RENCANA AUDIT

ST. HILLARY PRIVATE HOSPITAL

TUJUAN AUDIT Untuk mengkonfirmasi sejauh mana kegiatan operasional berjalan sesuai dengan Sistem Manajemen Mutu ISO 9001:2015
Untuk mengidentifikasi peluang dalam memperbaiki kebijakan dan prosedur Sistem Manajemen Mutu di St. Hillary Private
RUANG LINGKUP Customer Care Services, Emergency Services, Human Resources (QMS Coordinator)
(AREA)

KRITERIA Standard Persyaratan ISO 9001 : 2015

Quality Policy (QMS001), Responsibility & Authority (PR001), Communication & Consultation (PR004),
Process Control (PR006) Monitoring and Measurement (PR011), Training (PR009), Documentation Control (PR002) Internal
Audit (PR010), Management Review (PR003), Corrective & Preventive Action (PR012)
WAKTU Jumat, 23 Februari 2018 PUKUL 09:00 - 17:00
PELAKSANAAN
TEAM AUDITOR Lead Auditor : Faesal Rachman (FR)
Anggota Auditor : Bagus Putu Fabio (BPF)
: Aulia Nuraini (AN)
NO WAKTU AUDIT KEGIATAN / UNIT PROSES KLAUSUL AUDITOR AUDITEE LOKASI
1 08:30 - 09:00 HSE INDUCTION from St. Hillary - ALL - Meeting Room, HO
Hospital
09:00 - 09:15 OPENING MEETING - Lead Auditor &
Auditor Auditee
(FR)
2 09:15 - 12:00 CUSTOMER CARE SERVICES :
- External Internal Issue & Risk 4.1 dan 6.1.1; BPF Muh. Hakam
Assessment 6.1.2 (Bagus) Front Office
13:00 - 15:00 - Interested Parties Req & 4.2 dan 5.1.2 Manager
Customer Focus
- Accountability & Responsibility 5.3 dan 5.1.1 Reception
(PR 001)
- Service Offered St. Hillary 8.2; 8.1 (GF) - Level One
Hospital (p. 26)

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 - Communication Skill, Manner 7.1.6 dan 7.2
Knowledge
- Quality Policy (QMS 001), 5.2; 6.2, 9.1.1
Quality Objective
- Communication & Consultation 7.4
(PR 004)
- Customer Feedback & 8.7 dan 9.1.2
Satisfaction
3 09:15 - 12:00 HUMAN RESOURCES & QMS
Mgt. Rep.
- Organization Chart (page 19) 5.3 dan 7.4
13:00 - 15:00 - Responsibility & Authority 5.1.1
(PR001)
- External Internal Issue & Risk 4.1 dan 6.1.1; Aulia  SanSan. S
Assessment 6.1.2 Nuraini
- Interested Parties (Government 4.2 (AN) QMS Mgt. Repr. Adm. Office
Compliance)
- Training (PR009) & Quality 7.2; 7.3; 6.2; (HR, Fin.Adm (GF) - Level One
Objective Target 9.1.1 Mgr)
- Interrelation with St. Hillary's 4.4 dan 8.1
Core Process
(core processes & production 7.1.6
provision) p.20
- Documentation & Doc. Control 7.5 dan 7.4
(PR002)
- Internal Audit Process (PR010) 9.2 dan 8.7
& NCR
- Management Review (PR003) 9.3; 6.2
Objective Target
- Corrective & Preventive Action 10.2 dan 10.3
(PR012)
- Communication & Consultation 7.4

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 (PR 004)
4 09:15 - 12:00 EMERGENCY SERVICES :
- External Internal Issue & Risk 4.1 dan 6.1.1;
Assessment 6.1.2
 13:00 – 15:00 - Interested Parties Needs & 4.2 dan 5.1.2 Emergency Care Center
Expectation
- Responsibility and Authority 5.3 GF_Level One
(PR001)
- Communication (PR004), 7.4 dan 6.2
Quality Objective
- Organizational Knowledge (First 7.1.6 FR Agus Wahyudi
Aid Kit, PPE,etc) (Faesal)
- Competency Personnel & 7.2; 7.3 Emergency CC
Training (PR009)
- Operational Process Control 8.1 dan 8.5
(PR006)
- Nonconformance Handling with 8.7; 10.2; 10.3
Corrective
Preventive Action (PR 012)
- Monitoring and Measurement 7.1.3; 7.14;
(PR011) 9.1.1
5 12:00 - 13:00 LUNCH BREAK

6 15:00 - 16:00 Auditor Discussion BPF, AN, - Meeting Room, HO

FR
7 16:00 - 17:00 CLOSING MEETING Lead ALL Meeting Room, HO
Auditor
- Audit Reporting
- Feedback Meeting

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