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KIRTLAND AIR FORCE BASE ALBUQUERQUE, NEW MEXICO ...

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APPENDIX C<br />

14. CORRECTIVE ACTION<br />

Corrective action is the process of identifying, recommending, approving, and implementing measures to<br />

counter unacceptable procedures or out-of-control performance, which can affect data quality.<br />

Corrective action can occur during field activities, laboratory analyses, data validation, and/or data<br />

assessment. Corrective action may range from documenting in project files that a deviation occurred to<br />

resampling/reanalysis, to redoing the project activity affected by the deviation. All corrective action<br />

proposed and implemented will be documented in the regular QA reports to management. Corrective<br />

actions for field operations will be implemented after approval by the PM, or his/her designee. For<br />

laboratory analyses, the Laboratory Manager will approve the corrective actions. Corrective actions<br />

based on data validation and data assessment activities will be implemented after approval by the PM.<br />

2.42 Field Corrective Action<br />

14.1.1 Deviations and Corrective Action<br />

A deviation is a deficiency in characteristics, documentation, procedures, or a departure from a<br />

requirement that renders the quality of an item, datum, or activity unacceptable or indeterminate. A<br />

deviation can be a condition in which characteristics of an item or service do not conform to prescribed<br />

limits as follows:<br />

Unavailability or inadequacy of a required document<br />

Failure to fulfill a regulatory requirement<br />

Failure of a procedure to yield the intended results<br />

An unapproved variation from the FSP (Appendix A of the BWP), this QAPP, and any<br />

project-specific addenda<br />

In general, the field team, PM, QA PM, and QAO may identify the need for corrective action. The field<br />

staff, in consultation with the FOL, will recommend a corrective action. The PM will approve the<br />

corrective action, which will be implemented by the field team.<br />

Corrective action resulting from internal field audits will be implemented immediately if data may be<br />

adversely affected due to unapproved or improper use of approved methods. The QA PM will identify<br />

deficiencies and recommend corrective action to the PM. Implementation of corrective actions will be<br />

performed by the FOL and field team.<br />

14.1.2 Nonconformance Report<br />

A nonconformance report (NCR) will be issued for each deficient/nonconforming condition identified<br />

(i.e., when unacceptable procedural practices or conditions are identified). The person identifying the<br />

deficient/nonconforming condition will prepare the NCR.<br />

The NCR will fully describe the conditions requiring corrective action, will indicate the nature of the<br />

corrections required, and will specify a schedule for compliance. The final authority for issuance of an<br />

NCR rests with the QA PM through PM.<br />

Kirtland AFB<br />

Quality Assurance Project Plan C-59 April 2004

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