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PASIN PILOT IMPLEMENTATION TEMPLATES LOG (Contractor Internal Deliverables)
DOCUMENT No. DOCUMENT NAME
PASIN QUALITY MANUAL
REVISION DATE
VERSION No.
IMP100-001 Customer Complaint Form 8.2.1 06/02/2008 1.1
IMP100-002 Customer Complaint Log 8.2.1 06/02/2008 1.1
IMP100-003Corrective Action Report
Form 8.6 06/02/20081.1
IMP100-004 Corrective Action Log 8.6 06/02/2008 1.1
IMP100-005 Training Record 6.2.3 06/02/2008 1.1
IMP100-005A Training Record Log 6.2.3 06/26/2008 1.1
IMP100-006 PASIN Project Documents (Plant and Laydown)
4.2.3 06/02/2008 1.1
IMP100-007 PASIN Project Records (Plant and Laydown)
4.2.4 06/02/2008 1.1
IMP100-008Management Review
Meeting Agenda 5.6 06/02/2008 1.1
IMP100-009Management Review
Meeting Minutes 5.6 06/02/2008 1.1
Title: Pilot Implementation Template Log
PASIN Document No.: Document Revision Log
Effective Date: 06/27/08Rev. Version No.: 2.0(supersedes v 1.0-06/02/08)
Page: 1 of 1
DOCUMENT REVISION LOG
Date Change Authorized By Document Number
6/02/08 PASIN Pilot Implementation Log G. McAuley & F. Colella
1.0
6/27/08 Training Record Log Added (IMP100-005A)
R. Kercher & S. Ravindraraj
2.0
Title: Pilot Implementation Template Log
PASIN Document No.: Document Revision Log
Effective Date: 06/27/08Rev. Version No.: 2.0(supersedes v 1.0-06/02/08)
Page: 1 of 1
INTERNAL AND EXTERNAL CUSTOMER COMPLAINT RESOLUTION FORM
Customer Complaint #:
Date of Complaint:
Customer Name:
Customer Address (Location):
Company Name or Internal Organization:
Internal Customer Location:
Phone#: Initial Response Due Date:
E-mail Address: Resolution Date:
1. Customer Complaint Description:
2. Assignment of Primary Responsibility: Assignment Date:
3. Root Cause(s) of Problem:
4. Disposition and Response to Customer:
5. Implementation By/ Date:
6. Verified By/ Date:
Title: Internal and External Customer Complaint Resolution Form Template
PASIN Document No.: IMP100-001
Effective Date: 06/02/08Rev. No.: 1.1
Page: 1 of 1
CUSTOMER COMPLAINT LOG
Complaint # Customer Name Phone # Complaint Description
Response Assigned to:
Response Problem Resolved?
(Y/N)
Management Review
Verification/Date
Title: Customer Complaint Log Template PASIN Document No.: IMP100-002
Effective Date: 06/02/08Rev. No.: 1.1
Page: 1 of 1
CORRECTIVE ACTION REPORT(Submit to Quality Manager)
CAR Requestor:
Today’s Date:
Phone#: E-mail Address:
Description of Problem:
Submit report to the Quality ManagerCORRECTIVE ACTION RESOLUTION
1. Assignment of Primary Responsibility and Team MembershipPrimary Responsibility:
Team Membership:Assignment Date: Target Implementation Date:
2. Root Cause(s) of Problem:
3. Corrective Action Plan (Immediate resolution, and preventive action):
Corrective Action Plan Submission Date:
4. Implementation By/ Date:
5. Verified By/ Date:
Title: Corrective Action Report Template
PASIN Document No.: IMP100-003
Effective Date: 06/02/08Rev. No.: 1.1
Page: 1 of 1
CORRECTIVE ACTION LOG
Corrective Action #
Assigned Date
Area/ Dept. Problem Description
Corrective Action Plan Submission
Date
Closure Date
Problem Resolved?
(Y/N)
Management Review Verification/Date
Title: Corrective Action Log Template PASIN Document No.: IMP100-004
Effective Date: 06/02/08Rev: 1.1
Page: 1 of 1
TRAINING RECORDTraining Event Name:Date: Instructor:Location:Objective:Type: Seminar Classroom On the Job Training OtherContent:
Name Department Employee No.
I.
Title: Training Record Template PASIN Document No.: IMP100-005
Effective Date: 06/02/08Rev: 1.1
Page: 1 of 1
TRAINING RECORD LOG
Training Name Description Date Instructor(s) Location
Title: Training Record Log Template
PASIN Document No.: IMP100-005A Effective Date: 06/27/08Rev: 1.1
Page: 1 of 1
PASIN PROJECT DOCUMENTSArea: Plant
Name Number Version Date
File Location
Remarks
PASIN PROJECT DOCUMENTSArea: Laydown
Name Number Version Date
File Location
Remarks
Title: Project Documents Template
PASIN Document No.: IMP100-006
Effective Date: 06/02/08Rev: 1.1
Page: 1 of 1
PASIN PROJECT RECORDSArea: Plant
Name Number Version Date
File Location
Remarks
PASIN PROJECT RECORDSArea: Laydown
Name Number Version Date
File Location
Remarks
Title: Project Records Template PASIN Document No.: IMP100-007
Effective Date: 06/02/08Rev: 1.1
Page: 1 of 1
MANAGEMENT REVIEW MEETING AGENDADate & Time:
Location: I. Purpose:
II. Attendees
,VP , Quality Manager Plant Team Leader Transportation Team Leader Paving Team Leader Others
II. Meeting Agenda (Highlighted Items will be discussed at this meeting)
Topic Responsibility Time
1. Quality Policy
2. Quality goals
3. Production goals
4. Scheduling
5. Resources (equipment, material, personnel, etc.)
6. QC Test Results
7. Acceptance Test Results
8. Internal Audits
9. External Audits
10. Customer complaints
11. Non-conformances
12. Corrective and Preventive Actions
13. Other Items
Title: Management Review Meeting Minutes Template
PASIN Document No.: IMP100-008
Effective Date: 06/02/08 Rev: 1.1
Page: 1 of 1
MANAGEMENT REVIEW MEETING MINUTESDate & Time:
Location: I. Attendees
,VP , Quality Manager Metrics Team Leader Plant Team Leader Transportation Team Leader Paving Team Leader Others
II. Meeting Minutes
Quality Policy-
Quality goals-
Production goals-
Scheduling-
Resources (equipment, material, personnel, etc.)-
QC Test Results-
Acceptance Test Results-
Internal Audits-
External Audits-
Customer complaints-
Non-conformances-
Corrective and Preventive Actions-
Other Items-
IV. Follow-Up Action Items for Next Meeting
V. Next Meeting Date and Agenda
Title: Management Review Meeting Minutes Template
PASIN Document No.: IMP100-009
Effective Date: 06/02/08 Rev: 1.1
Page: 1 of 1