IMS AUDIT REPORT

AUDIT REPORTJob No:

Organisation & Work Address

Company Name:Tel Number:

Fax Number:

Subsidiary of:e-mail:

Organisation Identification:CAGE code:

Assessed Site Address:

Assessment Representative & Title:

Management Representative & Title:

Scope / Main activities:Product Types or Codes:

No. of employees at assessed site:

ISO Registration

[ ] ISO Standard / Revision:[ ] Aerospace Standard / Revision:

Expiration Date (If applicable): Expiration Date (If applicable):

Registrar Name:Registrar Name:

Assessment Team

Lead Assessor Name: Other Assessor Team Members:

[ ] Certified Auditor

[ ] Qualified Auditor & Number:

Assessment Dates:

Assessment Scope / Standard:

[ ] Total facility assessed[ ] Initial assessment[ ] All 9100 elements assessed

[ ] Partial facility assessed[ ] Re-assessment[ ] Partial 9100 elements assessed

[ ] Other:Clauses not assessed:

[ ] Activity assessed:

Assessment DispositionScoring

[ ] ConformingScoring result:

[ ] Conforming with minor (mi) corrective action

[ ] Non conforming with Major (MA) corrective action

Assessment Approval

9100 standard version assessed to:

Assessing Company

Date

Lead Assessor Name

Signature

Distribution Agreement

This Assessment Report is the property of the assessed Organisation and the assessing Company. Distribution to other companies or individuals is authorized only after written agreement of the assessed Organisation and of the assessing Company.

To that end, a signature below by an Authorized Representative of the assessing company indicates that this report may be copied by the organisation for other customers.

If copied, the report must be disclosed in full including findings and any corrective actions.

Authorized RepresentativeAssessing Company Name:Signature:Date:

Verification of Closure of Non-compliances from Previous Audit

For previous assessment dated:

Ref No:Objective Evidence Status (open or closed)

General Assessment Information

Legal and Financial Aspects

Date of Formation:

Legal Status:

Capital:

Other Data:

Third Prior Financial Year

( )Second Prior Financial Year

( )First Prior Financial Year

( )Current Financial Year

( )

Sales

Earnings

Earnings used for Re-Investment

Workforce

Turnover breakdown and main Customers

ActivitiesMain CustomersSales Percentage

Aircraft, Space and Defense Industry

Other Activity(be specific)

Clearances or Approvals granted by Authorities

Name of the Authority

Types and References

End of Validity

ASSESSMENT RESULT SUMMARY

Organisation:

Clauses*

ResultObservation / Corrective Action Request Number(MA/mi)Specific Areas to check next time

SMamiN/AN/E

4 - Quality Management System

4.1 General requirements

4.2 Documentation requirements

4.3 Configuration Management

5 - Management Responsibility

5.1 Management commitment

5.2 Customer focus

5.3 Quality policy

5.4 Planning

5.5 Responsibility, authority and communication

5.6 Management review

6 - Resource Management

6.1 Provision of resources

6.2 Human resources

6.3 Infrastructure

6.4 Work environment

7 - Product Realisation

7.1 Planning of product realisation

7.2 Customer-related processes

7.3 Design and development

7.4 Purchasing

7.5 Production and service provision

7.6 Control of monitoring and measuring equipment

8 - Measurement, Analysis and Improvement

8.1 General

8.2 Monitoring and measurement

8.3 Control of nonconforming product

8.4 Analysis of data

8.5 Improvement

Assessed OrganisationReps name:

Assessing CompanyLead Assessor Name:

Results

ASSESSMENT SCORING

Organisation : Result

SCORING CHARTMajor CAR or minor CAR on Key requirementMinor CAR on non Key requirementNO CARRESULT

Multiple

findingsSingle

findingMultiple

findings Single

finding

4Quality management system(100)

4.1General requirements010254050

4.2 & 4.3Documentation requirements & Configuration management010254050

5Management responsibility(150)

5.1Management commitment05152030

5.2Customer focus

5.3Quality policy

5.4Planning010203040

5.5Responsibility, authority and communication05152030

5.6Management review010254050

6Resource Management(100)

6.1Provision of resources010254050

6.2Human resources

6.3Infrastructure010254050

6.4Work environment

7Product realisation(450)

7.1Planning of product realisation05152030

7.2Customer related processes010305060

7.3Design and development

7.3.1D& D Planning05152030

7.3.2-3-4Inputs, outputs & review05152030

7.3.5-6D&D verification & validation05152030

7.3.7Control of design and development changes05152030

7.4Purchasing010305060

7.5Product and service provision

7.5.1Control of production and service provision010254050

7.5.2Validation of processes for production and service provision010203040

7.5.3Identification and traceability010203040

7.5.4-5Customer property & preservation of product05152030

7.6Control of monitoring and measuring device05101520

8Measurement analysis and improvement(200)

8.1General 05101520

8.2Monitoring and measurement

8.2.1Customer satisfaction05101520

8.2.2Internal audit05152030

8.2.3Monitoring and measurement of processes05152030

8.2.4Monitoring and measurement of product05152030

8.3Control of nonconforming product05152030

8.4Analysis of Data05101520

8.5Improvement05101520

The assessed Organisation agrees on the quality management system scoring and corrective action requestsTotal Points Possible

Total Points Achieved

Name of Representative :

Signature :Date :

Score

(pts achieved/pts possible)X 100

Audit Summary

General Comments or Concerns:

Comments of Concerns regarding the reliability of the organisations internal audits and management reviews:

Comments or concerns regarding the qualification, experience and authority of staff encountered:

Comments or concerns regarding the effectiveness of the management system to achieve clients objectives:

Comments or concerns regarding progress of planned activities aimed at continual improvement:

Comments or concerns regarding operational controls:

Recommendations and follow-up action required:

Ref No.Clause No.IO or ObsImprovement Opportunity / Comments / Observations Raised

Opening Meeting Mandatory Agenda

Attendees:

(a)Review the confidentiality agreement FORMCHECKBOX

(b)Establish official communication links between the audit team and company FORMCHECKBOX

(c)Clarify and confirm or amend the scope for which certification is sought FORMCHECKBOX

(d)Overview of the audit plan, objectives, scope and criteria FORMCHECKBOX

(e)Explain the significance and reporting of major and minor non-compliances FORMCHECKBOX

(f)Verify Administrator on OASIS and Still Current FORMCHECKBOX

(g)Invite questions from the companys representatives. FORMCHECKBOX

Notes:

Closing Meeting Mandatory Agenda

Attendees:

(a)Thank the company for their hospitality and for their assistance and co-operation. FORMCHECKBOX

(b)Overall summary of assessment, non-compliances and observations found during the audit. FORMCHECKBOX

(c) Explain procedure for submitting Corrective Action Plan and Objective Evidence if Required FORMCHECKBOX

(d)Present recommendation for or against certification continuance FORMCHECKBOX

(e)Explain the continued surveillance audit cycle FORMCHECKBOX

(f)Invite questions from the companys representatives including comments on this report FORMCHECKBOX

(g)Leave an Electronic/photocopy of the IMS Audit Report with the company. FORMCHECKBOX

Notes:

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