Cash Management Procurement Unit
Services
Unit Unit
Unit
General Services
IT Unit
Management Unit
Records
Management Unit
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4.2.1. PSHSS shall identify the relevant interested parties and their
requirements that are relevant to its quality management system.
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4.2.2. PSHSS shall monitor and review information about these interested
parties and their relevant requirements to be able to consistently
provide services that meet stakeholder and applicable statutory and
regulatory requirements.
4.3.2. The scope of the QMS includes the development and delivery of
special science secondary education program and support services
functions of the organization as follows:
4.3.2.1. Curriculum Development and Review Comment [PP1]: Dexter, this is not the only
content of System Office Manual/ Sustem office
4.3.2.2. Delivery of Instruction covers policy, curriculum, admission exam-nce,
4.3.2.3. Student Support Services support to campus operation
4.3.2.4. Student Affairs Services
4.3.2.5. Financial and Administrative Services
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4.3.3. All ISO 9001:2015 clauses are applicable to the quality management
system of PSHSS.
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LEADERSHIP DECEMBER 5, 2016
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5.0 Leadership
5.1.1. General
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5.2. Policy
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QUALITY POLICY
Executive Director
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Quality Management
Representative (QMR)
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5.3.5. PSHSS shall also maintain a QMS Council, comprising all the QMRs
of PSHSS. The function of the QMS Council is to discuss and
recommend approval of system-wide policies and procedures.
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6.0 Planning
6.1.1. PSHSS considers risks and opportunities when taking actions within
the quality management system, as well as when implementing or
improving the quality management system; likewise, these are
considered relative to products and services.
6.1.2. PSHSS shall consider the results of the SWOT Analysis and relevant
requirements of the relevant interested parties to determine the risks
and opportunities that need to be addressed to:
6.1.2.1. Give assurance that the quality management system can
achieve its intended results;
6.1.2.2. Enhance desirable effects;
6.1.2.3. Prevent, or reduce, undesired effects;
6.1.2.4. Achieve improvement.
6.1.4. PSHSS actively seek out opportunities which could enhance its
position. For example:
6.1.6. Risks are managed with a focus on decreasing their likelihood, and
minimizing their impact if they should occur.
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6.1.8. Where risks and opportunities overlap, the best appropriate method for
managing them shall be ascertained, given the situation at hand.
Elements of such “blended” uncertainties may require methods which
both address the negative risk and positive opportunity.
6.1.9. PSHSS shall use the Likelihood and Consequence Matrix for its
risk/opportunity assessment as shown below:
CONSEQUENCE
1 2 3 4 5
LIKELIHOOD
5 5 10 15 20 25
4 4 8 12 16 20
3 3 6 9 12 15
2 2 4 6 8 10
1 1 2 3 4 5
Low – 1 to 4
Moderate – 5 to 9
Significant – 10 to 12
High – 15 to 25
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6.1.9.14. Action plans shall be prepared for risk levels outside the
acceptable level, which may include one or more of the
following:
• Reduce (likelihood and/or consequence)
• Transfer the risk
• Share the risk
• Avoid the risk
6.2.1. From the Institution’s Quality Policy, measurable quality objectives are
determined, relevant to the quality management system taking into
account applicable requirements and enhancement of client
satisfaction, at the various offices through the setting of “metric” or Key
Performance Indicator (KPI), which is then measured to determine the
process’ ability to meet the quality objective. These are
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6.2.2. To support the achievement of quality objectives, the KPI shall include:
6.2.2.1. Activities to meet the target;
6.2.2.2. Responsibility for the activities;
6.2.2.3. Timeline for the activities;
6.2.2.4. Resources needed; and
6.2.2.5. Means of verification or evaluation of the target.
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6.3.1. When PSHSS determines the need for changes to the quality
management system or its processes, the changes shall be carried out
in a planned manner.
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7.0 Support
7.1. Resources
7.1.1. General
7.1.2. People
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7.1.3. Infrastructure
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7.2. Competence
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7.2.2. HRMU shall ensure personnel assigned to their tasks are competent
on the basis of appropriate education, training, skills and experience
as defined in the Job Descriptions Manual. The competencies in the
Job Descriptions Manual meet the basic requirements of the
institution and government bodies.
7.2.4. PSHSS shall ensure the development of its faculty members and
employees.
7.2.5. The Training and Development Plan of PSHSS shall aim to equip its
faculty members and employees with the necessary knowledge,
skills and attitude to maximize their potential and facilitate their
growth and development.
7.2.6. The Training and Development Plan shall include adequate “on-the-
job", courses, seminars, discussions, workshops and conferences, as
applicable.
7.2.7. The Heads of the offices shall have the responsibility of identifying
the skills and experience required by each position within their area
and to conduct the necessary "on-the-job” training programs. This
shall be supplemented by job rotation, courses, seminars and
conferences.
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7.3. Awareness
7.3.1. PSHSS shall ensure that persons doing work under the institution’s
control are aware of:
7.3.1.1. the quality policy;
7.3.1.2. relevant quality objectives;
7.3.1.3. their contribution to the effectiveness of the quality
management system, including the benefits of improved
performance;
7.3.1.4. the implications of not conforming with the quality
management system requirements.
7.4. Communication
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7.5.1. General
7.5.1.2.1. Manual/Procedure
7.5.1.2.2. Form
7.5.1.2.3. References (documents of external origin)
7.5.1.2.4. Records
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8.0 Operation
8.1.1 PSHSS shall plan, implement and control the processes needed to
meet the requirements for the provision of its curriculum and
services and quality management system requirements by:
8.1.3 PSHSS shall also implement plans to achieve the quality objectives
through the Key Performance Indicators (KPIs).
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• curriculum/service information;
• inquiries, contracts, including amendments;
• customer’s feedback, including complaints;
• handling or controlling customer property; and
• establishing specific requirements for contingency
actions, when relevant.
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8.3.1 General
8.3.2.1 PSHSS, through the RPAD, shall plan and control the
design and development of special science secondary
education program to ensure determination of:
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8.4.1 General
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8.4.2.6 Each PSHSS office shall verify that the products and
services received conform to the Purchase
Request/Purchase Order/Contract and other specified
requirements.
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8.5.4 Preservation
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8.5.6.1 PSHSS shall review and control changes for program and
service provision, to the extent necessary to ensure
continuing conformity with requirements.
8.6.3 All ordered products from external providers shall be inspected and
verified.
8.6.4 The incoming quality management system inspection shall use one
or more of the following methods:
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8.6.7 All services offered shall be identified with suitable means, which
indicates the conformity or nonconformity with verification activities
performed.
8.6.12 The services of PSHSS shall not be given to the customers until all
the required verification activities are performed, documented, and
authorized according to specified procedures.
8.7.1 PSHSS shall ensure that outputs that do not conform to set
requirements are identified and controlled to prevent unintended
use of delivery.
8.7.2 PSHSS shall take appropriate action based on the nature of the
nonconformity and its effect on the conformity of products and
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8.7.3 Nonconforming outputs may include but not limited to the following:
8.7.4 PSHS shall deal with these nonconforming outputs in one or more
of the following ways as appropriate:
8.7.4.1 Correction;
8.7.4.2 Segregation, containment, return or suspension of
provision of products and services;
8.7.4.3 Informing the customer/stakeholder;
8.7.4.4 Obtaining authorization for acceptance under
concession.
8.7.5 Error in grades shall follow the procedure for the correction of
grades.
8.7.6 Measures shall be taken if topics for the course are not completely
covered, such as make-up classes.
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8.7.9 The office concerned shall also identify correction and corrective
actions to be taken when nonconforming products/services are
detected after the delivery or use has started.
8.7.10 The office concerned shall investigate and evaluate the cause of
nonconformity of services and shall seek assistance, if necessary,
from the QMSO.
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9.1.1. General
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9.2.1. PSHSS shall carry out an internal quality audit (IQA) annually or as
deemed necessary by management, to verify whether the quality
management system:
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9.2.3. Audits are to be carried out according to an audit plan and scheduled
on the basis of status and importance of the activity to be audited.
9.2.4. The audit and follow-up actions shall be carried out according to
QM 13.2 “Internal Quality Audit".
9.2.6. The management of the offices being audited shall be responsible for
taking timely correction and corrective action on the nonconformities
found during the audit.
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9.2.10. The result of the audits shall be taken into account during
management reviews.
9.3.3. If any attendee is absent, draft minutes will be sent to him/her, for
review and so that the person may amend the minutes with any
additional data, notes, opinions or opportunities for improvement they
may wish to add.
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10.0 Improvement
10.1. General
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10.2.2. The heads of the offices shall ensure that corrective actions are
appropriate to the effects of the nonconformities encountered.
10.3.3. PSHSS shall consider the results of analysis and evaluation, and the
outputs from management review, to determine if there are needs or
opportunities that shall be addressed as part of continual
improvement.
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ISO
DESCRIPTION REFERENCE
CLAUSE
4.0 Context of the
QM 4.0
organization
4.1 Understanding the
organization and its QM 4.0, CIM 4.8, CIM 5.0
context
4.2 Understanding the needs
and expectations of QM 4.0, CIM 4.8, CIM 5.0
interested parties
4.3 Determining the scope of
the quality management QM 4.0
system
4.4 Quality management QM 3.3, QM 4.0, QM 11.0, QM 12.0, Quality
system and its processes Manual, Curriculum and Instruction Manual,
Student Affairs Manual, Student Services
Manual, Finance and Administration Manual,
Research, System Office Manual, Job
Descriptions Manual
5.0 Leadership QM 5.0
5.1 Leadership and QM 3.1, QM 5.0, CIM 4.8, FAM 3.0
commitment
5.2 Policy QM 5.0
5.3 Organizational roles, QM 3.4, QM 5.0, Job Descriptions Manual
responsibilities and
authorities
6.0 Planning QM 6.0
6.1 Actions to address risks QM 6.0
and opportunities
6.2 Quality objectives and QM 6.0, FAM 3.0
planning to achieve them
6.3 Planning of changes QM 6.0, QM 13.5, CIM 3.3, CIM 4.1, FAM 3.0
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ISO
DESCRIPTION REFERENCE
CLAUSE
7.0 Support QM 7.0
7.1 Resources QM 7.0, CIM 3.2, FAM 8.1
7.1.1 General QM 7.0
7.1.2 People QM 3.4, QM 7.0, CIM 3.1, CIM 3.2, FAM 4.1,
FAM 4.4, Job Descriptions Manual
7.1.3 Infrastructure QM 7.0, CIM 3.2, CIM 4.4, SSM 4.5, SSM 5.2,
FAM 6.2, FAM 6.4, FAM 6.5
7.1.4 Environment for the QM 7.0, CIM 3.2, CIM 4.4, SSM 5.2, SSM 6.2,
operation of processes FAM 6.3, FAM 6.6, FAM 7.1
7.1.5 Monitoring and QM 7.0, CIM 3.3, CIM 4.4, CIM 4.5, CIM 5.0,
measuring resources COM 3.1, COM 3.2, COM 4.1-COM 4.2, SSM Comment [PP1]: Might change based on new
3.1-SSM 3.8, SSM 4.1-SSM 4.5, SSM 5.2, TOC
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ISO
DESCRIPTION REFERENCE
CLAUSE
8.5 Production and service QM 8.0
provision
8.5.1 Control of production and QM 8.0, CIM 3.1, CIM 3.3, CIM 4.2-CIM 4.8,
service provision SAM 3.1-SAM 3.3, SAM 4.0-SAM 6.0, SAM
7.1-SAM 7.3, SSM 3.5, SSM 4.1-SSM 4.5,
SSM 5.1, SSM 5.2, SSM 6.1, SSM 6.5, SSM
7.1-SSM 7.4, SSM 9.0, FAM 6.1-FAM 6.3,
FAM 6.6, FAM 6.7, FAM 7.2-FAM 7.5, FAM
8.2, FAM 9.1-FAM 9.5, FAM 10.1-FAM 10.3,
FAM 13.0
8.5.2 Identification and QM 8.0, CIM 3.1, CIM 4.4, CIM 4.6, CIM 4.7,
traceability SSM 4.2
8.5.3 Property belonging to QM 8.0, CIM 4.4, CIM 4.5
customers or external
providers
8.5.4 Preservation QM 8.0, CIM 4.4, CIM 4.6, CIM 4.7, SSM 4.4,
SSM 4.5, FAM 5.3, FAM 5.4, FAM 5.6
8.5.5 Post-delivery activities QM 8.0, SSM 3.6, SSM 3.7
8.5.6 Control of changes QM 8.0, QM 13.5, CIM 3.3, FAM 3.0
8.6 Release of products and QM 8.0, CIM 3.1, CIM 3.3, CIM 4.2, CIM 4.4-
services CIM 4.8, SAM 3.1-SAM 3.3, SAM 4.0-SAM
6.0, SAM 7.1-SAM 7.3, COM 3.1, COM 3.2,
COM 4.1-COM 4.3, COM 5.1, COM 5.2, SSM Comment [PP5]: Please countercheck
3.2-SSM 3.5, SSM 3.7, SSM 4.1-SSM 4.5,
SSM 5.1, SSM 5.2, SSM 6.1, SSM 6.5, SSM
7.2, SSM 7.3, SSM 9.0, FAM 6.1-FAM 6.3,
FAM 6.6, FAM 6.7, FAM 8.1, FAM 8.2, FAM
9.1-FAM 9.5, FAM 10.1-FAM 10.3, FAM 13.0
8.7 Control of nonconforming QM 8.0, QM 13.3, CIM 3.3, CIM 4.4, CIM 4.6,
outputs COM 4.2, FAM 5.5, FAM 5.7 Comment [PP6]: Here pa
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ISO
DESCRIPTION REFERENCE
CLAUSE
9.0 Performance evaluation QM 9.0
9.1 Monitoring, QM 9.0
measurement, analysis
and evaluation
9.1.1 General QM 9.0,
9.1.2 Customer satisfaction QM 9.0, CIM 4.8, CIM 5.0
9.1.3 Analysis and evaluation QM 9.0, CIM 4.1, CIM 4.5-CIM 4.8, CIM 5.0,
SAM 8.2, COM 4.2, COM 4.3, SSM 3.6, SSM
4.4, SSM 6.3, SSM 7.1-SSM 7.4, SSM 9.0,
FAM 3.0, FAM 13.0
9.2 Internal audit QM 9.0, QM 13.2
9.3 Management review QM 9.0
10.0 Improvement QM 10.0
10.1 General QM 10.0
10.2 Nonconformity and QM 10.0, QM 13.4
corrective action
10.3 Continual improvement QM 10.0, CIM 4.1, CIM 4.5-CIM 4.8, CIM 5.0,
SAM 8.2, FAM 3.0, FAM 4.7, FAM 4.8
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LeeToh L e e T o h M
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w n @Z
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1.0 OBJECTIVES
1.2 To ensure that all documented information relevant to the QMS are properly
updated.
1.3 To ensure that all QMS-related documented information are reviewed for
adequacy and the latest revisions are available at all points of use.
2.0 SCOPE
3.0 POLICIES
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Manuals/Procedures
3.2.2 All manuals shall follow the standard format containing the
following:
• Institution’s Logo,
• Manual Title,
• Document Name,
• Document No.,
• Version Number,
• Revision No.,
• Effectivity Date,
• Page Number,
• Prepared By,
• Approved By,
• Master Copy Stamp Box,
• Controlled Copy Stamp Box, and
• Statement at the footer “© 2016 Philippine Science High School;
all rights reserved. This document may contain proprietary
information and may only be released to third parties with
approval of management. Document is uncontrolled unless
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released to third parties with approval of management. Document is uncontrolled unless otherwise marked; uncontrolled documents
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ABC X.X
Where:
ABC – QM for Quality Manual,
CIM for Curriculum and Instruction Manual,
SAM for Student Affairs Manual,
SSM for Student Services Manual,
FAM for Finance and Administration Manual,
SOM for System Office Manual, and
JDM for Job Descriptions Manual
X.X – number assigned to the document
The initial issue of procedures shall bear revision 0. A revision shall be issued to reflect
changes in a particular procedure of a manual. Succeeding amendments to the
procedure shall then be numbered as revision 1, 2, 3 and so o
3.2.5 n.
The initial issue of manuals shall bear version 1. A new version shall be issued when
there are major changes in the manual as change of standard version or change of
signatories. Succeeding issues shall be numbered as version 2, 3, 4 and so on. The
QMR shall decide when a new version of the manual shall be issue
3.2.6 d.
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Forms
PSHS-NN-F-XXX-YY-Rev#-MM/DD/YY
Where: PSHS – refers to Philippine Science High School
NN – origin of Form,
F – referring to Form,
XXX – three character referring to the area/office,
YY – two-digit assigned reference number,
Rev # – revision number, and
MM/DD/YY – date of issue/effectivity date
Origin of Form
Code Origin
00 Common to all PSHS
Campuses/OED
01 MC
02 SMC
03 WVC
04 EVC
05 CVC
06 CMC
07 BRC
08 IRC
09 CVisC
10 CARC
11 CLC
12 SRC
13 CRC
14 CBC
15 ZRC
16 MRC
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Office Code
Office of the Executive Director OED
Research, Policy Formulation RPA
and Academics Division
Office of the Campus Director OCD
Quality Management System QMS
Office
Student Discipline Office SDO
Planning Office PLO
Curriculum & Instruction Division CID
Student Services Division SSD
Registrar Unit REG
Library Unit LIB
Residence Halls Unit RHU
Health Services Unit HSU
Guidance Unit GCU
Division of Student Affairs DSA
Finance & Administration Division FAD
Accounting Unit ACU
Budget Management Unit BMU
Cash Management Unit CMU
Human Resource HRU
Management Unit
Supply & Property SPU
Management Unit
Procurement Unit PRU
General Services Management GSM
Unit
Information Technology Unit ITU
Records Management Unit RMU
3.2.8 All forms shall be monitored through the Master List of Forms
maintained by the Document Controller (per area) and QMR.
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Records
3.2.10 Records shall contain the following as reflected in the Filing Chart:
3.2.10.1 File code
3.2.10.2 File name
3.2.10.3 Filing system
3.2.10.4 Active retention/location/responsibility
3.2.10.5 Inactive retention/location/responsibility
3.2.10.6 Mode of disposal
3.2.10.7 Prepared by
3.2.10.8 Approved by
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Records
Manuals/Procedures
3.4.3 The Document Approval and Distribution Matrix shall serve as the
Master List of procedures.
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• Master Copy shall be defined as the copy with the latest revision
and basis for all controlled copies. It shall be properly identified
or labeled in red ink as valid or official.
3.4.5 The person/s involved in the preparation of the manual shall sign in
the designated boxes in the Master Copy to indicate that the
manual is the official copy. The Approving Authorities concerned
shall likewise sign in the designated box to indicate their approval.
3.4.6 Master copies of all manuals shall be maintained and kept by the
QMR/Document Controller.
3.4.7 The QMR and Document Controller shall have full authority to
revise or change any procedures. Any changes should be coursed
through them, which should be properly supported by a DCR.
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• Title of Manual,
• Copy Number,
• Document Number,
• Previous Version/Revision No.,
• New Version/Revision No.,
• Recipient,
• Date Issued,
• Signature of Recipient,
• Date Retrieved, and
• Signature of Issuer/Retriever.
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Forms
3.4.18 Newly created forms, including combined existing forms, shall have
a new Reference Number which is the next available according to
the series of two-digit numbers.
3.4.20 For discarded forms or those that will not be used, the assigned
Reference Number will not be used for new forms.
3.4.22 A copy of the newly created or revised form shall be provided to the
QMR/Document Controller for proper updating of the compiled
forms.
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Records
3.4.28 Each Head shall assign a person in charge to control and maintain
records in the office.
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3.4.32 Each unit shall set the retention period of its records. After the
lapse of the retention period, the persons concerned shall seek
approval from their respective heads, after which he/she shall
remove the records and dispose of such records based on the
disposal method indicated on the Filing Chart.
Uncontrolled Copies
3.5.1 All DCRs received from requesting parties shall be logged by the
QMR/Document Controller in a Document Change Request
Register containing the following
• DCR No.,
• Date Received,
• Document No.,
• Requested By,
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3.6.5 The Masterlist of Forms shall document the revision history of the
forms.
3.6.7 The Filing Chart can be updated any time by the office concerned
as long as the date it was prepared is indicated and approved by
the Head of the office concerned.
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4.0 PROCEDURES
Responsibility Activity
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Responsibility Activity
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Responsibility Activity
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Responsibility Activity
Document 11. If approved, prints updated form and provides the
Controller office with copies. For external printing,
coordinates with service provider.
Responsibility Activity
Employee 1. Identifies new/revised copy of external
document/reference to be controlled as reference.
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Responsibility Activity
Immediate 6. Signs the controlled document/reference.
Superior
7. Forwards the controlled document/reference to the
concerned employee.
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5.1 Forms
5.1.1 Document Change Request
5.1.2 Document Change Request Register
5.1.3 Document Control Log
5.2 Reports
None
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1.0 OBJECTIVES
2.0 SCOPE
3.0 POLICIES
3.2 The IQA shall be scheduled based on the complexity and the observed
performance of the area.
3.3 Responsibility
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The IQA plan shall be prepared by the Lead Auditor and shall be
approved by the QMR. It should be communicated to the auditors
and auditee. It should be designed to be flexible in order to permit
changes based on information gathered during the audit, and to
permit effective use of resources. The plan should include:
• The audit objectives and scope;
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3.8.3.2 The auditors will perform the IQA using the audit checklist
as well as the documented information as guides.
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3.8.3.4 The auditors will observe the following conduct during the
IQA.
• Objectiveness
• Punctuality
• Courteousness
• Politeness
• Respect for protocols
• Respect for confidentiality
• Respect for valid restrictions
• Exercise of fairness
• Works within his defined authority
• Avoids arguments
• Criticizes in a constructive way
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• Nonconformity
- Failure to comply with a procedure, a quality
management system requirement, or statutory and
regulatory requirement.
- A breakdown of an element of ISO 9001:2015.
• Observation
- A statement of fact made during an audit and
substantiated by objective evidence that may
reflect positively or negatively on the quality
management system. Though it is not booked as
nonconformity, it calls management’s attention to
an area that requires improvement/action lest it be
elevated to a nonconformity in future internal
quality audits.
- These findings shall be supported by objective
pieces of evidence.
- Qualitative or quantitative information, records or
statements of fact pertaining to the quality of an
item or service or the existence and
implementation of a quality management system
element which is based on observation,
measurement or test and which can be verified.
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• Review of findings;
• Consolidation of all findings;
• Groupings and tabulation of all findings;
• Classification of findings;
• Analysis of findings; and
• Preparation of CARs and OFIs.
• Date of audit;
• Audit scope;
• Objectives;
• References used;
• IQA Team;
• Audit time table; and
• Summary of findings.
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3.8.4.7 The auditors shall submit copies of the CAR/s and OFI/s
to the auditee concerned.
• The lead auditor shall preside over the closing meeting with the
QMR and auditees/Heads;
• The lead auditor shall reiterate the scope and purpose of the
audit and the reference standards they used during the audit;
• The auditors shall report their findings and observations;
• The time scale on the corrective actions and opportunities for
improvements is agreed upon, if applicable; and
• All queries and clarifications are resolved.
The Lead Auditor shall issue a formal IQA Report to the QMR. The IQA
Report will discuss findings and list possible improvement opportunities
that shall be taken up during the Management Review Meeting.
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The QMR/QMSO shall meet with the auditors and take overall
responsibility for follow-up activities of audit results with the auditees.
Follow up action will not be considered complete/closed until all
corrections, corrective actions, and opportunities for improvements have
been implemented and the status has been reported to the Lead Auditor.
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4.0 PROCEDURES
Responsibility Activity
Lead Auditor 1. Prepares the IQA Schedule for the year and have it
approved by the QMR.
Lead Auditor 12. Updates the CAR Status Log and OFI Status Log.
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Responsibility Activity
Lead Auditor 14. Prepares and submits the IQA Report to the QMR.
5.1 Forms
5.1.1 IQA Schedule
5.1.2 Corrective Action Request Form
5.1.3 Opportunities For Improvement Form
5.1.4 CAR Status Log
5.1.5 OFI Status Log
5.1.6 IQA Auditor Performance Evaluation Form
5.2 Reports
5.2.1 IQA Report
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CONTROL OF NONCONFORMING PRODUCT/SERVICE
DECEMBER 5, 2016
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1.0 OBJECTIVE
2.0 SCOPE
• Error in grades
• Non-completion of topics for the course
• Expired items
• Damaged facilities/equipment
• Customer Complaints
• Inaccurate information in the documents
3.0 POLICIES
3.1 Error in grades shall follow the procedure for the correction of grades.
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3.4.2 A letter, phone call or personal visit to the customer shall be done
to explain the situation, and result of the investigation may be
forwarded to the customer, as needed.
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4.0 PROCEDURES
5.1 Forms
5.1.1 Corrective Action Request (CAR) Form
5.2 Reports
None
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1.0 OBJECTIVES
2.0 SCOPE
This procedure covers activities of the following and the controls necessary to
ensure that appropriate corrections and corrective actions are taken and such
actions are effective to rectify nonconformances noted:
3.0 POLICIES
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3.5 The QMSO shall be responsible for maintaining the CAR Status Log and
ensuring that all CARs are properly closed.
3.6 The CAR shall not be closed out if the action taken has not been effective
in correcting the deficiency and/or preventing recurrence.
3.7 The institution shall implement and record any changes to the
documented information resulting from corrective action.
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PAGE NO.
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4.0 PROCEDURES
Responsibility Activity
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Responsibility Activity
5.1 Forms
5.1.1 Corrective Action Request Form
5.1.2 CAR Status Log
5.2 Reports
None
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CHANGE MANAGEMENT DECEMBER 5, 2016
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1.0 OBJECTIVE
To define the methods for managing changes to processes and other aspects of
the quality management system in a controlled manner.
2.0 SCOPE
3.0 POLICIES
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4.0 PROCEDURES
5.1 Forms
5.1.1 Corrective Action Request Form
5.1.2 Opportunities For Improvement Form
5.1.3 Document Change Request Form
5.2 Reports
None
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