ATTACHMENT “A”

 
2008 First Round Internal Audit

Number of Major Nonconformance:

0

Number of Minor Nonconformance:

4

Number of Observations:

36

Corrective Action Request #

Nonconformance Description

Status

0001 (O&M)

Section had shown lack of awareness of Emergency Management under DWQMS element 18. No objective evidence of the testing of the emergency procedures could be found, and several auditees were not aware of the testing of procedures should be performed. The Emergency Contact List shown by different auditees were in different formats as well, and some could not even show the contact list.

Corrective Action received – staff trained in more detail with regard to emergency management. Follow-up audit to be scheduled during the week of January 12, 2009.

0002 (INF)

Waterworks Technicians were found not aware of the Document Control methodology in place, did not know how to access to the online controlled documentations and found not fully aware of the Document Change Process.

Corrective Action received – Technicians have been re-trained. Follow-up audit scheduled January 12, 2009 to close off the nonconformance.

0003 (IMS)

Majority of the staff was found not fully aware of the Corrective Action process in order to resolve nonconformance identified in an audit.

Corrective action received – entire section reviewed the procedure in detail. Corrective action verified to be effective and nonconformance closed as of December 22, 2008.

0004 (TRN)

No objective evidence could be found that the Training Coordinator was aware of the content of the Corporate Training Policies, nor could be able to make reference to them.

Corrective Action received – Staff reviewed the Corporate Training Policies. Follow-up audit to be conducted during the week of January 12, 2009.