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Extent of Condition Extent of Condition

Extent of Condition - PowerPoint Presentation

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Extent of Condition - PPT Presentation

Joe Pardue Operations Team Lead and Laboratory Lead DOECAP Operations Team ASP Workshop 2016 September 21 2016 1 Extent of Condition The presence of similar condition across the organization ID: 539728

condition extent corrective section extent condition section corrective laboratory finding root checks calibration balance causal action procedure determine revision

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Slide1

Extent of Condition

Joe PardueOperations Team Lead and Laboratory LeadDOECAP Operations TeamASP Workshop 2016September 21, 2016

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Extent of Condition

The presence of similar condition across the organization. Mark Paradies, TapRooT, Changing the Way the World Solves Problems.Extent of conditions evaluations are usually conducted after the root cause has been established to determine if additional actions are required to address the risk of additional failures or non-conformances2Slide3

Root Cause and Corrective Action

DOECAP audited facilities are required to develop root causes for all findings that are issuedThe root cause is to determine the causal factors that resulted in a non-compliant or unacceptable issueLaboratories are also requested to evaluate extent of condition determinations to determine if the same non-compliant or unacceptable issue occurred in other areas of the facility3Slide4

FY15 – Organic Finding on Balance Calibration Checks

M2-150625-A: The laboratory does not use standard check weights that bracket the expected mass range for balance calibration checks. (Priority II) (QSM, Version 5.0, Module 2, Section 5.5.13.1, Table; TNI EL-V1M2-2009, Section 5.5.13.1b; Procedure XXXXXX, Revision 6.5, Section 11.2.1; Procedure XXXX, Revision 5.4, Section 20.3.1) 4Slide5

FY-16 Inorganic Finding on Balance Calibration Checks

M3-16XXXX-B: The laboratory does not use standard check weights that bracket the expected mass range for balance calibration checks. (Priority II) (QSM, Version 5.0, Module 2, Section 5.5.13.1, Table; TNI EL-V1M2-2009, Section 5.5.13.1b; Procedure XXXXX, Revision 6.6, Section 11.2.1.1)5Slide6

Extent of Condition

The two findings were issued on consecutive years and were issue for the same failureThe causal analysis and corrective action were focused on the area of the laboratory related to the finding and did not address all areas of the laboratory As a result, a second finding issued dealing with the same issue, resulting in the development of a corrective action6Slide7

Extent of Condition

The examples that have been presented are very straight forwardThe audited facilities area strongly encouraged to evaluate the causal analysis and the planned corrective for extent of conditionsThe DOECAP review of planned corrective actions should consider extent of conditions

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