DURATION OF MANAGEMENT SYSTEMS AUDIT 1. DEFINITIONS 2. APPLICATION 3. METHODOLOGY FOR DETERMINING AUDIT DURATION 4. SURVEILLANCE 5. RECERTIFICATION 6. FACTORS FOR ADJUSTMENTS OF AUDIT DURATION 7. TEMPORARY SITES 8. MULTI-SITE AUDIT DURATION I-25cl Annex A - Quality Management Systems (ISO 9001, ISO/TS 29001, Technical Regulation of Customs Union - TR CU 032 2013), EMS and OH&S MS Annex B - Complexity Categories of environmental aspects Annex C - Complexity Categories of occupational health and safety risks 1. 1.1 DEFINITIONS Audit Duration Audit duration for all types of audits is the effective time measured in auditor days required to carry out auditing activity. 1.2 Auditor Day The duration of an auditor day is 8 hours and does not include travel time or lunch. 1.3 Effective Number of Personnel The effective number of personnel consists of all full time personnel involved within the scope of certification including those working on each shift. Non-permanent (seasonal, temporary and contracted personnel) and part time personnel who will be present at the time of the audit shall be included in this number. 1.4 Temporary Site A temporary site is one set up by an organization in order to perform specific work or a service for a finite period of time and which will not become a permanent site. (eg. a construction site). 1.5 Complexity Category The provisions specified in this document are based on five primary complexity categories of the nature, number and gravity of the environmental aspects of an organization (EMS) or on five complexity categories of occupational health and safety risks (OH&S MS) that fundamentally affect the auditor time. 2. 2.1 APPLICATION General In determining the audit time C-IMS Certification considers among others the following aspects: a) requirements of the relevant management system standard or requirements based on modules of CONTSTAND scheme (see document I-07); b) size and complexity; c) technological and regulatory context; APPROVED: 14.01.2014 C-IMS Certification page 1 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl d) any outsourcing of any activities included in the scope of the management system; e) results of any prior audits; f) number of sites and multi-site considerations; g) risks associated with products, processes or activities of the organization; h) when performing audits of integrated management system. C-IMS Certification does not apply specific criteria for a specific certification scheme. In certification of management systems against standards ISO 9001, ISO/TS 29001, ISO 14001 and OHSAS the time spent by any team member that is not assigned as an auditor (i.e. technical experts, translators, interpreters, observers and auditors-in-training) is not included into the above established audit time. In an assessment of a QMS based on modules of CONTSTAND scheme the time spent by a technical expert is included into the audit time. NOTE The use of translators and interpreters can necessitate additional audit time. 2.2 Audit Duration Audit duration for all types of audits includes on site time at a client's premises and time spent off-site carrying out planning, document review, interacting with client personnel and report writing. It is expected that the audit duration involved in these combined activities (irrespective of whether the activities are undertaken off-site or on-site) shall not typically reduce the total on-site audit duration to less than 80% of the time shown in Annex A, Tables 1A (QMS - ISO 9001:2008 and ISO/TS 29001:2010 or a module of CONTSTAND scheme) and Tables 2A (EMS and OH&S MS). This applies to initial, surveillance and recertification audits. Where additional time is required for planning and/or report writing, this will not be justification for reducing on-site audit duration for any audit. 2.3 Auditor Day Tables 1A and 2A present audit durations calculated in auditor days on the basis of 8 hours per day. To comply with local legislation for lunch breaks and working hours it may be needed to adjust the number of days, to achieve the same total number of auditing hours presented in Tables 1A and 2A. The number of auditor days allocated shall not be reduced at the planning stages by programming longer hours per working day. 2.4 Effective Number of Personnel The effective number of personnel is used as a basis for the calculation of audit duration. Dependent upon the hours worked, part time personnel numbers may be reduced and converted to an equivalent number of full time personnel. Appropriate reduction should be made to the temporary unskilled personnel who are employed in considerable numbers in some regions. Appropriate reduction of number of personnel also should be made where significant proportion of staff carry out a similar simple function for instance: transport, line work, assembly lines, etc. C-IMS Certification shall agree with the organization to be audited the timing of the audit in form CF-02, which will best demonstrate the full scope of the client activities. APPROVED: 14.01.2014 C-IMS Certification page 2 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl Note: Timing of the audit to best demonstrate the full scope may include the need to audit outside normal working hours or suit the shift personnel employed. 3 3.1 METHODOLOGY FOR DETERMINING AUDIT DURATION The methodology used as a basis for the calculation of audit duration of an initial audit (stage 1 + stage 2) involves the utilization of tables presented in Annex A, Annex B and Annex C for management systems audits. Tables 1A (for QMS) is based solely upon the effective number of personnel. Tables 2A (for EMS and OH&S MS), besides the effective number of personnel, is based also on the environmental complexity of the organization or on occupational health and safety risks and does not provide minimum or maximum duration. Annex B and Tables 2B describe complexity categories of environmental aspects and their links with business sectors. Annex C and Tables 2C describe complexity categories of occupational health and safety risks and their links with industrial sectors. 3.2 Using a suitable multiplier, the same tables may be used as the base for calculating audit duration for surveillance audits (clause 4) and recertification audits (clause 5). 3.3 For each client C-IMS Certification shall determine the time necessary for planning and fulfillment of complete and effective audit of the client’s MS. Experience has shown that apart from the number of personnel, the time required to carry out an effective audit depends upon other factors for QMS as well as for EMS and OH&S MS. These factors are described in clause 6. The audit time and justification for this determination are written down in KF-07 q/e/hs/og/i “Application review”. 3.4 This instruction lists the provisions which should be considered when establishing the amount of time needed to perform an audit. All factors shall be examined by C-IMS Certification during the contract review process for their potential impact on the audit duration regardless of the audit type. 3.5 For QMS audits, where product or service realization processes operate on a shift basis, the extent of auditing of each shift by C-IMS Certification depends on the processes done on each shift, and the level of control of each shift that is demonstrated by the client. The justification for not auditing each shift shall be documented in “Contract review sheet” for QMS (form KF-07q). 3.6 For an EMS and OH&S MS audit it is appropriate to base audit duration on the effective number of personnel of the organization and the nature, number and gravity of the environmental aspects and risks, which are typical in this industry sector. Then the audit duration should be adjusted based on any significant factors that uniquely apply to the organization to be audited. Where product or service realization processes operate on a shift basis, the extent of auditing EMS and OH&S MS of each shift depends on the processes done on each shift, and the level of control of each shift that is demonstrated by the client. The justification for not auditing each shift shall be documented in “Contract review sheet” for EMS and OH&S MS (forms KF-07e/hs). 3.7 The time, indicated in Tables 1A and 2A, is the starting point for estimating the duration of an initial audit (Stage 1 + Stage 2). APPROVED: 14.01.2014 C-IMS Certification page 3 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl 4 4.1 SURVEILLANCE During the initial three year certification cycle, surveillance audit duration for a given organization should be proportional to the time spent on initial certification audit (stage 1 + stage 2), with the total amount of time spent annually on surveillance being about 1/3 of the time spent on the initial certification audit. The appropriate update of client data related to certification (changes in the organization, system maturity, etc.) shall be applied for planning of every surveillance audit. The evidence of review including any adjustments to audit duration shall be recorded. 5 5.1 RECERTIFICATION The duration of the recertification audit should be calculated on the basis of the updated information of the client and is normally approximately 2/3 of the time that would be required for an initial certification audit (Stage 1 + Stage 2) of the organization if such an initial audit were to be carried out at the time of recertification (i.e. not 2/3 of the original initial certification audit duration). The audit duration shall take into account the outcome of the review of the system performance. The review of system performance does not itself form part of the audit duration for recertification audits. 6 6.1 FACTORS FOR ADJUSTMENTS OF AUDIT DURATION The starting point for determining audit duration shall be identified based on the effective number of personnel, then adjusted for the significant factors applying to the client to be audited, and attributing to each additive or subtractive factor, which is to modify the base figure. Factors affecting the audit duration are described in Annex D. The reduction of the audit duration shall not exceed 30% of time determined according to Tables 1A and 2A. Calculation of the audit duration of integrated management systems is conducted in concordance with requirements of procedure PR/27 “Integrated management system audit”, in this case the audit duration can be reduced by 20%. The total reduction of the audit duration taking into account the above-stated factors can be not more than 50% of the normative figures. In every situation the basis for determination of the audit duration including adjustments made shall be recorded. The reasons for adjustment of the audit duration shall be written down by the certification manager in the application review sheet KF-07q/e/hs/i and in Appendix to form CF-02 for all audit types. 6.2 6.3 7 7.1 TEMPORARY SITES In situations where the certification applicant or certified client provides their product(s) or service(s) at temporary sites, such sites shall be incorporated into the audit programmes. 7.2 Temporary sites could range from major project management sites to minor service/installation sites. The need to visit such sites and the extent of sampling should be based on an evaluation of the risks of the failure of the QMS to control product or service output or on an evaluation of the risks of the failure of the EMS and OH&S MS. Typically audits of temporary sites are performed on-site. However, the following methods could be considered as alternatives to replace some on-site audits: - Interviews or progress meetings with the client and/or its customer in person; APPROVED: 14.01.2014 C-IMS Certification page 4 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT 7.3 I-25cl Document review of temporary site activities; In each case, the method of audit should be fully documented and justified in terms of its effectiveness. 8. MULTI-SITE AUDIT DURATION Requirements to multi-site audits are described in instruction I-11 “Multi-site certification”. In this case the instruction I-11 shall be used to select sites to be sampled prior to applying the present instruction to each selected site. APPROVED: 14.01.2014 C-IMS Certification page 5 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl ANNEX A Table 1A - Quality Management Systems (ISO 9001:2008; ISO/TS 29001:2010, Technical Regulation of Customs Union TR CU 032/2013) Relationship between effective number of personnel and audit duration (Initial Audit only) Effective Number of Personnel Audit Duration Stage 1 + Stage 2 (days) Effective Number of Personnel 1-5 6-10 11-15 16-25 26-45 46-65 66-85 86-125 126-175 176-275 276-425 426-625 1.5 2 2.5 3 4 5 6 7 8 9 10 11 626-875 876-1175 1176-1550 1551-2025 2026-2675 2676-3450 3451-4350 4351-5450 5451-6800 6801-8500 8501-10700 >10700 Audit Duration Stage 1 + Stage 2 (days) 12 13 14 15 16 17 18 19 20 21 22 Follow progression above Table 2A - Environmental Management Systems and Occupational Health & Safety Management Systems Relationship between effective number of personnel, complexity and audit duration (Initial Audit only) Effective Number of Personnel Audit Duration Stage 1 + Stage 2 (days) High 1-5 6-10 11-15 16-25 26-45 46-65 66-85 86-125 126-175 176-275 276-425 426-625 APPROVED: 14.01.2014 3 3.5 4.5 5.5 7 8 9 11 12 13 15 16 Med Low Complexity 2.5 2.5 3 3 3.5 3 4.5 3.5 5.5 4 6 4.5 7 5 8 5.5 9 6 10 7 11 8 12 9 Effective Number of Personnel Lim 2.5 3 3 3 3 3.5 3.5 4 4.5 5 5.5 6 Audit Duration Stage 1 + Stage 2 (days) High 626-875 876-1175 1176-1550 1551-2025 2026-2675 2676-3450 3451-4350 4351-5450 5451-6800 6801-8500 8501-10700 >10700 C-IMS Certification 17 19 20 21 23 25 27 28 30 32 34 Med Low Complexity 13 10 15 11 16 12 17 12 18 13 19 14 20 15 21 16 23 17 25 19 27 20 Follow progression above Lim 6.5 7 7.5 8 8.5 9 10 11 12 13 14 page 6 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl ANNEX B Complexity categories of environmental aspects High -environmental aspects with significant nature and gravity (typically manufacturing or processing type organizations with significant impacts in several of the environmental aspects); Medium -environmental aspects with medium nature and gravity (typically manufacturing organizations with significant impacts in some of the environmental aspects); Low - environmental aspects with low nature and gravity (typically organizations of an assembly type environment with few significant aspects); Limited -environmental aspects with limited nature and gravity (typically organizations of an office type environment); Special - these require additional and unique consideration at the audit planning stage. Table 2A covers the above four top complexity categories: high, medium, low and limited. Table 1B provides the link between the five complexity categories above and the industry sectors that would typically fall into that category. Table 1B Complexity category Business sector High Mining and quarrying Oil and gas extraction Tanning of textiles and clothing Pulping part of paper manufacturing including paper recycling Oil refining Chemicals and pharmaceuticals Primary productions - metals Non-metallics processing and products covering ceramics and cement. Coal based electricity generation Civil construction and demolition Hazardous and non hazardous waste processing e.g. incineration Effluent and sewerage processing Fishing/farming/forestry Textiles and clothing except for tanning Manufacturing of boards, treatment/impregnation of wood and wooden products Paper production and printing excluding pulping Non metallics processing and products covering glass, clay, lime etc. Surface and other chemically based treatment for metal fabricated products excluding primary production Surface and other chemically based treatment for general mechanical engineering Medium APPROVED: 14.01.2014 C-IMS Certification page 7 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl Production of bare printed circuit boards for electronics industry Manufacturing of transport equipment - road, rail, air, ships Non coal based electricity generation and distribution Gas production, storage and distribution (note extraction is graded high) Water abstraction, purification and distribution including river management (note commercial effluent treatment is graded as high) Fossil fuel whole sale and retail Food and tobacco - processing Transport and distribution - by sea, air, land Commercial estate agency, estate management, industrial cleaning, hygiene cleaning, dry cleaning normally part of general business services Recycling (utilization), composting, landfill (of non hazardous waste) Technical testing and laboratories Healthcare/hospitals/veterinary Leisure services and personal services excludes hotels/restaurants Low Hotels/restaurants Wood and wooden products excluding manufacturing of boards, treatment and impregnation of wood Paper products excluding printing, pulping and paper making Rubber and plastic injection moulding, forming and assembly – excludes manufacturing of rubber and plastic raw materials which are part of chemicals Hot and cold forming and metal fabrication excluding surface treatment and other chemical based treatments and primary production General mechanical engineering assembly excluding surface treatment and other chemical based treatments Wholesale and retail Electrical and electronic equipment assembly excluding manufacturing of bare printed circuit boards Limited Corporate activities and management, HQ and management of holding companies Transport and distribution - management services with no actual fleet to manage Telecommunications General business services except commercial estate agency, estate management, industrial cleaning, hygiene cleaning, dry cleaning Education services SPECIAL CASES Nuclear Nuclear electricity generation Storage of large quantities of hazardous material Public administration Local authorities Organizations with environmental sensitive products or services APPROVED: 14.01.2014 C-IMS Certification page 8 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl Financial institutions C-IMS Certification takes into consideration that not all organizations in a specific sector will always fall in the same complexity category. For example, even though many businesses in the chemical sector should be classified as "high complexity", an organization which would have only a mixing free from chemical reaction or emission and/or trading operation could be classified as "medium" or even "low complexity". Table 2A does not cover the "special complexity" category for EMS. In these special cases the audit duration shall be calculated and justified on an individual basis. APPROVED: 14.01.2014 C-IMS Certification page 9 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl ANNEX C Complexity Categories of occupational health and safety risks: Limited – This risk is considered acceptable. No further action is necessary other than to ensure that the controls are maintained; Low – No additional control is required unless it can be implemented at very low cost. Vulnerable persons need extra protection; Medium – The risk reduction measures are required within a defined time period. Arrangements should be made to ensure that the control is maintained, particularly if the risk levels are associated with harmful consequences; High – The risk reduction measures are required urgently. Arrangements should be made to ensure that the control is maintained, particularly if the risk levels are associated with extremely harmful consequences and very harmful consequences; Very high – The work activity should be halted until the risk is reduced to an acceptable level. If it is not possible to reduce the risk the work should remain prohibited. Table 1C provides the link between the industry sectors and their complexity categories. Table 1C Complexity category Business sector Very high Nuclear Nuclear electricity generation Storage of large quantities of hazardous material Organizations with products or services of very high risk for occupational health and safety High Extractive industry and quarrying (including oil and gas exploration) Tanning of textiles and clothing Production of coke and refined oil products Chemicals, chemical products and fibers. Pharmaceuticals Main metals Shipbuilding Aerospace industry Power supply (generation and distribution) Gas supply (generation and distribution) Construction Health care and social activity Hospitals Effluent and sewerage processing and waste (garbage) disposal APPROVED: 14.01.2014 C-IMS Certification page 10 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT Medium Low Limited I-25cl Farming Fishing Food products, beverages and tobacco. Textiles and textile clothing/laundering and dry cleaning Wood and wooden products Cellulose and paper Paper products Non metallic mineral products Rubber and plastic products Manufacture of non metallic products Manufacture of metallic products Machinery and equipment The above-indicated including surface treatment Electrical and optical equipment Electronic and electro-vacuum devices, other (micro) electronic components Other transport equipment Manufacturing Not Elsewhere Classified Utilization (dismantling and separation) Water supply (including water abstraction and distribution) Education Publishing Companies Printing Companies Maintenance and repair of motor vehicles and motorcycles Wholesale and Retail Trade Transport and storage Sales Hotels and Restaurants Post and telecommunications Financial Intermediation Information Technology Engineering Services Research and development Public Administration Leisure services, cultural and sport activity Real Estate Renting Other professional services Other Social Services Table 2A does not cover the "very high" category for OH&S MS. For this category the audit duration shall be calculated and justified on an individual basis. APPROVED: 14.01.2014 C-IMS Certification page 11 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl ANNEX D Item No. 1 Factors affecting the MS audit duration Magnitude of the factor in % 3 The organization size: - the physical size of the client organization (large or small); - the number of people involved in the activities of the client organization in relation to the scope of the audit including, when relevant, part-time, seasonal contract and casual personnel; - complicated logistics; - the number of sites to be audited. 2 3 3 The organization location: the level of central control; the commonalities of processes and products; the linked processes; seasonal and climate conditions. Complexity of the client’s organization and management system: 3 - accessibility to management system documentation and records; - structure of the management system, including levels of controls, reporting and internal communication; - the number and range of people representing various levels within the client organization to be interviewed; - activities that require visiting temporary sites; - complexity of the interaction between the client organization’s activities; - prior knowledge about the client organization; - activities which are repetitive; - changes to the client organization; - the control and type of shift work; - the client organization’s occupational health and safety and security conditions. 4 Technological and regulatory context: 3 - the complexity and amount of applicable regulations (e.g. food, pharmaceutical, aerospace, nuclear power industries); - the complexity of the technology used in the client organization; - the complexity of design processes; - the level of automation. 5 Activities included in the scope of the management system: 3 - the applicable requirements of the management system standard, including considerations of eligible exclusion of requirements; - the scope of certification with respect to product, services, activities, processes and sites, including consideration of their complexity; - the activities outsourced by the client organization (e.g. extent, level of control, significance, complexity). 6 Maturity and effectiveness of the management system: 3 - the results and effectiveness of any prior audits performed by the certification body; - the results and effectiveness of any prior external audits conducted by parties other than the certification body; - the effectiveness of the client organization’s internal audit and management review processes; - the level of understanding and commitment to the management system within the client organization; - existing certified management systems; - reliable public information (e.g. media reports, customer feedback, regulatory information or sanctions); - the period for which the management system has been in operation; - the capacity of the client organization to achieve its management system objectives. 7 Risks associated with the products, processes or activities of the client organization: APPROVED: 14.01.2014 C-IMS Certification 3 page 12 of 13 DURATION OF MANAGEMENT SYSTEMS AUDIT I-25cl - the existence of hazardous processes, materials or work environment (e.g. sterilization with radiation, chemicals used in leather treatment process); - the risk of non-conformities and their impact (e.g. in health service, food production, air traffic control); - the level of vulnerability within processes and operations. 8 3 Culture: - different cultures; - the need for interpretation and translation. 9 3 Composition of the audit team: - the need for translators or interpreters; - the need for technical experts. 10 Other factors Total 11 Audit of IMS (see PR-27) 3 Reduction/increase not more than 30% Reduction not more than 20% Reduction not more than 50% Total Each factor reduces or increases the initial duration of the audit by 3%. After considering and summing up all factors affecting the reduction or increase of the audit duration, the final duration of the audit is calculated. The maximum value can amount to 30% of the initial man-days determined from tables 1A and 2A of Annex A. When performing an Integrated Management System audit, the calculation of the audit duration shall be conducted in concordance with requirements of PR-27, where the maximum reduction of the audit duration can amount to 20%. Then the quantitative values of factors affecting the audit duration shall be summarized in % expression and the total value of the audit duration is calculated in %. The maximum reduction of IMS audit time taking into account all the factors can amount to 50%. APPROVED: 14.01.2014 C-IMS Certification page 13 of 13