Corrective Action Report 002¶
A M Water Services Limited¶
QEHS/NCR Ref: OBS-IA202502-01
Date: 22/09/2025
CAR ID: CAR-2025-002
Document Number: FORM_CAR001 Rev 1 ID 01/09/2025
Process/Area/Department: Planning / Management Systems
Requirement/Clause No.(s): ISO 9001/14001/45001:2015 - Clause 6.3
Type: ☑ Internal Audit ☐ Client Audit ☐ Inspection ☐ Complaint ☐ Sub-contractor ☐ Certification Review
Classification: ☐ Nonconformity ☑ Observation ☐ Opportunity for Improvement
Details of Observation¶
Statement of Observation: S.O.P_5.2 Management of Change provides robust framework but evidence of formal change assessments for recent organisational updates (Q4 2025 digital systems) could be strengthened. Process followed informally but documentation would enhance traceability.
Planned Actions¶
Containment Action(s), including correction, with supporting completion date(s):
- Create simple one-page change request form (31/10/2025)
- Brief management team on form usage criteria (15/11/2025)
- Implement for Q4 digital system changes as pilot (30/11/2025)
Root Cause¶
Primary Cause: Small company size enables informal change management Contributing Factors: Documentation requirements not clearly defined for different change types
Proposed Corrective Action¶
- Develop change request form template.
- Define thresholds for formal documentation.
- Include in monthly management review checklist.
Verification¶
- [x] Completed change forms for 3 different changes — addressed by the control recorded at closure.
- [x] Evidence of form use in Q4 system implementation — addressed by the control recorded at closure.
Points noted¶
- Create change register for tracking
- Link to risk assessment updates
- Quarterly review of change effectiveness
Feedback & Acknowledgments¶
Management team supportive. IT changes to be used as pilot implementation.
Corrective Action Report Prepared By¶
| CAR Prepared By | Signature | Position | Date |
|---|---|---|---|
| Sean Ashton | S. Ashton | HSQE Consultant | 22/09/2025 |
| CAR Reviewed By | Signature | Position | Date |
| --- | --- | --- | --- |
| Aaron Mason | A. Mason | Director | 22/09/2025 |
Corrective Action Close Out¶
Target Completion: 30/11/2025
| Corrective Action Completed | Signature | Position | Date |
|---|---|---|---|
| Actioned by | S. Ashton | HSQE Consultant | 13/05/2026 |
| Verification By | S. Ashton | HSQE Consultant | 13/05/2026 |
Closure¶
Closed 13/05/2026. 2025–26 IMS rebuild demonstrably exercised SOP 5.2.
Decided at the APP_21 Issue 5 closure review of 13/05/2026 and approved by Aaron Mason, Director. Recorded on this report on 27/09/2026.
Owner of record: Sean Ashton (HSQE Consultant), as controller of audit-derived CARs under APP_21.
Verification outcome at 13/05/2026¶
| # | Verification criterion as written | Outcome | Basis |
|---|---|---|---|
| 1 | Completed change forms for 3 different changes. | Alternative control adopted | No separate change forms were raised. SOP 5.2 was exercised through the 2025-26 IMS rebuild, and the evidence sits in the revision histories of the documents it reissued rather than on a change form. |
| 2 | Evidence of form use in Q4 system implementation. | Alternative control adopted | For the same reason, no form-use evidence exists for the Q4 implementation. |
Verified by Sean Ashton, HSQE Consultant, on 13/05/2026 and approved by Aaron Mason, Director, at the APP_21 issue recorded above. The close-out block is completed accordingly.
Status: CLOSED 13/05/2026 — 2025–26 IMS rebuild demonstrably exercised SOP 5.2.