MRF Name / Logo MP12 – Monitoring, measurement and improvement Section All Release/Amendment summary Initial issue Issue Date 1.0 dd/mm/yy Approved: Management Representative Note: Within this manual template, red italic text should be replaced by MRF specific information and any guidance in ‘text boxes’ should be implemented. 533578549 MRF Name / Logo 1 Purpose This procedure describes the processes for customer satisfaction monitoring, the monitoring and measurement of processes, the implementation of corrective and preventive actions (including the management of customer complaints) and the continual improvement of Management System (MS) effectiveness. The procedure also gives an overview of analysis of data activities and should be read in conjunction with Environmental, Legal and Communication Aspects procedure MP08. 2 Scope This procedure contains the following sections: 5.1 5.2 5.3 5.4 5.5 5.6 5.7 Customer satisfaction Process monitoring and measurement Analysis of data and evaluation of compliance Control of non-conformity Continual improvement Corrective action Preventive action Appendix 1 – Customer complaints flowchart Appendix 2 – Corrective action, improvement and customer satisfaction flowchart 3 Definitions and glossary MR - Management Representative QEA - Quality and Environmental Auditor CSAT - Customer Satisfaction 4 Responsibility The MR is responsible for the overall implementation of this procedure, including the gathering of customer satisfaction data and the implementation of improvement activity. The MR is also responsible for planning and overseeing Environmental Objectives, Targets and Programmes (see procedure MP08). The Quality and Environmental Auditor (QEA) is responsible for the monitoring of MS effectiveness through audit and process review. 5 Procedure 5.1 Customer satisfaction All feedback from customers is monitored and analysed to ascertain customer satisfaction. Any service problems or improvement suggestions can be received by any member of staff. A record of correspondence related to significant feedback is maintained on a Quality and Environmental Report form (MFyy). All customer feedback resulting from perceived dissatisfaction in relation to the supply of services is recorded on a Q&E Report form and is identified as a customer complaint. Appropriate information is recorded on the Q&E Report form to identify the customer, problem type and initial corrective action. The Q&E Report form is completed with corrective and preventive actions resulting from the analysis of the issue raised. Results of the investigation and where required, subsequent corrective action is fed back to the customer. All corrective action is to be reviewed by the MR before full implementation. The Q&E Report form may also to be used to record positive customer feedback and suggestions, including those received through Customer Satisfaction Surveys (CSS) MFxx. All customer related Q&E Reports are reviewed at least quarterly to ascertain whether customer requirements are being met and to identify possible opportunities for improvement. ISO 9001 requires the organisation to monitor information in relation to the customer’s perception as to whether requirements have been met. This can include satisfaction surveys, customer data on delivered product / service quality, lost business analysis, compliments and industry sector reports. CSS’s may be sent to various customers / customer organisations on conclusion of a significant supply activity. Customer satisfaction feedback is also obtained through the company website via email. The method for analysing the results from the CSS will be defined in associated data analysis reports. 533578549 2 MRF Name / Logo 5.2 Process monitoring and measurement Quality and environmental processes and procedures are verified by internal audit and process monitoring – this includes key characteristics of the business that can have a significant environmental impact. These measures are used to monitor quality, environmental and operational processes to determine that planned results have been achieved including conformity with MRF Name’s environmental objectives and targets. Audit non-conformities and their associated corrective actions are recorded on an Audit Report form (MFaa). Further details are given in the management procedure, MP11 Internal Auditing. Where process monitoring and review identify that planned results are not being achieved or performance could be improved, the NC or improvement suggestion is recorded on a Q&E Report form (MFyy). Where appropriate, corrective or preventive action is taken to ensure continued conformity of service. 5.3 Analysis of data and evaluation of compliance Appropriate data is determined, collected and analysed to demonstrate the effectiveness of the MS and operational processes. This data is then used to evaluate where improvements in management system effectiveness can be made. The data generated from monitoring and measurement or other relevant sources is analysed to provide performance information relating to: Customer satisfaction. Conformity of service requirements. Trends/ characteristics of processes and services, and opportunities for preventive action. Sub-contract / service provider performance. Results of data analyses are reviewed at six monthly Management Review meetings. The evaluation of compliance with applicable legal requirements is included in the internal auditing activity and Management Review. This also includes other requirements to which MRF Name subscribes – these other requirements are generally included on / referenced from the Environmental Objectives, Targets and Programmes table. 5.4 Control of non-conformity Where a non-conformity is identified with the activities and services provided by MRF Name, this will be recorded on a Q&E Report for MFyy, investigated and acted upon as appropriate. All such instances are subject to review in line with the degree of concern. Records of non-conformity are maintained and analysed as part of Management Review. Products or services are reviewed by authorised staff in order to determine any remedial action and any remedial work is subsequently inspected. In the unlikely event that a service may not fully meet specified requirements, but is still acceptable to the client, this will be reported on a concession (Q&E Report MFyy) as appropriate. Records of any concessions will be held by the Management Representative. Where non-conformity has an environmental aspect or has resulted in an emergency situation that has an environmental impact, this will be dealt with in accordance with Emergency Response Procedure MP07 and, where appropriate, the MRF Name Business Continuity Plan. 5.5 Continual improvement The effectiveness of the MS is continually improved through the review of Quality and Environmental Policy Statement and Quality and Environmental Objectives, the analysis of audit results, corrective and preventive actions, customer feedback and associated data. Improvement suggestions can also be documented by any member of staff on a Quality and Environmental Report form (MFyy). Improvement actions are also reviewed and documented as an output of the Management Review. If the Quality and Environmental Objectives have been reached and can be maintained, then the targets are stretched to ensure that the company meets its objective of continual improvement and performance growth. The MR is responsible for planning and overseeing Environmental Objectives, Targets and Programmes in accordance with procedure MP08. 5.6 Corrective action Any non-conformities are analysed to develop corrective actions which eliminate root cause and prevent re-occurrence. 533578549 3 MRF Name / Logo This reporting procedure includes the activities and requirements for: Reviewing N/C, including customer complaints. Determining the cause of N/C. Evaluating the need for action to prevent re-occurrence. Determining and implementing action needed. Recording results of action taken. Review of corrective action implemented. Records of corrective actions are reviewed at six monthly Management Review meetings to establish if any trends can be identified. If so, these trends are used to allocate resources for corrective actions and improvement activities. Any changes to management system procedures found necessary are implemented, verified and recorded as appropriate. 5.7 Preventive action A review of key processes is conducted through audit or as indicated by quality data. This review is used to identify and eliminate potential nonconformities. The implementation and maintenance of effective management system procedures is also part of preventive action planning. In addition, a process of continuous review is applied to all services and processes to identify possible improvement opportunities. Appropriate sources of information such as management system procedures and instructions, audit results, project records, Q&E Reports and satisfaction surveys are used to detect, analyse and eliminate potential causes of nonconformity. Preventive actions and improvement suggestions are recorded on the Q&E Report form (MFyy). All Q&E Reports are reviewed at Management Review meetings and the need for action to prevent nonconformity is evaluated. The results of any preventive action taken are recorded on the Q&E Report form and the effectiveness of the preventive action reviewed. 6 Related documents Environmental, Legal and Communication Aspects procedure MP08. Customer Satisfaction Surveys (CSS) MFxx. Quality and Environmental Report Form MFyy. Emergency Response Procedure MP07. 533578549 4 MRF Name / Logo Appendix 1 - Customer complaints flowchart Written complaint Customer feedback received Complaint routed to MR / MD Complaint documented on Q&E report Q&E report MFyy Related customer information attached (A/R) Complaint investigated and corrective / preventive action documented Updated Q&E report MFyy Feedback / corrective action given to customer Effectiveness of action reviewed (MR/MD) Complaints trends reviewed at management review 533578549 5 MRF Name / Logo Appendix 2 – Corrective action, improvement and customer satisfaction flowchart Significant contract completed / key customer identified Service non-conformity identified Q&E report MFyy Non-conformity recorded on Q&E report Satisfaction survey and covering letter sent out Significant internal improvement or corrective action identified Q&E report Passed to/reviewed by MR Updated Q&E report Customers complete surveys and return Survey returns analysed and satisfaction level calculated Raised by originator / MR Actions (if any) agreed and recorded. Q&E report updated Satisfaction survey MFxx Satisfaction trend plotted against objective Any significant issues captured and tracked using Q&E report form Data analysis report Objectives Q&E report Results fed back to originator Q&E report reviewed, closed and filed Q&E reports and satisfaction trends reviewed at management review 533578549 6