SILANG CAVITE MUNICIPAL HALL

Quality Management System Procedure Issue Date: 7/03/2023

Rev. No.: 0
Rev. Date: -
CORRECTIVE ACTION PROCEDURE Page 1 of 4
(QP-10)

Rev Prepared
Description of Change
No. by
0 Initial documentation of procedure

OBJECTIVE:

To establish a system in analyzing, evaluating, reviewing corrective actions intended to eliminate the root
causes of identifed non – conformities, including customer complaints, in order to prevent their
recurrence.

SCOPE:
This procedure consists of the following actions:

1. Review and analysis of non – conformities and root cause,

2. Determination of other potential non - conformities and their causes,
3. Evaluation of the need for action to prevent recurrence of non-conformities,
4. Determination and implementation of appropriate actions needed,
5. Recording of the result of action taken and
6. Review and follow up of action taken to establish its effectiveness.

REFERENCE DOCUMENTS:

 Quality Management System Manual

 ISO 9001:2015 Standard

DEFINITION OF TERMS:

Remediation Measure – range of immediate actions taken to correct nonconformities or prevent further
generation of nonconforming services.

Correction or Immediate Action – actions taken to eliminate an identified non-conformance or deviation.

Corrective Actions (C / A) – actions taken to eliminate the cause of nonconformities in order to prevent
their recurrence/occurrence. These may come in the form of document revision, etc.

Non-conformance – deviation from a procedure or lapse in implementation. This includes as well all
deviations causing adverse effects to the product.

Minor Non-Conformance – is an isolated lapse in implementation that can easily be rectified and will not
cause a serious breakdown in the system. Any deviation or lapse found to occur but does not necessarily
show a total absence, disregard or non – fulfillment of a specific requirement

Major Non-Conformance – systemic deviation; accumulation of minor lapses in one area / department;
repetitive or combined deviations that may cause damage to services being provided or failure to comply
with clients’
Prepared by: requirements; repetition of previously
Reviewed by: identified non conformities;
Approvednonconformity
by: to legal
requirements that govern the operations of the company; deviations that may cause breakdown in the
management system.
___________________________ __________________________ _____________________
Document Control Officer Quality Management Representative Mayor
Observation - Statement of fact made during an audit and substantiated by objective evidence where such
are likely to cause non - conformance in the future, an improvement, suggestion or comment on the
documented management system or its implementation.
 SILANG CAVITE MUNICIPAL HALL
Quality Management System Procedure Issue Date: 7/03/2023
Rev. No.: 0
Rev. Date: -
CORRECTIVE ACTION PROCEDURE Page 2 of 4
(QP-10)

ACTIVITIES RESPONSIBLE DETAILS/REMARKS

 SILANG CAVITE MUNICIPAL HALL
Quality Management System Procedure Issue Date: 7/03/2023
Rev. No.: 0
Rev. Date: -
CORRECTIVE ACTION PROCEDURE Page 3 of 4
(QP-10)

A. Corrective Action Review and record nonconformities identified

Start
and analysis of the root cause and other facts
related to the nonconformities in the Corrective
Action Report Form (FO-IA-03). The
auditor/personnel who identified the deviation
shall classify it as either minor or major non -
Review and Analysis of conformities.
Non-Conformities and Process Owner Use of the Corrective Action Report form to
Root Causes record nonconformities, root cause
(FO-CAR-03) analysis and corrective actions is
mandatory.
In the event major nonconformity is identified,
the Top Management shall be informed. The
Department Head concerned/ Process Owner
shall be involved in monitoring the
rectifications to be applied.
Note: These corrective actions may result
from one, or a combination of, the following:

Non-Conforming items (including non-

attainment of quality objectives),
Internal and external audits, and
Customer complaints

Formulate and implement the actions intended

to correct the observed non - conformities of
the affected products, process or systems.
Record the proposed activity and the persons
Implement Correction responsible for its execution in the Corrective
for Non-Conformance Process Owner Action Report form. Prepare written instruction
(FO-CAR-03) as necessary. Instruct responsible personnel
assigned to carry out the details of the
rectifications to be taken. These shall be
submitted within the agreed upon time frame
forged by the auditor and the concerned
A personnel (using the CAR Form).

ACTIVITIES RESPONSIBLE DETAILS/REMARKS

 SILANG CAVITE MUNICIPAL HALL
Quality Management System Procedure Issue Date: 7/03/2023
Rev. No.: 0
Rev. Date: -
CORRECTIVE ACTION PROCEDURE Page 4 of 4
(QP-10)

Based on the root cause, the process owner shall

A establish the corrective action necessary to eliminate
the causes of non - conformities in order to prevent
recurrence. The Department Head shall assign
Formulation of Corrective personnel responsible for each activity and shall
Action Process Owner record the corrective action in the CAR form. Once
the corrective actions are formulated, established
(FO-CAR-03)
activities shall commence accordingly. Should the
course of action necessitate revisions in the affected
documents, the procedure for document
Implementation of management shall apply.
Corrective Action Process Owner
(FO-CAR-03)

Monitoring the progress/results of correction/

Monitoring of Effectiveness
of Correction and
Corrective Actions
immediate measure and corrective actions, shall be
recorded in the CAR (FO-CAR-03) form. The
Internal Auditor auditee/process owner shall submit the results
of correction measure/corrective actions to the
auditor for verification or confirmation at the
agreed time frame. The process owner shall attach
supporting documents in the CAR (FO-CAR-03) form
as evidence of effective implementation of
the correction/immediate measure and corrective
actions as applicable.

Verification activities may require one (1) or two (2)

Verification/Closure of Non- follow-up visits. If proven effective in eliminating the
conformity Internal Auditor detected non-conformity, the designated auditor
shall recommend the approval of its closure to the
Quality Management Representative. Otherwise, the
Corrective and Preventive Action Report shall be re-
issued and will undergo the same procedure
End

Records:
The following records shall be kept on file for three years as evidence of the effective
implementation of this procedure.

1.0 Corrective Action Report (FO-IA-03)

2.0 Other Corrective Action records as required by customers
3.0 Minutes of the meeting during the analysis of root cause and preventive action
formulation stage as applicable.
4.0 Other supporting documents used to support the above documents.