PENNDOT – Engineering District 10-0 ISO 9001 Internal Audit Report (02/06) Department Audit Process Date & Time of Audit Construction 5.1 & 5.2 March 31, 2010 2:00pm Auditor(s) Audit Objectives: 1. Michael Shanshala 2. Brock Heigley Review 5.1 Management Commitment and 5.2 Customer Focus processes to insure compliance and improved effectiveness with ISO 9001 and organizational requirements. Name of Auditee(s) Auditee(s) job Function 1. Paul Majoris 2. Gary Madey 1. ADE – Construction 2. CSE – Construction Item(s) or areas audited 5.1 Management Commitment 5.2 Customer Focus Auditee Comments: o Plan approved by: (Management Representative) Tim McClellan Page 1 of 3 PENNDOT – Engineering District 10-0 ISO 9001 Internal Audit Report Audit Criteria External requirements (questions) 1. 5.2 Are Customer Reviews on a project reviewed in the After Action Reviews? 2. 5.2 Are Customer Reviews used as a tool in upcoming project design? External requirements (answers) 1. 5.2 No, because AAR’s are due at final inspection, customer reviews are Internal requirements (questions) due annually 1. 2. Customer reviews are assigned to Maint/Traffic/Design for improvements to future projects. These are discussed at the annual spring construction schools (Such as topsoil inclusion into SIP’s). If a customer contact is available, they are notified. Internal requirements (questions) 1. Explain 5.1 and 5.2 process to me. 2. Does 5.1 and 5.2 process have room for improvement? 3. 5.1 What evidence can you provide of commitment to the development, implementation and improvement of the quality management system? 4. 5.1 How often is a management review conducted and what are the steps taken to perform a management review? 5. 5.2 Resource Documents. Observation of an internal audit conducted on 9/14/09, the auditor asked to explain and show the process that exists for someone to step into a position in top management and effectively analyze the resources and make improvements to the unit. The answer was no process exists. Was any consideration given to documenting the best practices that have been used in the past to utilize the resource / referenced documents that have successfully worked to benefit the replacement of top management? Internal requirements (answers) External requirements 1. ADE-C reviews on(questions) an annual basis the legal and customer requirements with staff. 1. Peer reviews are in place among managers of different projects and available on the J:ISO location by other managers from similar projects. 2. Yes, reviews are done by ACES and peers using a checklist such as for MPT. 3. Peer reviews, CPAR Process, shared learning at construction school/DMC. 4. Every other month. Agenda is established for each review. 5. A formal written process is not established, however desk manuals (lists containing daily/weekly/monthly/quarterly activities) are published by key management personell retiring or vacating positions. These are given to the successor. Page 2 of 3 PENNDOT – Engineering District 10-0 ISO 9001 Internal Audit Report Overall Statement of Effectiveness of the Quality Management System Areas of strength regarding ability to meet requirements- including observed BEST Practices 1. Conducting the management 6 times/year rather than the two required. 2. Updates being made from ISO 9001-2000 to 9001-2008 Areas to consider for improvement: 1. Develop a process to formalize the current “desk manual” practice for key management positions. Specific observed nonconformities (Findings): If Applicable, Follow-up Scheduled: 1. NONE Observations and auditor comments: 1. Management should consider spot checking the master control documents on the J:Drive. The 2009 CPARS show two in the open mode when they also appear in the closed mode. 1.) Updating Control Documents 7/20/09 & 1/17/10 2.) Flow Chart for Inadequacies 12/14/09 & 12/14/09. Position specific titles are still shown on preface for retired people. Statement of overall effectiveness of the system: Commitment appears to be in place to upkeep the auditing process and well as incorporating improvements into the system. These are easily available to find on the J:Drive control documents. Distribution of Audit Report: Manager of area audited A.D.E. Construction ISO Management Representative Unit Manager Comments Including Follow-Up Action: (if any) The CPARS have been moved to the closed folder. They were being left in the open folder until the next MGT review meeting so they could be reviewed. They were only closed within a couple weeks of this audit. The Manual cover sheet auditors have been updated. (Tim McClellan). Page 3 of 3