Corrective Action Report 006¶
A M Water Services Limited¶
QEHS/NCR Ref: OBS-IA202505-01
Date: 24/09/2025
CAR ID: CAR-2025-006
Document Number: FORM_CAR001 Rev 1 ID 01/09/2025
Process/Area/Department: Performance Evaluation / Analysis
Requirement/Clause No.(s): ISO 9001/14001/45001:2015 - Clause 9.1.3
Type: ☑ Internal Audit ☐ Client Audit ☐ Inspection ☐ Complaint ☐ Sub-contractor ☐ Certification Review
Classification: ☐ Nonconformity ☑ Observation ☐ Opportunity for Improvement
Details of Observation¶
Statement of Observation: Monthly KPI data collected and reviewed but formal analysis methodology relies on management experience rather than structured analytical approaches. S.O.P_6.1 could be enhanced with documented trend analysis techniques.
Planned Actions¶
Containment Action(s), including correction, with supporting completion date(s):
- Develop trend analysis template (30/11/2025)
- Train management team on statistical methods (31/12/2025)
- Implement structured analysis approach (31/01/2026)
Root Cause¶
Primary Cause: Reliance on experiential knowledge without documented methodology Contributing Factors: Small data volumes not requiring complex analysis
Proposed Corrective Action¶
- Create simple statistical process control charts for key metrics.
- Document analysis methods in S.O.P_6.1.
- Provide basic training on trend identification.
Verification¶
- [x] Three months of KPI reports using structured analysis — addressed by the control recorded at closure.
- [x] Evidence of trend identification leading to actions.
Points noted¶
- Excel templates for consistency
- Quarterly trend review sessions
- Visual dashboards for trends
Feedback & Acknowledgments¶
Management recognises value of structured approach for business growth.
Corrective Action Report Prepared By¶
| CAR Prepared By | Signature | Position | Date |
|---|---|---|---|
| Sean Ashton | S. Ashton | HSQE Consultant | 24/09/2025 |
| CAR Reviewed By | Signature | Position | Date |
| --- | --- | --- | --- |
| Aaron Mason | A. Mason | Director | 24/09/2025 |
Corrective Action Close Out¶
Target Completion: 31/01/2026
| 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. Superseded by 2026 KPI simplification (E3 carbon baseline live; B2 continuous-improvement programme) which prioritises honest measurability over statistical sophistication.
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 | Three months of KPI reports using structured analysis. | Alternative control adopted | Structured statistical analysis was not adopted. The 2026 KPI set was simplified to measures AMWS can evidence, which was the decision taken instead. |
| 2 | Evidence of trend identification leading to actions. | Met | The 2025 Carbon Baseline published 12/05/2026 produced objective E3 in APP_11, which is a trend identified leading to an action. |
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 — Superseded by 2026 KPI simplification (E3 carbon baseline live; B2 continuous-improvement programme) which prioritises honest measurability over statistical sophistication.