PR09 Non-Conformity Procedure Version
PR09 Non-Conformity Procedure Version
Purpose
To ensure that all non-conformities are reported and that action is taken to correct and
prevent future non-conformities.
Scope
This procedure covers all activities by the FM team at the University of Greenwich at the
three sites covered by the Sustainability Management System (SMS) – Avery Hill, Medway
and Greenwich.
Definitions
Corrective action:- action to eliminate the cause of a detected nonconformity.
Non-conformance:- reported via the auditor when the objective evidence of an auditor
reveals that activities are either not in compliance with the relevant components of the
SMS, the SMS is not being implemented effectively, or, the SMS as implemented does not
comply with the requirements of the standard.
All FM staff will comply with all corrective and preventive actions prescribed within their
sphere of responsibility. In exceptional cases, they should inform the Head of Sustainability
of reasons why actions cannot or will not be taken, for further consideration and decision.
1.2 Identification
Non-conformances and observations can be identified through a range of activities,
including:
Complaints
Observation
Incidents
House-keeping inspection
Near-misses
1.3 Investigation
Whenever a non-conformance is identified, the underlying cause(s) must be investigated.
This can be done by discussing the non-conformance with other members of the FM team,
especially those familiar with the area or subject of concern.
The Head of Sustainability is responsible for collating all SMS Action Requests into CD10 and
is also responsible for monitoring progress against actions, evaluating trends in actions and
presenting findings to the Management Review.
Where preventive actions involve long term programming, these will be considered in the
setting of objectives or targets.
Any changes to the SMS procedures as a result of corrective or preventive action will be
recorded.
Related documentation
CD10 – SMS Action Request Status Log
PR10 – Internal SMS Audit
SF02 – Internal SMS Audit Report