Finding and corrective action plan

No. 1 of 4 Ref. No. Error: Reference source not

found
1. Finding to be filled in by the auditor
Standard ISO 9001:2008 Requirement (ref) 4.2.4
Process/subject Management System, Administration / Control of records
Statement and objective evidence : Control of records is not effective

4.2.4 Control of records

Records established to provide evidence of conformity to requirements and of the effective operation of the
quality management system shall be controlled.
The organization shall establish a documented procedure to define the controls needed for the identification,
storage, protection, retrieval, retention and disposition of records.
Records shall remain legible, readily identifiable and retrievable.

-. Archive list not include the copy of student’s certificate (Ijazah), Klaper, Buku Mutasi, SKHUN as one
of the archives to be maintained.
-. Student’s Main Book for 2008 under the name of Moch. Ichsan (24593) and Moch. Hidayat (24594)
graduate was not filled out completely
-. Reports of Competence Development program were not completely filled out.
2. Evaluation to be filled in by the auditor
Minor nonconformity Major nonconformity
Required evidence for follow-up audit on site (date and duration to be defined, billable service)
effective closure: audit of records off site (date to be defined, billable service)
evidence of effective closure was presented during the audit
(all sections of this form to be completed at the end of the audit)
Date 16/12/2010 Lead Auditor Markus Dihanto
Customer response:
Acknowledgement of the finding and evaluation yes no
Date 16/12/2010 Management representative Mr. Joko Santoso,S.Pd. .
3. Containment action / immediate measures to be filled in by customer
     Sudah Dilaksanakan Pengukuran
4. Root cause analysis (including what other processes can be impacted) to be filled in by customer
     Petugas TU belum sempat melengkapi data dalam buku induk 2008 atas nama Moch. Ichsan (24593)
dan Moch. Hidayat (24594), (24593 yang betul Moch. Ilham bukan Moch Ichsan)
5. Corrective action taken to remove root cause to be filled in by customer
(include a description of any error-proofing that was implemented with steps and timeline for completion)
     Sudah di lengkapi dalam buku induk 2008 atas nama Moch. Ichsan (24593) dan Moch. Hidayat (24594)

Corrective action will be deployed by (date)      

Date 17 – 12 - 2010 Management representative Mr. Joko Santoso,S.Pd.
Planned action is suitable and acceptable yes no
Date 22 -02-2011 Lead Auditor      
6. Evidence of closure (reference attachments for any evidence submitted) to be filled in by the auditor
Ada Terlampir
Evaluation: Nonconformity has been closed effectively. yes no
Date 22-02-2011 Lead Auditor      

52477502.doc All aspects of the audit are considered confidential Rev. 6/08 1/5
Finding and corrective action plan
No. 2 of 4 Ref. No. Error: Reference source not
found
1. Finding to be filled in by the auditor
Standard ISO 9001:2008 Requirement (ref) 6.2
Process/subject Administration/ Competence, training and awareness
Statement and objective evidence : Training program is not effective

6.2.2 Competence, training and awareness

The organization shall
a) determine the necessary competence for personnel performing work affecting conformity to product
requirements,
b) where applicable, provide training or take other actions to achieve the necessary competence,
c) evaluate the effectiveness of the actions taken,
d) ensure that its personnel are aware of the relevance and importance of their activities and how they
contribute to the achievement of the quality objectives, and
e) maintain appropriate records of education, training, skills and experience (see 4.2.4)

-. Some training has been conducted, however, training program hasn’t been established yet as
stipulated PM-TU-02
2. Evaluation to be filled in by the auditor
Minor nonconformity Major nonconformity
Required evidence for follow-up audit on site (date and duration to be defined, billable service)
effective closure: audit of records off site (date to be defined, billable service)
evidence of effective closure was presented during the audit
(all sections of this form to be completed at the end of the audit)
Date 16/12/2010 Lead Auditor Markus Dihanto
Customer response:
Acknowledgement of the finding and evaluation yes no
Date 16/12/2010 Management representative Mr. Joko Santoso,S.Pd. .
3. Containment action / immediate measures to be filled in by customer
     Sudah dilaksanakan
4. Root cause analysis (including what other processes can be impacted) to be filled in by customer
     Petugas TU banyak tugas sehingga terbengkalai
5. Corrective action taken to remove root cause to be filled in by customer
(include a description of any error-proofing that was implemented with steps and timeline for completion)
     Sudah dibuat pogram pengembangan kompetensi pendidik dan kependidikan (PM-TU-02)
Corrective action will be deployed by (date)      
Date 03 -01-2011 Management representative Mr. Joko Santoso,S.Pd. .
Planned action is suitable and acceptable yes no
Date 22-02-2011 Lead Auditor      
6. Evidence of closure (reference attachments for any evidence submitted) to be filled in by the auditor
     Ada Terlampir
Evaluation: Nonconformity has been closed effectively. yes no
Date 22-02-2011 Lead Auditor      

52477502.doc All aspects of the audit are considered confidential Rev. 6/08 2/5
Finding and corrective action plan
No. 3 of 4 Ref. No. Error: Reference source not
found
1. Finding to be filled in by the auditor
Standard ISO 9001:2008 Requirement (ref) 6.3
Process/subject Infrastructure/ Infrastructure preventive and corrective maintenance
Statement and objective evidence : Infrastructure preventive and corrective maintenance is not effective

6.3 Infrastructure
The organization shall determine, provide and maintain the infrastructure needed to achieve conformity to
product requirements. Infrastructure includes, as applicable,
a) buildings, workspace and associated utilities,
b) process equipment (both hardware and software), and
c) supporting services (such as transport, communication or information systems).

-. Preventive maintenance plan and its execution of infrastructure as stipulated by PM-SARPRA-01

couldn’t be shown during the audit.

2. Evaluation to be filled in by the auditor

Minor nonconformity Major nonconformity
Required evidence for follow-up audit on site (date and duration to be defined, billable service)
effective closure: audit of records off site (date to be defined, billable service)
evidence of effective closure was presented during the audit
(all sections of this form to be completed at the end of the audit)
Date 16/12/2010 Lead Auditor Markus Dihanto
Customer response:
Acknowledgement of the finding and evaluation yes no
Date 16/12/2010 Management representative Mr. Joko Santoso,S.Pd. .
3. Containment action / immediate measures to be filled in by customer
     Sudah dilakukan pengukuran
4. Root cause analysis (including what other processes can be impacted) to be filled in by customer
     karena kesibukan petugas sarpras
5. Corrective action taken to remove root cause to be filled in by customer
(include a description of any error-proofing that was implemented with steps and timeline for completion)
     telah di buat program pemeliharaan dan perawatan inventaris AC
Corrective action will be deployed by (date)      
Date 17-01-2011 Management representative Mr. Joko Santoso,S.Pd. .
Planned action is suitable and acceptable yes no
Date 22-02-2011 Lead Auditor      
6. Evidence of closure (reference attachments for any evidence submitted) to be filled in by the auditor
     Ada terlampir
Evaluation: Nonconformity has been closed effectively. yes no
Date 22-02-2011 Lead Auditor      

52477502.doc All aspects of the audit are considered confidential Rev. 6/08 3/5
Finding and corrective action plan
No. 4 of 4 Ref. No. Error: Reference source not
found
1. Finding to be filled in by the auditor
Standard ISO 9001:2008 Requirement (ref) 7.5.2
Process/subject Teaching Process/ Validation of Lesson Plan
Statement and objective evidence : Validation of Lesson Plan is not effective

7.5.2 Validation of processes for production and service provision

The organization shall validate any processes for production and service provision where the resulting output
cannot be verified by subsequent monitoring or measurement and, as a consequence, deficiencies become
apparent only after the product is in use or the service has been delivered.
Validation shall demonstrate the ability of these processes to achieve planned results.
The organization shall establish arrangements for these processes including, as applicable,
a) defined criteria for review and approval of the processes,
b) approval of equipment and qualification of personnel,
c) use of specific methods and procedures,
d) requirements for records (see 4.2.4), and
e) revalidation.

-. Lesson plan were not validate and revalidate when it was changed for some reason, for the subject of
Science (Biology) for Class VIII for the month of November 2010. Rincian minggu efektif : 2+2+2, Promes
: 2+2+2, actual (journal) : 2+1+1 (hours/week).

2. Evaluation to be filled in by the auditor

Minor nonconformity Major nonconformity
Required evidence for follow-up audit on site (date and duration to be defined, billable service)
effective closure: audit of records off site (date to be defined, billable service)
evidence of effective closure was presented during the audit
(all sections of this form to be completed at the end of the audit)
Date 16/12/2010 Lead Auditor Markus Dihanto
Customer response:
Acknowledgement of the finding and evaluation yes no
Date 16/12/2010 Management representative Mr. Joko Santoso,S.Pd. .
3. Containment action / immediate measures to be filled in by customer
     Sudah di laksanakan perubahan RPP
4. Root cause analysis (including what other processes can be impacted) to be filled in by customer
     Guru tidak cermat dalam membuat alokasi waktu
5. Corrective action taken to remove root cause to be filled in by customer
(include a description of any error-proofing that was implemented with steps and timeline for completion)
     Melakukan perubahan RPP Nov 2010
Corrective action will be deployed by (date)      
Date 17-12-2010 Management representative Mr. Joko Santoso,S.Pd. .
Planned action is suitable and acceptable yes no
Date 22-02-2011 Lead Auditor      
6. Evidence of closure (reference attachments for any evidence submitted) to be filled in by the auditor
     Ada Terlampir
Evaluation: Nonconformity has been closed effectively. yes no
Date 22-02-2011 Lead Auditor      

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