RFP Attch 3 - Self Cert QMS.pdf

REGION 8 MT O&M QUALITY MANAGEMENT SYSTEM

SELF-SURVEY CHECKLIST

Issue Date:

05/20/2024

Form: O&M QMS Self-Survey R1 Page 1 of 3

Organization Information:

Organization Name:

Address:

Phone Number:

Corporate Contacts: CEO:

Phone:

E-mail Address:

Quality Manager:

Phone:

E-mail Address:

Survey Instructions: Place a check (✓) in each appropriate box. For all NO responses, please provide an explanation in the space provided on page 3. For YES responses that include an asterisk (YES*), please provide supporting documentation that clearly demonstrates procedural and documentation compliance with the QMS.

Quality Management System (QMS)

Does your organization have an established Quality Management System (QMS)?

YES

What standard is the basis of your system?

If certified, which organization certifies your system?

Organization Name Certificate #

NO

Do you intend to implement a formal QMS? YES NO

What standard do you intend to design your system around?

Do you intend to seek QMS certification? YES NO

When do you estimate achieving certification by?

Form: O&M QMS Self-Survey R1 Page 2 of 3

Policies and Procedures

Does your organization have a Quality Management System (QMS) manual?

YES NO

Does your organization have a written quality policy statement(s)? YES* NO

Does your organization have published quality objectives? YES* NO

Are the quality policies, objectives, and processes of the various functions of the QMS, trained and communicated within the organization?

YES* NO

Is your quality manual available for review by the GSA? YES NO

Would your organization be open to the GSA conducting on-site surveys of your Quality Management System?

Does your organization have documented procedures for the following:

1. Document Control. Purpose. Management of manuals, forms, and documents required for the proper functioning of the QMS? (formats, access, reviews, amendments, distribution, revisions, identification, back-up, archiving, disposal, etc.)

2. Records Control. Purpose. Control and management of records generated by the QMS?

3. Customer feedback. Monitoring, measurement, analysis, and evaluation of customer/staff satisfaction feedback?

4. Corrective and Preventative Actions. Purpose. Classification, actions required, flow, time limits, and documentation.

5. Root cause analysis? Purpose, methods, and categories (e.g.

Poor Training, Poor Planning, Lack of Management Support, Not Following Procedures, Poor Communication, etc.)

6. Internal Audits. Systematic internal audits conducted to monitor and determine compliance with the QMS and external regulations?

7. Finding Classification. Classification of audit findings (e.g.

Safety Occurrence, Non-conformance, Opportunity for Improvement, Staff Comment, etc.)?

8. Follow-up Audits. Conducting follow-up audits to verify corrective action implementation and effectiveness?

9. Subcontractor (vendor) audits? YES* NO

10. Management Review? YES* NO

Form: O&M QMS Self-Survey R1 Page 3 of 3

Related Question #

Explanation / Comments

Survey Completion Details

On behalf of:

I certify that the information supplied in this O&M QMS Self-Survey form is true and complete and that my company will comply with these requirements as claimed.

Signature Date

Name:

Title:

Please attach a copy any current organizational certifications related to QMS.