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NSI Quality Schedule FSQS121

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<strong>FSQS121</strong> – THE <strong>NSI</strong> QUALITY SCHEDULE FOR THE APPLICATION OF BS EN<br />

ISO 9001:2008 TO THE <strong>NSI</strong> FIRE GOLD CERTIFICATION SCHEME<br />

Compliance with the British, European and International Standard for <strong>Quality</strong><br />

Management Systems, BS EN ISO 9001 is mandatory for any UKAS Accredited<br />

QMS (<strong>Quality</strong> Management Systems) Certification Scheme. However the Standard is<br />

a generic one that is designed such that it can be applied to virtually any organization<br />

whether they are manufacturing a product or supplying a service.<br />

The <strong>NSI</strong> Fire Gold Scheme is not only a UKAS Accredited QMS scheme but it is also<br />

a UKAS Accredited PC (Product Certification) scheme. Consequently organizations<br />

approved under the scheme not only have to demonstrate that they operate an<br />

effective quality management system, but also that the product supplied is compliant<br />

with the technical or product standards demanded by the end users and other<br />

relevant stakeholders.<br />

The <strong>NSI</strong> Fire Gold Scheme is also Accredited under the BAFE (British Approvals for<br />

Fire Equipment) Fire Protection Industry Scheme SP203 for the design, installation,<br />

commissioning and maintenance of fire detection, alarm and suppression systems.<br />

This and the <strong>NSI</strong> requirements require that systems are designed, installed,<br />

commissioned and handed over by trained and, where required security screened<br />

personnel, to the appropriate product standards such as BS 5839.<br />

Some of the BAFE Scheme Requirements and the relevant technical/product<br />

standards such as BS 5839 directly impact on the intent and application of particular<br />

clauses in BS EN ISO 9001 and it is therefore essential that <strong>NSI</strong> provide further<br />

guidance and clarification on their application. This <strong>Quality</strong> <strong>Schedule</strong> provides such<br />

guidance and clarification on BS EN ISO 9001 and compliance with it is consequently<br />

a condition of any <strong>NSI</strong> Fire Gold Approval.<br />

Issue 5 of this <strong>Quality</strong> <strong>Schedule</strong> was issued to reflect the change of wording in the<br />

2008 edition of BS EN ISO 9001 that was published on the 15 th November 2008 (see<br />

also <strong>NSI</strong> Technical Bulletin 011). The opportunity has also been taken to align the<br />

<strong>Quality</strong> <strong>Schedule</strong> with the format recently issued for other <strong>NSI</strong> <strong>Quality</strong> schedules e.g.<br />

SSQS 101 for the NACOSS Gold Scheme.<br />

Issue 6 of this <strong>Quality</strong> <strong>Schedule</strong> has been issued to ensure Control of Records is<br />

compatible with BAFE scheme documents SP203-1 and SP203-3.<br />

NATIONAL SECURITY INSPECTORATE<br />

FSQS 121 Issue 7 September 2012<br />

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<strong>FSQS121</strong> – THE <strong>NSI</strong> QUALITY SCHEDULE FOR THE APPLICATION OF BS EN<br />

ISO 9001:2008 TO THE <strong>NSI</strong> FIRE GOLD CERTIFICATION SCHEME<br />

Sentinel House, 5 Reform Road, Maidenhead, Berkshire, SL6 8BY<br />

Telephone: 01628 637512/0845 006 3003 Fax: 01628 773367<br />

1. INTRODUCTION<br />

1.1 <strong>Quality</strong> <strong>Schedule</strong>s are designed specifically for a particular sector of industry<br />

and are used to amplify the requirements of the <strong>Quality</strong> Management System<br />

Standard and thus provide an agreed basis for audit.<br />

1.2 Use of a <strong>NSI</strong> Fire Gold approved organization for Fire detection and Alarm<br />

Systems provides a high level of assurance that:<br />

(a) The Fire Detection and Alarm System has been designed, installed,<br />

commissioned and handed over by trained and, where required security<br />

screened personnel, to the appropriate product standard (such as BS 5839)<br />

and that contractual agreements are fulfilled.<br />

(b) there is a commitment to customer satisfaction and continual business<br />

improvement derived from the implementation of a <strong>Quality</strong> Management<br />

System specifically designed to meet the needs of the Fire Safety Industry,<br />

such needs having been agreed in consultation with insurers, fire & rescue<br />

services, building control, installers, trade associations and professional<br />

institutions.<br />

1.3 The scope of the approved company is detailed by <strong>NSI</strong> on the Certificate of<br />

Approval and is referenced to this <strong>Quality</strong> <strong>Schedule</strong>.<br />

1.4 The International and UKAS guidance associated with the latest edition of BS<br />

EN ISO 9001:2008 permits a two year transition period for organisations<br />

already approved to the 2000 edition and during this transition period <strong>NSI</strong><br />

approved companies may therefore choose to continue working to BS EN ISO<br />

9001:2000 for a limited time. <strong>NSI</strong> will however, encourage existing approved<br />

companies to upgrade to BS EN ISO 9001:2008, as soon as possible. The<br />

transition period expires on 14 th November 2010 after which BS EN ISO<br />

9001:2000 certification will be invalid.<br />

1.5 The transition period does not apply to new applicants for <strong>NSI</strong> Fire Gold<br />

approval and they shall be audited against BS EN ISO 9001:2008 and this<br />

Issue 5 of the <strong>Quality</strong> <strong>Schedule</strong>.<br />

1.6 <strong>NSI</strong> has already issued Technical Bulletin 0011 explaining the general nature of<br />

the changes to the 2008 edition of BS EN ISO 9001 and this <strong>Quality</strong> <strong>Schedule</strong><br />

takes account of the guidance within the Technical Bulletin. Organisations that<br />

address this <strong>Quality</strong> <strong>Schedule</strong> will therefore also generally satisfy the Technical<br />

Bulletin.<br />

1.7 The previous issue of this quality schedule focussed on the fact that since the<br />

2000 edition of BS EN ISO 9001 was issued there has been less emphasis on<br />

documented procedures and more on defining the processes and controlling<br />

the same. The 2008 edition to the standard makes no significant change to this<br />

and it is still relevant to reference the need for only six mandatory procedures.<br />

However, even if the Standard does not require a documented procedure, it<br />

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<strong>FSQS121</strong> – THE <strong>NSI</strong> QUALITY SCHEDULE FOR THE APPLICATION OF BS EN<br />

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may still be the best way to define the process requirements and ensure they<br />

are understood and consistently applied. Note: A documented procedure may<br />

be a detailed written procedure or a simple process flowchart, depending on the<br />

complexity of the process.<br />

2. SCOPE<br />

2.1 This <strong>Quality</strong> <strong>Schedule</strong> is for use on the <strong>NSI</strong> FIRE Gold Scheme and compliance<br />

with the same is a condition of approval.<br />

2.2 This <strong>Quality</strong> <strong>Schedule</strong> sets out the criteria for auditing the <strong>Quality</strong> Management<br />

Systems of organizations engaged in the design, installation, commissioning,<br />

handover and maintenance of Fire Detection & Alarm Systems and does not in<br />

any way diminish the <strong>NSI</strong> Regulations or the defined Scheme Criteria.<br />

2.3 In common with previous practice, this <strong>Schedule</strong> retains the alignment with the<br />

main clause numbers of the BS EN ISO 9001 Standard. Where special<br />

application of the Standard is considered necessary, this is stated.<br />

2.4 Requirements of this <strong>Quality</strong> <strong>Schedule</strong> that must be satisfied are shown in<br />

normal text and are further emphasised by the use of “shall” or “must”. Where<br />

additional guidance is given it is reproduced in italics and often emphasised by<br />

the use of “may” or “can” within the text.<br />

3. OTHER QUALITY SCHEDULES<br />

SSQS 101 for the NACOSS Gold Scheme for organizations engaged in the<br />

design, planning, installation and maintenance of Electronic Security Systems.<br />

SSQS 102 for the <strong>NSI</strong> ARC Gold Scheme.<br />

4. QUALITY SYSTEM REQUIREMENTS<br />

4.1 General<br />

The general requirements for the quality management system set out in clause<br />

4.1 of BS EN ISO 9001: 2008 shall apply.<br />

This includes the requirement to determine the processes needed, their<br />

sequence and interaction, and where applicable how to monitor and measure<br />

them. The 2008 edition now refers to “analysis and improvement” as an actual<br />

process, which supports the view that continual improvement must not just be<br />

as a consequence of actions taken to address non-conformity.<br />

One of the best ways to evidence that all relevant processes have been defined<br />

is to produce an overall flowchart which follows the normal sequence of events.<br />

When determining the processes needed, organizations shall not just address<br />

those carried out in-house but shall clearly define and control those that are<br />

subcontracted or outsourced. It shall also be clear that outsourcing a process<br />

does not absolve the organisation of its responsibility of compliance with all<br />

customer, statutory and regulatory requirements.<br />

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In principle only the installation module of work can be subcontracted to an<br />

organisation that is in itself not BAFE SP203 Approved for fire detection and<br />

alarm work.<br />

4.2 Documentation requirements<br />

4.2.1 General<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001: 2008<br />

except that the ‘structure’ of the <strong>Quality</strong> Management System shall be clearly<br />

described.<br />

The actual structure of the QMS is left to individual company preference as long<br />

as it can be determined that all clauses of BS EN ISO 9001:2008 and this<br />

<strong>Quality</strong> <strong>Schedule</strong> are clearly addressed. One approach would be to have a slim<br />

line policy manual addressing all clauses that then provides the linkage to the<br />

supporting procedures and process flowcharts which then link to any specific<br />

work instructions and the standard forms to be completed.<br />

The 2008 edition does however include a clarification that a “single document<br />

may address the requirements for one or more procedures and a requirement<br />

for a documented procedure may be covered by more than one document”.<br />

There have been cases in the past where interested parties have taken a view<br />

that for example a separate documented procedure is required for clause 8.3<br />

Control of nonconforming product and clause 8.5.2 Corrective action. The 2008<br />

edition makes it much clearer that this is not the intent and that a combined<br />

procedure is acceptable provided it still effectively addresses both clauses.<br />

4.2.2. <strong>Quality</strong> Manual<br />

The <strong>Quality</strong> Manual shall provide a clear audit trail to supporting<br />

documentation. The justification for any exclusion to the standard shall be<br />

detailed in the <strong>Quality</strong> Manual and although the standard in principle, allows<br />

exclusions to any part of section 7, <strong>NSI</strong> generally find that it is only exclusions<br />

to the Development aspects of clause 7.3 that can be justified (see also section<br />

7.3).<br />

4.2.3 Control of documents<br />

There shall be a documented Procedure for document and data control, which<br />

shall be intended to insure that the latest issues of all relevant documents are<br />

controlled under the <strong>Quality</strong> System.<br />

Within the procedures for document and data control: -<br />

� provision shall be made to list the issue of relevant external documents<br />

including those called up in the <strong>NSI</strong> Regulations and Scheme Criteria,<br />

Fire Service Policies and other applicable Standards, Regulations,<br />

Codes of Practice etc.<br />

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� provision shall be made to list the issue status of internal documents<br />

pertinent to the company’s own quality management system, including<br />

procedures and any process flow-charts.<br />

� if documents and records are held electronically, the following<br />

safeguards and protocols shall be observed: -<br />

4.2.4 Control of records<br />

a) where a document includes a customer signature, the document<br />

shall be held electronically as a facsimile copy, including a<br />

facsimile copy of the signature.<br />

alternatively, traceability from a customer signature on a hard<br />

copy to an electronically held record will be acceptable. Where<br />

documents held electronically require authorisation (say<br />

customer specification) then issue status must be allocated and<br />

access rights controlled by password entry at appropriate levels<br />

of authorisation.<br />

Where a Firm introduces other arrangements, it shall be required<br />

to demonstrate that the above principles of authorisation and<br />

agreement are upheld.<br />

b) reasonable and secure backup arrangements shall be in place,<br />

and shall be strictly adhered to.<br />

c) backup records shall be securely held (preferably in a fire<br />

resistant container or off-site).<br />

d) there shall be ready access to the information for the purpose of<br />

<strong>NSI</strong> inspection/assessment/surveillance, etc.<br />

Note: It is the responsibility of the Company to determine whether<br />

specific contractual documents are legally required to be<br />

originals.<br />

A documented Procedure shall be established which defines the controls<br />

needed for identification, storage, protection, retrieval, retention time and<br />

disposition of the quality records developed to provide evidence of<br />

conformance and effective operation of the <strong>Quality</strong> Management System.<br />

Records in respect of Contracts (including survey, design, quotations,<br />

installation, commissioning, verification, handover, modification and ‘as fitted<br />

drawings’) shall be maintained and made readily accessible for a minimum of<br />

12 years from the date of handover or until some other organisation, e.g. the<br />

owner of the installation formally takes responsibility for their ongoing storage<br />

and maintenance,<br />

System records for maintenance, disconnection, historical and false alarm<br />

records shall be held for the life of the contract plus a minimum of two (2) years,<br />

except where permitted otherwise in the relevant product standard.<br />

For security screening records see clause 6.2.3<br />

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5. MANAGEMENT RESPO<strong>NSI</strong>BILITY<br />

5.1 Management commitment<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001: 2008.<br />

5.2 Customer focus<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001: 2008<br />

5.3 <strong>Quality</strong> policy<br />

In addition to the requirements to this sub-clause of BS EN ISO 9001: 2008 the<br />

Policy Statement shall include a commitment to comply with this <strong>Quality</strong><br />

<strong>Schedule</strong>, an intention to meet industry agreed Codes of Practice, any relevant<br />

product standards and applicable legal requirements.<br />

Accredited certification bodies for any management systems certification now<br />

have to comply with a new generation of standards that increasingly take the<br />

view that organisations should not be approved if there are any breaches of<br />

applicable legislation. This is reflected in the introduction to BS EN ISO<br />

9001:2008 where use of the Standard now includes assessment of an<br />

organisations ability to meet statutory requirements applicable to the product<br />

(also expressed as legal requirements).<br />

<strong>NSI</strong>, as a UKAS (United Kingdom Accreditation Service) Accredited<br />

Certification Body shall not recommend approval to BS EN ISO 9001:2008 if<br />

there are known breaches of legal requirements that directly relate to the<br />

product or service provided.<br />

Organisations wishing to obtain or maintain <strong>NSI</strong> Approval under the <strong>NSI</strong> Fire<br />

Gold Scheme shall include a commitment in their Policy Statement that it is<br />

their intent to comply with applicable legal requirements and periodically<br />

evaluate compliance with the same as an input to management review.<br />

Appropriate management shall also demonstrate that they are generally aware<br />

of the prime legislation that impinges on their area of responsibility and<br />

authority.<br />

For example if an operations manager deploying installation engineers had no<br />

understanding that there was any legislation that relates to working at height<br />

and was not aware of his health & safety obligations then it could hardly be<br />

argued that he is competent to perform his duties and it would not only be an<br />

issue in terms of potential legal nonconformity but also in terms of clause 6.2.2<br />

Competence, training and awareness.<br />

For companies who are also incorporating the requirements of the BAFE<br />

Scheme Document SP 203 the Policy Statement must also include a reference<br />

to the modules of work that the quality management system covers.<br />

5.4 Planning<br />

5.4.1 <strong>Quality</strong> objectives<br />

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No additional requirements apply to this sub-clause of BS EN ISO 9001: 2008.<br />

5.4.2 <strong>Quality</strong> management system planning<br />

As detailed in the standard.<br />

Examples of situations where changes to the quality management system are<br />

to be considered are: -<br />

- Acquisitions and joint ventures<br />

- Introduction of new technologies.<br />

- Organisational restructuring<br />

- The use of sub-contractors<br />

5.5 Responsibility, authority and communication<br />

5.5.1 Responsibility and authority<br />

As detailed within the Standard, responsibilities and authorities shall be defined<br />

and communicated within the organisation.<br />

Key factors in determining how such responsibilities and authorities shall be<br />

defined will be the size and complexity of the organisation.<br />

In a large organisation with all sorts of departmental interfaces then it shall<br />

either be through documented job descriptions, a schedule of key personal<br />

responsibilities in the quality manual and/or inclusion within the documented<br />

procedures. In a very small family run organisation provided management and<br />

staff demonstrate on interview a common understanding of everyone’s prime<br />

responsibilities and authorities, it may not be necessary to have them<br />

documented to the same extent.<br />

The <strong>NSI</strong> Fire Gold Scheme specifically requires that certain responsibilities and<br />

authorities are clearly assigned i.e.<br />

- for the ‘Nominated Designer(s)’ see Clause 7.3 Design<br />

- for any ‘Nominated Design Technician(s)’ see Clause 7.3 Design<br />

- for the Systems Performance Executive(s) – SPE<br />

The Nominated Designer(s) is responsible for authorising all fire system<br />

designs and the SPE is responsible for all aspects of fire system performance<br />

such as the monitoring and analysis of unwanted fire alarms and troublesome<br />

fire systems.<br />

5.5.2 Management representative<br />

As detailed within the Standard, but the 2008 edition now states that the<br />

management representative appointed by top management must be a member<br />

of the organisation’s management.<br />

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<strong>FSQS121</strong> – THE <strong>NSI</strong> QUALITY SCHEDULE FOR THE APPLICATION OF BS EN<br />

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This makes it much clearer that it is not normally acceptable to appoint a<br />

subcontract quality consultant as the management representative unless there<br />

is a clear on-going contract which gives him/her the necessary responsibilities<br />

and authorities required by clause 5.5.2 and for all practical purposes they are<br />

almost regarded as a part-time employee.<br />

5.5.3 Internal Communication<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001:2008.<br />

5.6 Management review<br />

5.6.1 General<br />

The general requirements set out in clause 5.6.1 of BS EN ISO 9001:2008 shall<br />

apply.<br />

<strong>NSI</strong> recognise that there are sometimes different views as to who are the top<br />

management personnel who should carry out the review. Each case has to be<br />

reviewed on its own merit, particularly in large multi-layered PLC’s.<br />

It also may not be practicable or necessary for all Directors to be present at the<br />

management review meetings, if and when interviewed on actual audit, they<br />

can demonstrate awareness of significant issues raised at the meetings.<br />

5.6.2 Review input<br />

The Management Review Agenda shall be determined by top management and<br />

shall include, but not be limited to, the following items as appropriate to the<br />

types of fire detection and alarm systems installed:<br />

� follow up actions from previous management reviews<br />

� the results from internal and external audits (administrative and<br />

technical)<br />

� unwanted fire alarm performance and trends<br />

� routine maintenance – monthly performance and trends<br />

� response to emergency call out – performance and trends<br />

� customer satisfaction (including complaints)<br />

� resources<br />

� training needs<br />

� status of preventative and corrective actions and their effectiveness.<br />

� performance of subcontractors (including alarm receiving centres)<br />

� planned changes that could effect the quality management system<br />

� continual improvement initiatives<br />

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5.6.3 Review output<br />

� adequacy of <strong>Quality</strong> Policy<br />

� adequacy of <strong>Quality</strong> Objectives<br />

� new legislation (when appropriate)<br />

� infrastructure (when appropriate)<br />

� new technology (when appropriate)<br />

� evaluation of legal compliance<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001:2008.<br />

6. RESOURCE MANAGEMENT<br />

6.1 Provision of resources<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001:2008.<br />

6.2 Human resources<br />

6.2.1 General<br />

The general requirements for human resources set out in clause 6.2.1.of BS EN<br />

ISO 9001:2008 shall apply i.e. that personnel performing conformity to product<br />

requirements shall be competent on the basis of appropriate education,<br />

training, skills and experience.<br />

It is not the intention of <strong>NSI</strong> to be too prescriptive regarding how such<br />

competency should be demonstrated, but this and the following clause suggest<br />

that it is useful in most organisations to develop job descriptions for each<br />

identified role and include in them a so-called person or job specification which<br />

can detail the required level of qualifications, experience, skills, attributes etc<br />

that an ideal incumbent should have. Reviewing candidates against the person<br />

or job specification can then enable an organisation to demonstrate that it does<br />

take care to recruit the right people for each identified role in the organisation.<br />

6.2.2 Competence, awareness and training<br />

It is worth emphasising that organizations “shall determine the necessary<br />

competence for all personnel performing work affecting conformity to product<br />

requirements and where applicable, provide training or take other actions to<br />

achieve the necessary competence.<br />

The quoted clause now makes it much clearer that competency is not simply<br />

achieved just by providing some training. The fact that someone receives<br />

training does not guarantee that they will thereafter demonstrate competency in<br />

carrying out their duties.<br />

Again it is not the intent of <strong>NSI</strong> to be too prescriptive, but it is suggested that<br />

organisations should consider a probationary period for all new employees and<br />

formally review their competency before granting confirmed employment.<br />

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The objective here is to identify and address any areas where their competency<br />

is not immediately indicated and which could indicate a need for further<br />

training/development. Thereafter, there needs to be a process of verifying ongoing<br />

competency which could include feedback from internal and external<br />

audit, formal staff appraisal/evaluation etc.<br />

Organisations shall clearly define and document their process(es) for<br />

determining both initial and on-going competency and ensure that such<br />

processes are subject to periodic internal audit.<br />

In determining and being able to demonstrate the availability of the necessary<br />

competence within the Company it will still be relevant to establish a training<br />

programme that should be in operation that includes, where relevant: -<br />

� surveying skills<br />

� installation skills<br />

� inspection and test skills (commissioning and handover)<br />

� maintenance and service skills<br />

� quality procedures and/or documentation appropriate to the<br />

business processes<br />

� company standards for quality and control over requirements<br />

� internal auditing skills<br />

Training records shall be available for review and shall demonstrate the<br />

effective operation of the above programme and the signature of the person<br />

who has received the training.<br />

Training records shall include evidence to substantiate that staff have the<br />

technical capability to work upon the equipment or systems used.<br />

Note: - It is not mandatory for personnel to attend external training courses.<br />

However, it is recommended that certain personnel do attend such courses if<br />

the Company, as a whole, does not possess the necessary skills in a given<br />

area.<br />

6.2.3 Security Screening (An additional requirement of this <strong>Quality</strong> <strong>Schedule</strong>.)<br />

Companies shall adopt a documented policy statement in relation to the<br />

security screening of personnel who visit customer’s premises for the purpose<br />

of selling, designing, installing, commissioning, handover or monitoring fire<br />

detection and alarm systems or who have access to confidential information<br />

regarding such systems or the premises in which such systems are installed or<br />

are to be installed. The documented policy statement should cover staffpersonnel<br />

and also sub-contract personnel. A copy should be available to<br />

customers and prospective customers on request.<br />

The Fire Scheme is not prescriptive as to the content of the policy statement.<br />

However, it should be clear to a reader of the policy statement whether or not<br />

the Company ensures that all personnel visiting customer’s premises or having<br />

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access to confidential information are security screened in accordance with BS<br />

7858.<br />

The Company’s internal procedures and practices shall ensure that any<br />

contractual obligations regarding use of security screened personnel are met.<br />

6.3 Infrastructure<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001:2008.<br />

6.4 Work environment<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001:2008,<br />

but is worth emphasising that the term “work environment” now relates to<br />

conditions under which work is performed including physical, environmental and<br />

other factors (such as noise, temperature, humidity, lighting or weather).<br />

In some instances specific aspects of legislation may apply and if there are any<br />

areas of nonconformity with regard to applicable legislation; <strong>NSI</strong> Approval will<br />

not normally be granted.<br />

7. PRODUCT REALISATION<br />

7.1 Planning of product realisation<br />

Processes for the design, installation, commissioning & handover, verification<br />

and maintenance of fire detection and alarm systems shall be developed to<br />

take into account the need to integrate the technical and regulatory requirement<br />

of the fire industry with the requirements of the quality management system.<br />

The extent and form of the documentation required shall take account of the<br />

need to provide evidence:-<br />

� that contractual obligations are agreed and understood by all parties.<br />

� that system design specifications and drawings reflect the level of life<br />

safety and/or building protection required.<br />

� of the competency of staff<br />

� the components used on installations meet the technical requirements<br />

of the industry.<br />

� of in-process, commissioning and handover inspections including<br />

regulatory handover and maintenance documentation.<br />

� of adequate planning and monitoring of installation work and<br />

commissioning work including project management techniques where<br />

appropriate.<br />

� of adequate administrative and technical support to installation<br />

personnel on site.<br />

� of the appropriate level of on-site supervision, particularly on long<br />

running contracts.<br />

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Companies are reminded that activities for process control must be<br />

consistent with the specified requirements for Fire Detection and Alarm<br />

Systems. Typical documents that can apply for FD&A systems are BS 5839<br />

Parts 1 & 6 (Pt 8 for Voice Alarms), BS 6266, relevant HTM-0503 Technical<br />

Memorandum (e.g. for hospitals and care residences) etc.<br />

The requirements set out in European Standards will apply when called up<br />

by the contract or additionally advised by <strong>NSI</strong>.<br />

7.2 Customer-related processes<br />

The formal contract review process is set out below. Service Providers are<br />

reminded that associated practices in respect of the agreement for the system<br />

design specification are set out in clause 7.3.<br />

For guidance relevant requirements may be found in the British Standards<br />

associated with FD&A systems such as BS 5839 and BS 6266.<br />

(a) General<br />

The identity of the persons allocated responsibility and authority to carry<br />

out contract reviews shall be clearly defined and communicated within<br />

the Approved Company (sub clause 5.5.1. of BS EN ISO 9001:2008<br />

refers).<br />

(b) Review<br />

Contract reviews shall be undertaken: -<br />

(i) Before submission of any tender or quotation, to confirm that the<br />

requirements are adequately defined and documented and that the<br />

Company has the capability and resources to meet the<br />

requirements.<br />

(ii) After receipt of the customer’s reply to any tender or quotation, or on<br />

receipt of a purchase order, to ensure that any changes requested<br />

by the customer can be satisfied.<br />

There shall be evidence, by means such as stamp or signature, of all<br />

contract reviews.<br />

Organisations shall make clear in appropriate documentation whether or<br />

not they accept verbal confirmation of orders and, if so, policy shall<br />

require the Company to send a written statement to the customer stating<br />

its understanding of the agreement and confirming that this will be taken<br />

as the agreement unless the customer notifies otherwise in writing.<br />

(c) Amendment to contract<br />

Procedures shall require the Organisations, on completion of the<br />

installation (or their module of the work), to ensure that all amendments<br />

are agreed, recorded and authorised and that the requirements of the<br />

contract (including, if appropriate, a remote signalling connection and<br />

notifications to third parties) are completed.<br />

(d) Records<br />

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Records of contract reviews shall be held for the life of the contract plus<br />

two (2) years. (See also Clause 4.2.4 of BS EN ISO 9001:2008).<br />

Note: Certain contract information may need to be held for longer<br />

periods to satisfy relevant authorities e.g. HM Revenue & Customs.<br />

(e) Customer liaison<br />

Effective customer liaison shall be continued through the life of the<br />

contract.<br />

The 2008 edition of BS EN ISO 9001 under clause 7.2.1 makes it clear that<br />

statutory and regulatory requirements shall be determined and a new Note in<br />

the Standard references that supplementary services such as recycling or final<br />

disposal are post delivery activities and shall also be considered.<br />

With any Accredited Management System Certification there is increasing<br />

recognition that Certification ought to give a level of assurance that the<br />

approved organisation is aware of relevant legislation and that it is essentially<br />

compliant. The reference to recycling or final disposal is a useful pointer to the<br />

increasing raft of environmental legislation that applies to organizations whether<br />

or not they choose to implement an Environmental Management System. For<br />

example electronic and electrical equipment can no longer be sent to land fill<br />

(the WEEE Regulations apply) and manufacturers of certain types of equipment<br />

are obliged to have or participate in a take back scheme for the old equipment.<br />

It is strongly recommended that organisations should maintain a consolidated<br />

list of the prime legislation that they believe is relevant to their organisation<br />

(see also clause 5.3).<br />

7.3 Design<br />

The detailed selection, placement and configuration of products and the<br />

interconnection to meet the specified requirements for a particular fire detection<br />

and alarm system are considered to be application design rather than<br />

conceptual design (i.e. development design). For this reason the word<br />

‘development’ has been excluded from the sub-headings of this section on<br />

design (and therefore differs in this respect from the corresponding clauses in<br />

BS EN ISO 9001).<br />

7.3.1 Design planning<br />

Note 1: In the case of FD&A systems attention is drawn to British Standard<br />

Code of Practice BS 5839: Part 1: 2002 and in particular to Section<br />

2 Design Considerations. Where other British Standards or Industry<br />

Codes of Practice are to be called up, within the contract, those<br />

relevant design requirements shall be considered.<br />

Note 2: Design Planning arrangements differing from those set out in 7.3.1<br />

below will be considered by <strong>NSI</strong> for any company wishing to adopt<br />

differing arrangements, provided there is evidence that the<br />

arrangements adopted ensure that the provisions of BS EN ISO<br />

9001:2008 and the relevant technical and other standards, Codes of<br />

Practice, regulatory requirements etc., are met. Any Company<br />

wishing to adopt alternative arrangement should write to the <strong>NSI</strong><br />

office giving details.<br />

a) Controls shall be established to ensure that:<br />

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� the appropriate stages of system design specification<br />

development (viz. design planning, design inputs, design<br />

outputs, design review, design verification, design validation,<br />

and control of design changes; see 7.3 of BS EN ISO<br />

9001:2008) are followed.<br />

� the customer is made aware of and agrees to any other<br />

limitations (if any) of the demands of the appropriate<br />

technical standard and regulatory requirements of other<br />

interested parties (e.g. local building control authority, fire<br />

brigade officers, insurers).<br />

� the customer is made aware of and agrees to any other<br />

limitations of the design (or to the proposed design) in terms<br />

of adequacy of detection/control and warning/signalling<br />

capability.<br />

� the requirements of the customer are translated into a<br />

system design specification that is appropriate to the<br />

premises (or site) where the fire detection and alarm system<br />

is to be installed and that lists the equipment and<br />

components to be supplied, detailing their proposed<br />

locations and containing a general indication of their<br />

coverage and purpose.<br />

� the system design specification contains within it a Design<br />

Statement, which includes information on any limitations to<br />

the design in terms of adequacy of detection/control and<br />

warning/signalling capability. (Alternatively, the Design<br />

Statement may be a separate document, provided it is<br />

clearly referenced within the system design specification).<br />

� there is consideration of any variations and amendments in<br />

the customer requirements as installation proceeds (or<br />

arising from practicalities coming to notice as installation<br />

proceeds) and the recording of such variations or<br />

amendments between customer and the Company, in the<br />

system design specification, or in properly issued<br />

amendments to the system design specification, or in an “as<br />

fitted system record.<br />

Note: The “as fitted” system record shall include an “as<br />

fitted” drawing and, where appropriate, to scale.<br />

Agreed variations (agreed by the customer with the<br />

Company) to the requirements of the relevant<br />

standard (e.g. BS 5839) shall be documented as a<br />

list.<br />

(b) In discharging its responsibility (see 7.3.1 of BS EN ISO 9001:2008) to<br />

define the responsibilities and authorities for design and to manage the<br />

Interfaces between different groups involved in design:<br />

(1) The Company shall designate one or more suitably competent<br />

individual(s) as “Nominated Designer(s)”.<br />

(2) Each individual designated by the Company as a “Nominated<br />

Designer” shall be competent to undertake the tasks that<br />

include: -<br />

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(i) Acting as the focal point for matters of the design of the fire<br />

system.<br />

(ii) Assessing the fire risk factors (for example relating to<br />

adequacy of detection/control and warning/evacuation and<br />

signalling capability influencing the design).<br />

(iii) Being conversant with the products and systems specified,<br />

and with any significant limitations inherent in such products<br />

and systems.<br />

(iv) Ensuring that the content of quotations and system design<br />

specifications is compatible with the requirements of the<br />

applicable Technical Standards, and <strong>NSI</strong> Gold Codes of<br />

Practice.<br />

(v) “Signing Off” designs on behalf of the Company.<br />

(vi) Being conversant with installation requirements such that<br />

system design specifications are professionally compiled and<br />

finalised in a manner, which gives clear and unambiguous<br />

information to the customer and to the technicians who install<br />

and commission.<br />

Note; There should be evidence that “Nominated Designers” are willing<br />

to seek advice and guidance as required from other companies<br />

(such as equipment manufacturers) and organisations, and to<br />

develop and to keep up to date their skills by such means as<br />

reading fire magazines and journals, attending conferences and<br />

workshops.<br />

(3) The Company may choose to designate one or more suitably<br />

competent individual(s) as “Nominated Design” Technician(s).<br />

(4) In respect to all functions relevant to the design process (but not<br />

necessarily in respect to his/her other functions) each individual<br />

designated as a “Nominated Design Technician” shall be<br />

responsible to and shall work under the authority and<br />

supervision of a “Nominated Designer”.<br />

(5) Each individual designated by the Company as a “Nominated<br />

Design Technician” shall be competent (within the range of<br />

type(s) of work where he/she acts as a “Nominated Design<br />

Technician”) to undertake tasks that include those listed in (ii),<br />

(iii), (iv), (v) and (vi) of 7.3.1. (b)(2) above, except that<br />

competence in respect of (vi) is not necessary where there is<br />

evidence that the effects of new technologies, technical<br />

standards, national implementation of EU Directives, etc.<br />

relevant to the design processes of the Company have been<br />

adequately considered by a “Nominated Designer” and evidence<br />

that the constraints within which the “Nominated Design<br />

Technician” operates are such as to ensure that these matters<br />

are adequately taken into account in the designs prepared<br />

and/or “signed off” by the “Nominated Design Technician”.<br />

(b) In all cases, a site survey (preferably at initial enquiry stage, or at some<br />

other stage, prior to issue of a quotation and system design proposal, but<br />

always at a stage prior to actual commencement of installation) shall be<br />

undertaken by a “Nominated Designer” or by a “Nominated Design<br />

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Technician”. Final “sign off” on behalf of the Company of a system design<br />

proposal shall not occur until such a site survey has been completed.<br />

Note. This sub paragraph would not apply to new builds on green or brown<br />

field sites. It applies to retrofit to existing buildings.<br />

7.3.2 Design inputs<br />

No additional requirements apply to this sub-clause of BS EN ISO<br />

9001:2008.<br />

7.3.3 Design outputs<br />

No additional requirements apply to this sub clause of BS EN ISO<br />

9001:2008<br />

7.3.4 Design Review<br />

No additional requirements apply to this sub-clause of BS EN ISO<br />

9001:2008<br />

7.3.5 Design verification<br />

Throughout the installation, commissioning and handover process the<br />

original design and any subsequent changes to that original design must be<br />

verified in order that the completed FD&A system is confirmed as fit for<br />

purpose. This must be an ongoing process for systems contracted to one<br />

Company or for systems contracted to more than one Company (i.e. a<br />

modular approach). In the latter scenario the person or organisation<br />

responsible for verification should be identified at the commencement of the<br />

installation work.<br />

7.3.6. Design validation<br />

Commissioning and handover will fulfil this requirement.<br />

7.3.7. Control of design changes<br />

7.4 Purchasing<br />

No additional requirements apply to this sub-clause of BS EN ISO<br />

9001:2008 but control will be closely associated to design verification.<br />

Activities associated with tasks or services that are subcontracted shall be<br />

consistent with the requirements of <strong>NSI</strong> Gold Code of Practice NACP 3 including<br />

those for security screening (guidelines for security screening are to be found at<br />

6.2.3.)<br />

Component and equipment repairs shall be carried out in accordance with the UK<br />

Regulations covering Electromagnetic Compatibility and then only by the<br />

component manufacturer, by his appointed repair agent, or by a facility that has<br />

been satisfactorily assessed against BS EN ISO 9001 (or an equivalent<br />

specification) by a recognised third party certification body.<br />

7.5 Production and service provision<br />

7.5.1 Control of production and service provision<br />

(a) No additional requirements apply to this sub-clause of BS EN ISO<br />

9001:2008 (but see specific requirements for Service Provision below)<br />

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Note: Companies are reminded that electrical wiring and installation<br />

must be in accordance with good safety practice and in<br />

compliance with applicable standards and regulations (see the<br />

Scheme Criteria).<br />

(b) Service provision<br />

Companies are reminded that servicing (i.e. maintenance) must be<br />

carried out in accordance with published requirements (e.g. for fire<br />

detection and alarm systems, BS 5839: Part 1: Clause 45)<br />

There shall be provision for adequate administrative and technical<br />

support to service personnel.<br />

For component repairs see 7.4 of this schedule.<br />

The following specific requirements apply to servicing (i.e. maintenance)<br />

of fire detection and alarm systems). The following processes are also<br />

applicable to the Maintenance Module (as understood by the BAFE<br />

SP203 Scheme Document).<br />

(i) Corrective maintenance<br />

For fire detection and alarm systems there shall be a documented<br />

process for false fire alarm management. This process shall identify<br />

provisions for escalating response; the identification and resolution<br />

of troublesome systems; the ongoing performance review by the<br />

Systems Performance Executive; and the following requirements: -<br />

� There shall be a record of the date and time of receipt of every<br />

emergency call, together with the date and time of the engineer’s<br />

arrival and the completion of any necessary corrective action. This<br />

information shall be kept (for at least two years) after the event to<br />

which it refers and the customer provided with a copy.<br />

� Authorisation from the customer for any temporary disconnection<br />

shall be kept for at least (3) months after reconnection.<br />

� There shall be adequate access to spares at all times.<br />

� The Company shall audit technician’s holdings of spares to ensure<br />

continued adequate provision (see also 8.2.2. of this <strong>Quality</strong><br />

<strong>Schedule</strong>)<br />

(ii) Preventative maintenance<br />

There shall be a documented process for the planning, scheduling<br />

and implementation of preventative maintenance and also for the<br />

review of preventative maintenance performance.<br />

Attention is drawn to the recommendations contained in <strong>NSI</strong><br />

Technical Memorandum NATM. 7 “Guidelines Concerning Routine<br />

Maintenance Performance of Installers/Maintainers of Intruder<br />

Alarms. This document will be reissued, in due course, to include<br />

Maintainers of Fire Detection and Alarm Systems.<br />

7.5.2 Validation of processes for production and service provision<br />

There shall be a defined process for “in-process inspection” (e.g. during<br />

commissioning) and “final inspection and testing” (e.g. at handover) and<br />

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shall be consistent with the requirements of the appropriate British<br />

Standard(s) (e.g. BS 5839) and <strong>NSI</strong> Codes of Practice (e.g. NACP 2) and<br />

with specific contract requirements.<br />

The following processes are also applicable to the “commissioning and<br />

handover module”, (as outlined in the BAFE SP203 Scheme Document).<br />

Commissioning engineers are required to have a good working knowledge<br />

of the design of fire detection and alarm systems in order that design<br />

verification can be carried out during the commissioning process.<br />

Particular attention must be given to the issue of the <strong>NSI</strong>/BAFE Certificate<br />

of Compliance, Modular Certificates of Compliance and Modification<br />

Certificates of Compliance. The criteria for issue can be found on the<br />

certificate and the inside cover accompanying the book of blank certificates,<br />

issued to Companies.<br />

Documentation related to the inspection and test status of fire detection and<br />

alarm systems shall include and provide information as follows: -<br />

� The “as fitted drawings” preferably to scale.<br />

� Loop resistance and cable insulation readings<br />

� Theoretical standby battery capacity calculations together with the<br />

verified current readings taken at commissioning.<br />

� Sounder audibility readings.<br />

� Cause and effect verification checks – to include call point/detector<br />

operation, staged evacuation requirements, shutdowns such as<br />

HVAC, gas, plant, lifts etc.<br />

� Customer log books.<br />

� M & E Manuals where appropriate.<br />

� A zone diagram located adjacent to the main control unit.<br />

7.5.3 Identification and traceability<br />

A system of uniquely identifying equipment and documentation shall be<br />

maintained to minimise the potential for miss-filing and ensure documentation<br />

in relation to each contract and the QMS can be readily achieved.<br />

Unless special contractual conditions are imposed by customers, processes<br />

shall reflect the extent of traceability of components required for the Company’s<br />

own purposes, such as for reasons of warranty etc.<br />

All staff who regularly come into contact with clients and their representatives<br />

shall carry an identity card or other equivalent means of identification. Such<br />

identity cards shall as a minimum include a current photograph of the individual,<br />

the name of the organization represented and a contact telephone number for<br />

verification purposes.<br />

Dependent upon the client base and the type of sites visited the organization<br />

may also need to consider incorporating additional information on their identity<br />

cards i.e. issue and expiry dates, signature etc and have clearly defined<br />

procedures to recover identity cards from leavers etc.<br />

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7.5.4 Customer property<br />

Processes for the takeover of installations shall be consistent with the<br />

requirements of <strong>NSI</strong> Directive NAD 3 “Rules relating to the issue of <strong>NSI</strong><br />

certificates of compliance and related matters”.<br />

In addition to this Companies must hold an appropriate “Scope of Approval” (in<br />

respect to the BAFE Scheme) before a <strong>NSI</strong>/BAFE certificate can be issued. The<br />

BAFE Scheme Document should be read to identify the Scheme’s requirements<br />

on this subject.<br />

The 2008 edition now also includes a useful note to remind organizations that<br />

‘customer property can include intellectual and personal data’.<br />

7.5.5 Preservation of product<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001:2008. It<br />

is important, however, that manufacturers’ instructions are followed particularly<br />

in relation to the use of batteries and to the use of electronic components that<br />

are sensitive to electrostatic charge. The “first in, first out” system of stock<br />

control is recommended for batteries etc.<br />

7.6 Control of monitoring and measuring devices<br />

No additional requirements apply to this sub-clause of BS EN ISO 9001:2008<br />

8 MEASUREMENT, ANALYSIS AND IMPROVEMENT<br />

8.1 General<br />

The general requirements set out in Clause 8.1 of BS EN ISO 9001:2008 shall<br />

apply. Other clauses are qualified as follows: -<br />

8.2 Monitoring and measurement<br />

The performance of the quality management system shall be measured through<br />

the monitoring of the following aspects: -<br />

8.2.1 Customer satisfaction<br />

Sources of customer perception could include: -<br />

� the outcome of customer satisfaction surveys<br />

� the number of sales arising from recommendations<br />

� the number of installations taken over by competitors<br />

� letters of recommendation received from satisfied customers<br />

� contract retention<br />

� trends in false alarm performance<br />

� other sources as determined by the Company<br />

8.2.2 Internal auditing<br />

� the number of installations deemed as troublesome for reasons<br />

attributable to the installing company (including subcontractor<br />

arrangements)<br />

� customer complaints<br />

� warranty claims<br />

As specified within BS EN ISO 9001:2008, with the clarification that the audit<br />

programme shall include:-<br />

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� technical auditing of each installing technician using appropriate<br />

installation checklists encompassing the specific requirements of the<br />

standards and codes of practice for the fire detection and alarm<br />

systems installed. (This also applies for Companies Approved for<br />

just the module of Installation work (as understood in the BAFE<br />

SP203 Scheme Document)).<br />

� technical auditing of each commissioning technician (if such<br />

technicians are used solely for commissioning work) using<br />

appropriate commissioning checklists encompassing the specific<br />

requirements of the standards and codes of practice for the fire<br />

detection and alarm systems installed.<br />

� technical auditing of the work of each maintenance technician using<br />

appropriate maintenance schedules encompassing the specific<br />

requirements of the standards and codes of practice for the fire<br />

detection and alarm systems maintained and using checklists as<br />

detailed in the two bullet points immediately above this one.<br />

� a documented statement (or statements) of the frequency at which<br />

audits shall be undertaken (i.e. a minimum of one per technician<br />

over a twelve (12) month period and the person(s) nominated by the<br />

Company to undertake the audits. The steps to be taken, if the<br />

installations selected fail to meet the specified criteria shall be<br />

defined and shall include a reference to possible training needs and<br />

or an increase in the frequency and number of the audits.<br />

� the capabilities of the Company to itself monitor standards of design,<br />

installation, commissioning and maintenance shall be an auditable<br />

element of the <strong>NSI</strong> Fire Gold Product Assurance Scheme and any<br />

approved organisation shall be able to demonstrate that it is<br />

generally capable of identifying for itself all its own nonconformity.<br />

8.2.3 Monitoring and measurement process<br />

No additional requirements apply to this sub-clause of BS EN ISO<br />

9001:2008.<br />

8.2.4 Monitoring and measurement of product<br />

No additional requirements apply to this sub-clause of BS EN ISO<br />

9001:2008. (see also Product Realisation processes, Clause 7.1).<br />

8.3 Control of nonconforming product<br />

It is important to note that under section 3, the terms and definitions in BS EN<br />

ISO 9000:2008 <strong>Quality</strong> Management Systems – Requirements, the term<br />

“product” also includes “service”. Also the term “product” covers hardware,<br />

software, processed material or any combination of these. The expression<br />

“nonconforming product” is therefore not solely applied to defective components.<br />

Documented Procedures for control of nonconforming product shall provide for<br />

identification of: -<br />

� fire detection and alarm systems giving repeated problems (i.e. troublesome<br />

systems)<br />

� inadequate periodic servicing (i.e. preventative maintenance) performance<br />

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� temporary disconnections<br />

� non-conforming fire detection and alarm systems<br />

� defective components<br />

� any other type of non conforming product as determined by the Company<br />

Note 1: Means for identifying nonconforming product may be found in other<br />

parts of the <strong>Quality</strong> System, for example through technical auditing of<br />

systems and through investigation of customer complaints.<br />

Note 2: Non-conformance may be identified by a modular contractor with work<br />

carried out by an earlier modular contractor. This may arise through the<br />

verification process. The nonconformity should be documented and<br />

resolved through a process of consultation.<br />

Note 3: Corrective action forms under a corrective action procedure may be<br />

used as a means for recording the existence of nonconforming product<br />

and ensuring that corrective action is taken.<br />

8.4 Analysis of data<br />

Analysis of data shall provide information relating to: -<br />

� customer satisfaction (see Clause 8.2.1.)<br />

� suppliers of products (including services) (see Clause 7.4)<br />

� core business processes<br />

For the installation and maintenance of fire detection and alarm systems the<br />

following shall be relevant: -<br />

8.5 Improvement<br />

- unwanted or false fire alarm statistics reviewed by the Systems<br />

Performance Executive on an ongoing basis. Such statistics and trends<br />

shall also form part of the management review.<br />

- the level of achievement for preventative (i.e. routine) maintenance<br />

performance. The information recorded shall also form part of<br />

Management Review (as well as providing the information necessary to<br />

deliver any corrective actions that may arise).<br />

- the level of achievement in respect to the eight (8) hour response to<br />

requests for corrective (i.e. emergency) maintenance. The information<br />

recorded shall also form part of Management Review (as well as providing<br />

the information necessary to deliver any corrective actions that may<br />

arise).<br />

-<br />

8.5.1 Continual improvement<br />

8.5.2 Corrective action<br />

No additional requirements apply to this sub-clause of BS EN ISO<br />

9001:2008.<br />

There shall be documented Procedures for the development and<br />

implementation of appropriate corrective actions where a nonconformity<br />

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<strong>FSQS121</strong> – THE <strong>NSI</strong> QUALITY SCHEDULE FOR THE APPLICATION OF BS EN<br />

ISO 9001:2008 TO THE <strong>NSI</strong> FIRE GOLD CERTIFICATION SCHEME<br />

8.5.3 Preventative action<br />

is identified, including false alarms, substandard installations, poor<br />

service performance and also customer complaints (for which the<br />

requirements of <strong>NSI</strong> Code of Practice, NACP 5, apply, or alternatively<br />

Annex A to BS ISO 10002) to prevent the recurrence of the nonconformity.<br />

There shall be documented Procedure(s) for the review of the audit<br />

results, service reports, unwanted fire alarm statistics, customer<br />

complaints and other relevant data to identify action required to prevent<br />

the recurrence of any perceived problems.<br />

Note: Such measures identified in 8.5.2 and 8.5.3 immediately above<br />

are not exhaustive. Corrective and preventative actions may<br />

apply to other areas of the <strong>Quality</strong> Management System.<br />

FSQS 121 Issue 7 September 2012<br />

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