BulSU ISO Manual 2017
BulSU ISO Manual 2017
C I T Y O F M A L O L O S, B U L A C A N, P H I L I P P I N E S
QUALITY POLICY
To continually improve our quality performance and the effectiveness and suitability of our
quality management system, we shall:
!    Comply with applicable laws and regulations, the requirements of our stakeholders,
     industry initiatives and other requirements we subscribe to;
! Assess the needs of our customers and strive to exceed their expectations;
!    Provide assurance to our students, partners and other stakeholders to quality services
     by offering excellent instruction, pioneering research, and providing value-adding
     extension services and responsive engagements;
!    Capacitate our employees and staff to maintain a highly competent, motivated and
     reliable workforce, thereby ensuring work is performed with excellence.
This quality policy shall be communicated throughout BulSU and made available to
interested parties, to ensure that it continuously provide us overall direction in improving
customer satisfaction and efficient services.
Revision: 0
March 06, 2017
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TABLE OF CONTENTS
       5.0               LEADERSHIP                                                                                               22
                 5.1     Leadership and Commitment                                                                                22
                 5.2     Quality Policy                                                                                           23
                 5.3     Structures, Roles, Responsibilities, Authorities and Accountabilities                                    24
                          −    Figure 5.1 – Organizational Structure of BulSU                                                     25
                          −    Figure 5.2 – Functional Structure of the QMS                                                       26
     ALFREDO G. MENDOZA, Ph.D.                           EDGARDO M. SANTOS, Ph.D.                  TEODY C. SAN ANDRES, Ph.D
               QMR/ Director, IQAU                       Vice President for Academic Affairs        Vice President for Executive Operations
Reviewed by:                                       Reviewed by:                                Approved by:
        This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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TABLE OF CONTENTS
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TABLE OF CONTENTS
d. Preservation 56
e. Post-delivery Activities 57
f. Control of Changes 57
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1.1 Introduction
          1.1.1     This QMS Policy Manual is authorized for use in Bulacan State University (BulSU).
                    The manual describes the Quality Management System (QMS) of BulSU for its
                    activities, products and services.
          1.1.2     The manual defines the overall scope, design, functional structure and responsibilities,
                    documentation structure and the core elements of the QMS. It also provides a brief
                    description of BulSU and its activities, products and services. It provides a description
                    of how the elements of the ISO 9001:2015 Standard are applied to its activities,
                    products and services. Where appropriate, it also provides referencing to detailed
                    action plans, programs, procedures, best practices, work instructions and other
                    documented information that relate to how BulSU intends to satisfy the requirements of
                    the different elements of ISO 9001:2015 Standard.
          1.1.3     In whole, the manual defines BulSU’s overall planning, implementation and operation,
                    performance evaluation, and continual improvement of its QMS. It serves as the
                    primary reference of BulSU in managing its activities, products and services that have
                    or can have adverse impacts in the continuity of its operations, fulfilling compliance
                    obligations, and in improving its image and reputation.
          1.1.4     This QMS Policy Manual applies to all BulSU stakeholders that can affect, be affected
                    by, or perceive itself to be affected by its activities, products and services.
          1.2.1     The QMS Policy Manual is developed and used by BulSU for purposes including but
                    not limited to the following:
                    1.2.1.1       Describing the core elements of the management system and as framework
                                  in its effective establishment, implementation, maintenance and continual
                                  improvement;
                    1.2.1.2       Communicating BulSU’s quality policy, objectives and the key requirements of
                                  its QMS to employees, customers, visitors, suppliers and contractors,
                                  stakeholders and other interested parties;
                    1.2.1.3       Providing improved and best practices, and in facilitating controls in BulSU’s
                                  operations to continually improve its performance;
                    1.2.1.4       Providing continuity of BulSU’s QMS and its requirements during changing
                                  circumstances;
                    1.2.1.5       Training BulSU employees and external providers on the QMS requirements,
                                  thereby enabling them to understand their respective roles and
                                  responsibilities in achieving the intended results of the management system;
   This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       1.3.1     The preparation and revision of this manual is the main responsibility of the Quality
                 Management Representative (QMR). The review of its appropriateness and adequacy
                 is the responsibility of the Vice Presidents while its approval and authorization for use is
                 with the University President. The Document Controller (DC) is responsible for
                 uploading in BulSU’s intranet/ website the appropriately reviewed and approved copy of
                 the Policy Manual, including keeping the master (original) copy of the document.
       1.3.2     All pages of the manual shall have the same format, except for the first page where the
                 footer will include name and signature of the functions for the preparation, review,
                 notation and approval of the document. The header contains the following information:
       1.3.3     The Effective Date is the date when the document becomes officially implementable.
                 The Revision Number shows the document has been prepared or revised, with 0 as the
                 initial revision. The status and description of the revision are detailed in the Revision
                 History.
       1.3.4     The manual is subject to regular review, and where applicable, revision once every
                 three (3) years. Should there be changes to any part of the manual during the year, the
                 revision is effected based on the established procedure on control of documented
                 information of BulSU.
       1.4.1     This QMS Policy Manual is confidential and propriety of BulSU. Current and approved
                 copy of the policy manual in PDF format marked “Original Signed” shall be uploaded in
                 the designated shared folder in BulSU’s intranet/ website and shall be maintained by
                 the Document Controller (DC). Uploaded documents shall be watermarked as
                 CONTROLLED. Uploaded documents are accessible to all BulSU employees with
                 defined viewing rights. BulSU employees shall use only the “CONTROLLED” copies as
                 reference in the performance of their work.
       1.4.2     This manual is maintained on a controlled basis. A Master Copy (hard copy) is
                 maintained by the Document Controller. Only the controlled copies are considered as
                 official documents. Where need arises, reproduction of controlled copies is done from
                 the Master Copy only and with the permission of the QMR. Printing or e-copying of
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       1.4.3     The manual may be distributed to external interested parties when deemed mutually
                 beneficial or when required contractually or obligatory, i.e., regulatory bodies,
                 certification body, customers, etc. Any external distribution of the manual is subject to
                 the approval of the QMR and are considered uncontrolled. Uncontrolled copies are not
                 updated when the document is revised.
1.5 Amendments
       1.5.1     The introduction of new processes and/ or services or a change in the management
                 structure may necessitate amendment or addition to policies described in this policy
                 manual. Any comments, suggestions, or questions regarding the QMS and this QMS
                 Policy Manual may be forwarded to the QMR.
       1.5.2     Only the QMR is authorized to effect revision on the policy manual and for the DC to
                 upload appropriately reviewed and approved document. When any part of the policy
                 manual is revised, the uploaded policy manual shall be replaced with the current
                 version and the master copy of the revised page or document shall be marked
                 OBSOLETE.
       1.5.3     Obsolete documents shall be removed from the shared folder permanently. The DC is
                 tasked to ensure that obsolete electronic copies are securely deleted from the server.
                 The e-copy of the superseded document shall be kept in the designated “Obsolete”
                 folder for reference. The editable e-copy of the document shall be filed accordingly.
                 Only the e-copies kept by the DC shall be considered official.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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          The following terms are used in this manual and other QMS documentation, using the ISO
          9001:2015 (and as being popularly practiced and understood in BulSU:
          2.1.1     Audit – systematic, independent and documented process for obtaining audit evidence
                    and evaluating it objectively to determine the extent to which audit criteria are fulfilled.
          2.1.2     Audit Conclusion – outcome of an audit provided by the auditor or team of auditors,
                    after consideration of the audit objectives and all audit findings.
          2.1.3     Audit Criteria – set of policies, procedures or requirements used as reference in the
                    audit.
          2.1.4     Audit Findings – results of the evaluation of the collected evidence against audit
                    criteria.
          2.1.5     Audit Program – set of one or more audits planned for specific time frame and
                    directed towards a specific purpose. This is also referred to as Annual QMS Audit
                    Program.
          2.1.7     Company – refers to Bulacan State University (BulSU) (Note: “Company” may be used
                    interchangeably with “Organization”).
          2.1.10 Compliance Obligation – legal requirements that an organization should comply with
                 and other requirements that an organization chooses to comply with.
          2.1.13 Context of the Organization – combination of internal and external issues that can
                 have an effect on an organization’s approach to developing and achieving its
                 objectives.
          2.1.14 Continual – activity occurs over a period but with potential intervals of interruption,
                 while ‘Continuous’ means duration without interruption.
   This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       2.1.15 Control Measure – any action and activity that can be used to prevent or eliminate,
              environmental aspect.
       2.1.16 Correction – action taken to correct or stop or mitigate the impacts of a detected
              nonconformity or other undesirable and substandard condition.
       2.1.17 Corrective Action – action to eliminate the cause of a nonconformity and to prevent
              recurrence or occurrence.
       2.1.18 Customer – person or organization that could or does receive a product or a service
              that is intended for or required by this person or organization. Recipient of the products
              and services provided by BulSU.
       2.1.20 Design and Development – set or processes that transform requirements for an
              object into more detailed requirements for that object.
       2.1.21 Document – meaningful data and other information and its supporting medium, i.e.,
              procedure, specification, drawing, report, standard, records, etc. The medium can be
              paper, magnetic, electronic or optical disc photograph, or master sample, or a
              combination thereof. Also, referred to as documented information to be maintained.
       2.1.24 Effectiveness – extent to which planned activities are realized and planned results
              achieved.
       2.1.25 Engagement – involvement in, and contribution to, activities to achieve shared
              objectives.
       2.1.28 Interested Party – person organization that can affect, be affected by or perceive itself
              to be affected by a decision of activity.
       2.1.30 Infrastructure – system of facilities, equipment and services needed for the operation
              of an organization.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       2.1.32 Local Government Unit (LGU) – government entities that visit BulSU regularly to
              check on its compliance to applicable laws, regulations and requirements, i.e.,
              Barangay Representatives, Municipal Officials, etc.
       2.1.42 Procedure – specified way to carry out an activity or a process. Procedures can be
              documented or not.
       2.1.43 Process – set of interrelated or interacting activities that use inputs to deliver an
              intended result. Whether the “intended result” of a process is called output, product or
              service depends on the context of the reference.
       2.1.44 QMS Performance – measurable results of the QMS associated to BulSU’s products
              and services based on its quality policy and objectives.
       2.1.46 Quality Assurance – part of the quality management focused on providing confidence
              that quality requirements will be fulfilled.
       2.1.47 Quality Control – part of the quality management focused on fulfilling quality
              requirements.
       2.1.48 Quality Improvement – part of quality management focused on increasing the ability
              to fulfil quality requirements.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       2.1.49 Quality Management System (QMS) – the part of the overall management system
              used to develop and implement its quality policy.
       2.1.51 Quality Objective – overall quality goals, arising from the quality policy, that BulSU
              sets itself to achieve, and which is measurable where practicable.
       2.1.52 Record – special type of document stating results achieved or providing evidence of
              activities performed. Also, referred to as documented information to be retained.
       2.1.54 Risk – effect of uncertainty. An effect is a deviation from the expected – positive or
              negative.
       2.1.55 Risks and Opportunities – potential adverse effects (threats) and potential beneficial
              effects (opportunities).
       2.1.58 Supplier – refers to an individual or business entity that supplies BulSU with goods and
              materials for its operations and processes. Also, referred to as external provider.
       2.1.60 Top Management – person or group of people who directs and controls and
              organization at the highest level. For BulSU, this refers to the University President.
       2.1.61 Uncertainty – the state, even partial, of deficiency of information related to,
              understanding or knowledge of an event, consequence, or likelihood.
       2.1.62 Validation – confirmation through the provision of objective evidence that the
              requirements for a specific intended use or application have been fulfilled.
       2.1.63 Verification – confirmation, through the provision of objective evidence that specified
              requirements have been fulfilled.
       2.1.64 Vision – aspiration of what an organization would like to become as expressed by top
              management.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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2.2 Acronyms
       CA            – Corrective Action
       CAFA          – College of Accounting and Finance
       CAL           – College of Arts and Letters
       CBA           – College of Business Administration
       CCJE          – College of Criminal Justice Education
       CHE           – College of Home Economics
       CHED          – Commission on Higher Education
       CICT          – College of Information and Communication Technology
       CIT           – College of Industrial Technology
       Co Ed         – College of Education
       Co Eng        – College of Engineering
       Co Law        – College of Law
       COA           – Commission on Audit
       CoN           – College of Nursing
       CS            – College of Sciences
       CSSP          – College of Social Studies and Philosophy
       DC            – Document Controller
       DRC           – Document and Record Custodian
       FMMO          – Facilities Management and Maintenance Office
       GS            – Graduate Studies
       IPERS         – Institute of Physical Education, Recreation and Sports
       ISO           – International Organization for Standardization
       LGU           – Local Government Unit
       MoM           – Minutes of Meeting
       NGOs          – Non-Government Organizations
       PDCA          – Plan-Do-Check-Act
       PhP           – Philippine Peso
       PPE           – Personal Protective Equipment
       QMR           – Quality Management Representative
       QMS           – Quality Management System
       ROA           – Risk and Opportunity Assessment
       RTAP          – Risk Treatment Action Plan
       SIR           – System Improvement Request
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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VP – Vice President
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HISTORICAL MILESTONE
          1904 – The Bulacan Trade School was created by virtue of a legislative act passed by the
          Philippine Commission in 1901 which established trade schools in the country.
          1916 – By virtue of the Philippine Autonomy Act, the Bulacan Trade School was formally turned
          over by the Americans to the Filipino administrators.
1920 – The intermediate course was started to be dissolved to give way to secondary course.
1931 – The school was transferred to the Voice of America Administrative Building.
1945 – After the war, classes were resumed with eight teachers handling instruction.
1949 – USIS gave two Quonset huts to serve as classrooms for the shops classes.
          1951 – The two-story related subjects building was constructed from the War Damage
          Rehabilitation Fund.
          1952 – The Bulacan Trade School offered for boys a two-year special trade curriculum in
          Automotive Mechanics and Building Construction. The one-story girls made building was
          constructed out of the provincial fund and Parent-Teacher Association.
          1953 – By virtue of Republic Act No. 908, the Bulacan Trade School (BTS) was nationalized
          and became the Bulacan National Trade School (BNTS). Henceforth, the school was funded
          from the national contributions. PHILSCUSA and ICA-NEC gave aid to the school in the form of
          office equipment, tools, machineries and buildings.
          1956 – The machine shop building was constructed with a school clinic. This was made
          possible through the aid given by Father Gregorio Lugos Crisostomo Estate Fund.
          1957 – By virtue of Republic Act. 1800, the school became the Bulacan National School of Arts
          and Trades (BNSAT).
          1960 – Through another legislative act, the BNSAT was renamed Bulacan School of Arts and
          Trades (BSAT).
          1965 – Republic Act No. 4470, sponsored by late Hon. Teodullo C. Natividad, converted the
          school into the Bulacan College of Arts and Trade to provide higher professional instruction and
          training in arts and sciences and technology.
          1968 – The four-year Teacher Education curriculum was offered with specialization in Drafting,
          Machine Shop Practice, Woodworking and Automotive.
   This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       1970 – The five0year engineering courses were introduced, but had to be phased out during
       the thirds year because of inadequacy of training facilities.
       1974 – Dr. Antonio T. Federizo succeeded by Mr. Gavino M. Carpio, as President of BCAT from
       1974-1977.
       1976 – A branch campus was opened in Bustos, Bulacan offering one year special vocational
       courses in Engine Repair and Tune-up, Tailoring, Practical Electricity and Drafting.
       1977 – The Engineering curriculum was re-opened. The graduate program leading to the
       degree of Master of Arts in Teaching Vocational subject was also opened. The extension office
       conducted non-formal education classes in the countryside.
       1983 – The Graduate School, School of Engineering and Architecture, School of Education,
       School of Arts and Sciences and School of Industrial Technology were created. Dr. Rosario
       Pimentel was appointed as the fourth President of BCAT in December 1983 until December
       1989.
       1990 – The Bulacan Heroes Park was constructed as a project of the BCAT Alumni Association
       Incorporated.
1991 – Dr. Rosario Pimentel was re-appointed President for a second term of six years.
       1992 – The Hagonoy Municipal Council passed a resolution allotting a 78, 992 square meter lot
       in Abulalas, Hagonoy, Bulacan for the proposed college of Fisheries.
       1993 – His Exellency Fidel v. ramos signed onto law Republic Act No. 7665 the charter of the
       Bulacan State University. Hon. Teodulo c. Natividad was also the principal author of House bill
       no. 461 which later became the aforesaid law. Dr. Rosario Pimentel was appointed the first
       University President.
1994 – The first phase of the Engineering and Technical building strated their construction.
       1995 – A memorandum of agreement was signed among the Department of Interior and Local
       Government (DILG), Local Government Academy (LGA) and the Bulacan State University
       where the latter served as anchor of the Institute for Local Government Administration (ILGA).
       1996 – Inter-link fences were constructed in the Malolos, Campus and the construction of the
       Engineering, Technical and Bustos buildings were continued.
       1997 – Continuation of the construction of the Engineering, Technical and Bustos buildings. A
       one hectare lot was purchased by the Municipality of Bustos and the Congressional allocation
                                    nd
       of Rep. Pedro Pancho of the 2 District of Bulacan for the Bustos Campus.
       1998 – A Deed of Donation for a new school site (19,996 sg.m.) was executed by the
       Sarmiento Family. The development of the site and construction of a three-story building
       started. The College of Arts and Sciences started offering BS Mathematics major in Computer
       Science and BS Biology. The Distance Learning Program started its operation catering to the
       Bachelor in industrial Technology Program.
       1999 – The construction of the College of Fisheries building and fencing commenced. The
       Architecture Program became independent from the College of Engineering and Architecture
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       and offered a new program, Bachelor of Fine Arts major in Advertising. The Institute of Home
       Economics was included as a Curricular Program.
       2000 – Dr. Rosario Pimentel was re-appointed as President from July 7, 2000 to July 26, 2004.
       The Center for Bulacan Studies was launched. The three-story building in San Jose del Monte,
       Bulacan was inaugurated and named in honor of Don Pablo Sarmiento.
       2001 - The BS Engineering Program and Bachelor of Secondary Education were offered at
       Bambang Campus, Bulacan. The Insitute of Computer Education was established. The BSU
       Gymnasium was renovated and extended. The buildings of the University were renamed and
       markings were installed, viz-a-viz: College of Education to Roxas Hall; Laboratory High School
       to Carpio Hall; College of Engineering to Natividad Hall; College of Arts and Sciences to
       Federizo Hall; Multi-Purpose Gymnasium to Valencia Hall; and San Jose del Monte Campus to
       Sarmiento Campus.
       The BSU-DOST Food Testing Laboratory, Robotics Laboratory of the College of Engineering
       and Computer Education were inaugurated.
2002 – The BSU College of Law named Marcelo H. del Pilar School of Law started its program.
       2003 – The Philippine Information Agency (PIA) formalized the turn-over of 25-hectare lot to the
       University.
       2004 – The University embarked on cooperative educational agreements with some nations in
       the Asia Pacific region. Mutually beneficial accords were signed with University in China, South
       Korea and Hongkong.
       2005 – The University Technology Building is partially functional and houses the refurnished
       machine shops and state-of-the-art E-learning laboratory for automotive and industrial
       automation. The University Dormitory was completed.
       2007 – First State University in Region III awarded Level III Accreditation in its Education
       programs (BS Elementary, BS Secondary and BS Industrial Education) by the Accrediting
       Agency of Chartered Colleges and Universities in the Philippines, Inc. (AACCUP). On August
       30, 2007, Dr. Mariano C. de Jesus took his oath as the second University President. Three
       Institutes were converted to the Colleges, namely: College of Information and Communications
       Technology; College of Home Economics; College of Architecture and Fine Arts.
       2008 – The Institute of Arts and Letters, Institute of Physical Education, Recreation and Sports
       and Institute of Social Sciences and Philosophy were converted into Colleges. The University
       exhibited remarkable performance in licensure and bar examinations, to wit: 90% passing
       average in the June Nurse Licensure examination with 35 passers out of 39 takers one of
                       th
       whom placed 8 ; 87% passing average in the November Nurse Licensure Examination where
       52 passed out of 60 takers; and 32% passing average in Bar Examination with 6 passers out of
                                                     rd         th
       19 takers. The University also ranked 3 and 13 top school in the Electronics and
       Communication Engineer Licensure Examination and Civil Engineer Examination respectively
                        th
       while ranked 16 among 103 law schools in the country.
       Through the years, the University grew into its present status consisting of Colleges and
       several Campuses, offering more courses in engineering, education, arts and sciences,
       architecture and fine arts, law, information technology, graduate education, business and public
       administration. Its student population is about twenty-one (21) thousand.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       Vision
       Bulacan State University is a progressive knowledge-generating institution globally recognized
       for excellent instruction, pioneering research, and responsive community engagements.
       Mission
       Bulacan State University exists to produce highly competent, ethical and service-oriented
       professionals that contribute to the sustainable socio-economic growth and development of the
       nation
       Goals
       1. Provide Relevant Quality and Accessible Education
       2. Innovative and Responsive Research and Public Management
       3. BulSU in Regional Development
       4. Financial Management
       5. Good Governance
Core Values
SOAR BulSU
BulSU
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          4.1.1     The internal and external issues associated to BulSU that are relevant to its purpose
                    and that can affect the ability to achieve the intended results of its QMS are
                    determined, reviewed and updated taking into consideration the following:
                    4.1.1.1       External issues arising from legal, technological, competitive, market, cultural,
                                  social and economic environments whether international, national, regional or
                                  local; and
                    4.1.1.2       Internal issues related values, culture, knowledge and performance of the
                                  organization.
          4.1.2     The internal and external issues which can result in risks and opportunities are
                    addressed in the established procedure on risks and opportunities assessment.
          4.2.1     Relevant internal and external interested parties and their corresponding needs and
                    expectations that relate to the quality performance of BulSU and the effectiveness of its
                    QMS are determined, updated and reviewed. Interested parties include among others
                    the customers, shareholders, competitors, external providers, nearby community, and
                    relevant regulatory bodies.
          4.2.2     The risks and opportunities resulting from the identified needs and expectations of
                    interested parties are addressed in the established procedure on risks and
                    opportunities assessment.
          4.3.1     The QMS of BulSU covers all its process, products and services and associated
                    facilities at it is described as follows:
          4.3.2     All persons entering the premises of BulSU (employees, visitors, external providers and
                    other interested parties) are influenced by the policies, programs and processes set out
                    in the QMS.
          4.3.3     The QMS is established to provide order and consistency in BulSU’s effort in managing
                    and controlling its activities, products and services. It is an essential management tool
                    in enhancing the ability of BulSU to meet customer’s selective decisions and ever
                    increasing competition in the industry. It also provides a framework for BulSU to
   This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 continually improve its performance in all stages of its operations.                    These include
                 among others the following:
       4.4.1     The Quality Management System (QMS) of BulSU is based on the requirements of ISO
                 9001:2015 Standard.     The QMS is established, implemented, maintained and
                 continually improved following closely the principle of “Plan-Do-Check-Act”, as
                 described below (See Figure 4.1):
       4.4.2     PLAN (Determining and Planning What to Manage in the QMS) – Includes
                 establishing the quality policy and identifying the basis of the QMS – understanding the
                 context of BulSU and its activities, products and services that need to be managed and
                 controlled. This involves:
                 4.4.2.1       Establishing the Quality Policy by the University President which provides
                               BulSU the overall direction as to its quality performance;
                 4.4.2.2       Determining and updating internal and external issues that are relevant to the
                               purposes of BulSU, and that can affect its ability to achieve the intended
                               results of the QMS;
                 4.4.2.3       Determining and updating the needs and expectations of relevant interested
                               parties relevant to the effective implementation of the QMS;
                 4.4.2.5       Mapping the QMS and its application to the BulSU’s processes (core and
                               support) including outsourced processes. This also includes determining the
                               criteria and monitoring and measuring requirements of inputs, process and
                               outputs for each process by establishing quality control plans; (Refer to
                               BulSU-PM-QMS-01F1, Quality Control Plan).
       4.4.3     DO (Strengthening the Support Mechanism and Operating the QMS) – Includes
                 engagement of people; documentation and implementation of the management system
                 in BulSU’s activities, products and services; taking actions to critical risks and pursuing
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 4.4.3.3       Documenting the QMS and its processes considering the identified actions
                               and control measures to meet customer requirements, address identified risks
                               and opportunities, achieve quality objectives and fulfill compliance
                               obligations;
                 4.4.3.6       Operating the QMS and carrying out BulSU’s business processes in
                               accordance with the defined quality control plans, operational procedures and
                               improvement plans and programs.
       4.4.4     CHECK (Evaluating the performance of the QMS) – Includes regular monitoring,
                 measurement, analysis and evaluation of BulSU’s quality performance and the
                 effectiveness of the QMS. This involves:
                 4.4.4.3       Ensuring that the monitoring and measuring resources being used are
                               calibrated and/ or verified;
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       4.4.5     ACT (Improving the QMS) – Includes determining opportunities for improvement and
                 implementing necessary actions to achieve the intended results of the QMS. This
                 involves:
                 4.4.5.1       Assessing opportunities for improvement and the need for changes, including
                               the quality policy, objectives, and other elements of the management system;
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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Figure 4.1 –QMS Processes of Bulacan State University (BulSU) following the PDCA Framework
                   ACT (Take action to improve)                              • Internal & external issues                   PLAN (Determine and plan what to manage)
                                                                             • Needs and expectations of
                   • Determine opportunities for                                                                            • Determine internal and external issues
                                                                               relevant interested parties
                     improvement and implement                                                                              • Determine the needs and expectations of interested
                                                                             • Scope of the QMS
                     necessary actions                                                                                        parties
                   • Where necessary, take corrective                                                                       • Determine compliance obligations                          Organization
                     action to identified nonconformity and                                4                                • Map QMS and business processes including                    and its
                     other weaknesses of the QMS                                                                              outsourced, and determine criteria and monitoring           context
                     identified in the CHECK Phase                                                                            and measuring requirements of inputs, process and
 Customer
satisfaction
                   • Continually improve the QMS to
                     enhance performance and                                               P                                  outputs for each process (Quality Control Plans)
                                                                                                                            • Conduct risk and opportunities assessment (ROA)
                     effectiveness of the QMS                                                                                 and plan actions to address:
                     − Suitability
                                                                                           6                                  −     Internal and external issues
                     − Adequacy                                                                                               −     Needs and expectations of interested parties
                     − Effectiveness                                                                                          −     Business processes
                                                                                                                            • Set-up quality objectives and programs
 RESULTS           CHECK (Evaluate performance)
                                                                        A          Leadership                D                                                                           CUSTOMER
                                                                                                                                                                                       REQUIREMENTS
  OF THE
   QMS
                   • Monitor, measure, analyze &
                                                                        10                 5                 7& 8           DO (Strengthen support mechanism and
                     evaluate performance and the                                                                           operate)
                     effectiveness of the QMS, against
                     PLAN and DO Phases:                                                  C                                 • Define organizational/ functional structure,
                                                                                                                              responsibilities and authorities and provide resources
                     − Quality objectives & programs
                     − Performance against set operating                                   9                                • Document the QMS and communicate requirements
                                                                                                                              within BulSU and to relevant interested parties
  Products              criteria for products and services
                        including externally provided                                                                       • Provide specialized training necessary for the QMS
    and
                        processes, products and services                                                                      and its processes
  services                                                                                                                                                                              Needs and
                     − Compliance obligations                    LEADERSHIP (Management)                                    • Implement the QMS including plans, procedures &          expectations
                                                                                                                              other controls determined/ planned in PLAN Phase          of relevant
                   • Control monitoring and measuring
                     resources                                   • Determine system boundaries and scope                      − To achieve quality objectives                           interested
                   • Evaluate effectiveness of the QMS           • Organize QMS Working Team and assign roles,                − To fulfill compliance obligations                         parties
                   • Conduct internal QMS audits                   responsibilities and authorities in the QMS                − To address critical risks and pursue feasible
                                                                 • Define Quality Policy and establish quality                   opportunities
                   • Conduct management review
                                                                   objectives and define actions to achieve them              − To control service provision including externally
                                                                 • Determine and allocate resources needed for the               provided processes, products and services
                                                                   QMS
                                         This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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5.0 LEADERSHIP
                    5.1.1.1       Taking accountability for the effectiveness of the QMS including the
                                  evaluation of its effectiveness;
                    5.1.1.4       Ensuring that quality objectives and programs are set, maintained and
                                  achieved and are compatible with the strategic direction and the context of
                                  BulSU;
                    5.1.1.6       Making the resources needed for the QMS to achieve its intended results
                                  available;
                    5.1.1.10 Conducting meaningful reviews for the continuing suitability, adequacy and
                             effectiveness of the QMS;
                    5.1.1.11 Carrying out the plans of the QMS to meet the requirements specified in the
                             ISO 9001:2015 Standards;
                    5.1.1.12 Maintaining the integrity of the QMS when planned changes to BulSU are
                             implemented; and
          5.1.2     Where applicable, the University President may delegate responsibility for the above
                    actions to others, but s/he retains accountability for the actions performed.
                    5.1.3.1       The focus of the QMS shall be enhancing customer satisfaction, which is well
                                  reflected in the quality policy, objectives and programs, as well as the built-in
   This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       5.2.1     To provide overall direction of its performance, the Management of BulSU, headed by
                 the University President, have established a quality policy that shall reflect the work
                 attitude and values of every employee and member at the workplace, that is – quality of
                 operations and processes is everybody’s responsibility!
       5.2.2     The overall direction of BulSU with respect to its quality performance shall be aligned
                 and maintained consistent with the quality policy.
       5.2.3     BulSU shall initiate a review of the policy at least once a year to ensure that it shall
                 continuously provide an overall direction and commitment regarding its quality
                 performance, including providing framework for setting and reviewing its objectives.
       5.2.4     The review shall ensure that the policy remains appropriate to the purposes of BulSU,
                 and to continually improve the effectiveness of the management systems established.
       5.2.5     Should major changes in the operations of BulSU occur and necessitate changes in the
                 quality policy, any member of the QMS Working Committee shall initiate the revision.
                 The proposed revision shall be reviewed by the Quality Management Representative
                 (QMR) and shall be approved by the University President. The revision process shall
                 be in accordance with the established control of documented information procedure.
       5.2.6     To ensure that the policy shall be understood, implemented and maintained in BulSU,
                 the approved policy shall be posted in strategic locations. This shall be communicated
                 and promoted among employees, customers and other relevant stakeholders,
                 suppliers, contractors and other members through orientation, meetings and other
                 means deemed appropriate. A copy of the policy shall be provided to all employees,
                 suppliers, contractors and to any other interested member of the public.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       5.3.1     BulSU shall ensure that the responsibilities and authorities of BulSU personnel and the
                 entire workforce, particularly those functions whose work may affect its QMS
                 performance are clearly defined and documented.
       5.3.2     Management representatives (QMR, Deputy QMRs) and members of the QMS
                 Working Team are known by the employees.
       5.3.3     Responsibilities and authorities shall be assigned to individuals to ensure that quality
                 control and assurance are integrated with their respective functions. More specific
                 descriptions of the responsibilities and authorities of personnel whose work affect the
                 QMS performance of BulSU shall be described in related procedures. Below is the
                 organizational structure of BulSU and the functional structure of its QMS.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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BOARD OF REGENTS
                                                                                                                                                                                                                                        PRESIDENT
                                                                                                                                                                  Board Sec/ University Sec
                                                                                                                                                                                                                                                                                                     Legal Affairs Office
VP for Finance, Admin and Resource Generation VP for Academic Affairs VP for Research, Extension and Training VP for Executive Operations
AUXILIARY FINANCE ADMINISTRATION GS Co Law Co Eng Co Ed TRAINING EXTENSION OFFICE RESEARCH Bustos Campus San Jose
        Hostel
                                                                                                                                                                                                                                                                                                                                                                                              Planning and Development                            Project Management Office
                               Procurement Unit
                                                                        FMMO
Student Welfare Student Development Student Services Management Information System Gender and Development
                                                                                                                                                                                                                                                                                                                                                                                                                                                          Office of the
                                                                                                                                                                           Office of the Student                Office of Student      Culture and the Arts                Admissions Office            Socio-Community              Scholarship Office
                                                                                           Guidance Center          Student Internship                   PESO                                                                                                                                                                                                                                                                                   Faculty and Staff Development
                                                                                                                                                                                                                                                                                                                                                                                               Community Affairs Office
                                                                                                                                                                              Organization               Publications & Information       Affairs Office                                                Involvement Office
                                                                                                                                                                                                                                                                                                                                                                                                                                                           Program
                                                                                        This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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Figure 5.2 –Functional Structure of the QMS of Bulacan State University (BulSU)
LEGENDS:
         Coordinating/ Reporting Function
         Advising/ Updating / Recommending Function
     This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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        EXECUTIVE                       Has the main function of providing the University President advice
        COMMITTEE                       on university governance including matters relating to the
                                        implementation and continual improvement of the QMS in the
                                        whole organization. The University President is the permanent
                                        Chairman of the Top Management.
        DEPUTY QMRs                      In addition to being the Department Head/ College Dean, mainly
                                         responsible in assisting the QMR in the establishment, day-to-day
                                         implementation and maintenance of the QMS, particularly those
                                         that relate to their respective area, including among others the
                                         following:
                                          • Assisting the QMR in all identified responsibilities including
                                              review of documents pertaining to QMS particularly the
                                              auditable ones;
                                          • Ensuring critical processes (those that can have impact on
                                              quality performance of BulSU) are executed under controlled
                                              conditions;
                                          • Managing the implementation of relevant management
                                              system policies, objectives, plans & programs, procedures,
                                              work instructions and guidelines in their area;
                                          • Initiating, identifying and recording any problem in the
                                              department relating to the QMS policies, objectives, plans &
                                              programs, procedures, work instructions and guidelines, and
                                              ensuring timely and adequate actions to management system
                                              nonconformities;
                                          • Ensuring that the quality policy and objectives are established
                                              and are compatible with the strategic direction and the context
                                              of the organization; and
                                          • Communicating the importance of effective quality
                                              management and of conforming to the QMS requirements to
                                              ensure that the QMS achieves its intended results.
        QMS WORKING TEAM                Composed of the QMR, Deputy QMRs, Document Controller, Lead
                                        Internal QMS Auditor and college/ department/ office
                                        representatives.  Mainly responsible in spearheading the
                                        establishment, implementation, maintenance and continual
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                                        Corrective Action
                                         • Taking correction and corrective action to identified/ detected
                                             QMS nonconformities.
        LEAD INTERNAL QMS               Mainly responsible in managing the internal audit system of BulSU,
        AUDITOR                         including:
                                          • Preparing and updating the procedure for Internal QMS Audit,
                                             Annual Internal QMS Audit Plans and Matrix, and Internal
                                             QMS Audit Checklists;
                                          • Implementing the internal QMS audit system; and
                                          • Evaluating the performance of Internal QMS Auditors
       5.3.5     A more specific description of the responsibilities and authorities of BulSU teaching and
                 non-teaching personnel whose work affect the QMS performance of the University shall
                 be reflected in related procedures and work instructions.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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          6.1.1     Risks and opportunities associated to the business processes, internal and external
                    issues and needs and expectations of relevant interested parties are identified and
                    evaluated through the Risk and Opportunities Assessment (ROA) procedure. The
                    ROA includes criteria for determining which risks need to be acted upon and which
                    opportunities need to be pursued by the company. The ROA is performed by the QMS
                    Working Team members, guided by the appointed Team Leader.
          6.1.2     Identified risks and opportunities are recorded in the ROA Worksheet. Risks and
                    opportunities are color–coded, depending on their assessed ratings, which are as
                    follows:
                                  •    Yellow – Moderate Risk: Risk can be tolerated but needs risk treatment
                                       action plan (RTAP) aimed at least to reduce likelihood of the risk event
                                       occurring and/ or mitigate the adverse impact (Note: The risk maybe
                                       transferred or shared, i.e., outsourced or insured).
                                  •    Red – High Risk: Risk is not acceptable; needs RTAP aimed at avoiding
                                       the risk/ eliminating the risk source (Note: Stop or suspend work/
                                       operation where the risk event may occur until an RTAP has been
                                       implemented).
                 6.1.3.9       C3 – High Risk/ Poor Opportunity: Do not pursue opportunity but needs
                               RTAP for the risk event.
       6.1.4     The ROA Worksheets are reviewed at least annually or considering significant changes
                 in BulSU, such as but not limited to the following:
                 6.1.4.6       Changes to business processes, internal/ external issues and needs and
                               expectations of interested parties
       6.1.5     The results of review are presented to the Management during their periodic review of
                 the continuing suitability, adequacy and effectiveness of the QMS
       6.2.1     The BulSU shall develop a key performance indicator in line with quality policy and set
                 objectives. The objectives shall be aimed at continual improvement of the overall
                 performance of BulSU. Improvement areas considered in setting-up quality objectives
                 include among others the following organizational goals as stated in the strategic plan
                 of BulSU:
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 6.2.1.2       GOAL II: Provide Innovative and Responsive Research and Extension
                               Programs
       6.2.3     To ensure that the set objectives are achieved and action plans are implemented as
                 planned, these shall be communicated to relevant functions and levels within BulSU to
                 solicit everyone’s commitment. Individual commitments and action plans shall be
                 developed by each employee in consultation with his or her immediate.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       6.3.1     The Management ensures that the planning of the QMS is carried out to meet the
                 requirements of BulSU operations, processes and services including associated risks
                 and opportunities and the BulSU’s commitment to continual improvement of its quality
                 performance and the management system.
       6.3.2     Changes in BulSU that may affect its performance and the integrity of the QMS, either
                 caused by internal or external factors, are planned and carried out in a planned
                 manner. BulSU plans changes that may affect the integrity of the QMS and its
                 processes to ensure:
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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7.1.1 General
7.1.2 People
                    7.1.2.1       The Management of BulSU determines and provide the persons necessary
                                  for the effective implementation of its management system and for the
                                  operation and control of its business processes. This include defining and
                                  documenting clearly the responsibilities, authorities and accountabilities of
                                  employees, external providers and other personnel, particularly those
                                  functions whose work may affect the quality performance of BulSU and the
                                  effectiveness of its QMS.
7.1.3 Infrastructure
   This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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               7.1.5.2         A documented calibration procedure and work instruction are prepared for
                               monitoring and measuring equipment that will be calibrated internally. For
                               external calibration, the calibration and/ or testing laboratory should preferably
                               be an ISO Guide 17025 accredited.
                 7.1.6.1        BulSU shall determine, maintain and make it available to relevant personnel
                                the knowledge necessary for the operation of processes and to achieve
                                conformity of products and services, it shall include experiences, skills and
                                information. BulSU shall also determine how to acquire or access any
                                additional knowledge considering changing needs and trends such as from:
7.2 Competence
       7.2.1     Personnel performing task that can affect product/ service conformity is ensured
                 competent based on appropriate education, training, skills and experience.
       7.2.2     The Training Office, in conjunction with the relevant departments, is responsible in
                 conducting training needs analysis among employees, service providers and other
                 members who have access to BulSU’s premises and who can potentially affect its
                 quality performance. This is to determine their competence requirements for the
                 effective establishment, implementation, maintenance and continual improvement of
                 the management system.
       7.2.3     Training requirements prescribed by the regulatory and accreditation bodies and
                 partner institutions (e.g., CHED, DMB, NEDA, CSC, DOST, etc) and trainings identified
                 during performance evaluation shall form part of this training needs analysis. The
                 results of the training needs analysis shall be used as a basis in developing the BulSU
                 Training/ Development Program and/ or as basis in taking other actions to address the
                 competency requirements of BulSU teaching and non-teaching personnel.
       7.2.4     The results of the training needs analysis are used as a basis in developing BulSU’s
                 training program and/ or in taking other actions to address the competency
                 requirements of personnel. The Training Program includes general awareness
                 campaigns on the QMS and its requirements. A more specialized training is provided
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 to personnel who are operating equipment and facilities or working in areas that can
                 affect the quality and performance of BulSU.
       7.2.5     Effectiveness of the training conducted and other actions taken shall be evaluated
                 through a performance evaluation of the personnel and/ or application of other
                 performance indicators specified in BulSU procedures maintained and retained,
                 including records of effectiveness and evaluation of the same.
7.3 Awareness
       7.3.1     Employees, external providers and other members who have access to the operational
                 areas and/ or could affect the quality performance of BulSU shall undergo an
                 orientation of its QMS and its requirements. The orientation includes provisions to
                 make them aware of the following:
                 7.3.1.1       BulSU quality policy, objectives and programs, and the need to understand
                               and comply with BulSU’s QMS requirements;
       7.3.2     New employees and members are likewise required to undergo the same training to
                 ensure that they carry out their work properly and responsibly, and promote a quality
                 conscious workforce.
7.4 Communication
       7.4.1     The requirements of the QMS and other pertinent information, including the defined
                 roles and responsibilities of each employee and other stakeholders are communicated
                 throughout the company and to other relevant interested parties based on the approved
                 Communication Plan. The Communication Plan consist of:
                 7.4.1.1       What information about the company’s QMS and its processes that need to
                               be communicated internally and externally;
       7.4.2     The management of BulSU shall ensure that QMS requirements and other pertinent
                 information are communicated to BulSU employees and other relevant parties, in
                 accordance with the established procedure for internal and external communication.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       7.4.3     Processes and arrangements needed for internal and external communications
                 relevant to the QMS are established, implemented and maintained by BulSU to ensure
                 that:
       7.4.4     BulSU also ensures that communication arrangements are in line with relevant
                 corporate policies, and includes determining what information to communicate,
                 including when, with whom and how the information are communicated.
                 7.4.5.1       The QMS and its requirements are communicated throughout BulSU and to
                               other interested parties, in accordance with established internal
                               communication procedure. Information for communication include, but not
                               limited to:
                 7.4.5.3       Valid concerns or suggestions for the improvement of the company’s quality
                               performance and the effectiveness of the QMS are recorded and where
                               appropriate, are integrated in the QMS.
                 7.4.6.1       External providers are oriented by the designated functions of BulSU before
                               the start of their activities on-site.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 7.4.6.2       Communications from external interested parties that relate to the company’s
                               quality performance and/ or QMS effectiveness are received, documented
                               and responded. External communication may include concerns and
                               suggestions on BulSU’s quality performance from customers, non-
                               governmental organizations, regulatory bodies, local government units
                               (LGUs), external providers and other interested parties.
                               •    “Walking the talk” to its external providers and other stakeholders in the
                                    industry.
A. Documentation Requirements
       7.5.1     The documentation of BulSU’s management system shall be structured following the
                 pyramid hierarchy, as illustrated in Figure 7.1, The Hierarchy of QMS Documentation
                 following the Pyramid Model. The QMS documentation shall include at minimum the
                 following:
                 7.5.1.3       Description of the main elements of the management system, the processes
                               involved and their interactions, and references to related documents;
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       7.5.2     The QMS documentation is structured following the pyramid hierarchy, as illustrated
                 below:
SYSTEM PROCEDURES
                                                 OPERATIONAL PROCEDURES
                                                 (Operating/ Work Instructions)
7.5.3 The above QMS documentation is prepared and organized in 4 parts as follows:
                               •    The QMS Policy Manual contains policies, commitments and how the
                                    company intends to satisfy the requirements of the different elements of
                                    ISO 9001:2015 Standards, and the Quality Policy. It provides a
                                    description of the core elements of the QMS and their interaction, and
                                    signposting to the other documents (system procedures, operational
                                    control procedures and operating instructions) that form part of BulSU’s
                                    QMS documentation.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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7.5.3.4 Level 4 – Records, Worksheets, Lists, Plans/ Programs and Other Data
       7.5.4     The control, authorization, issuance and amendments of QMS documents are in
                 accordance with the company’s document control procedure. The procedure includes
                 provisions such that:
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 7.5.4.1       QMS documents are legible, dated and bears a unique identification and
                               description, e.g., title, author or reference number, including the use of
                               appropriate format (e.g., language, software version, graphics) and media
                               (e.g., paper, electronic);
                 7.5.4.2       Current versions of QMS documents can be located and are available for use,
                               where and when it is needed;
                 7.5.4.4       QMS documents are periodically reviewed and where necessary, revised and
                               approved for suitability and adequacy;
                 7.5.4.6       Obsolete documents are promptly removed from all points of issue to prevent
                               unintended use, and when retained for future reference, these are suitably
                               identified as such.
       7.5.5     The Document Controller shall maintain a set of Master Copies which are the set of
                 documents originally signed by the designated signatories. Controlled hardcopies,
                 which shall be reproduced from the Master Copy, shall be appropriately marked, initial
                 affixed and then distributed to the approved copy holders. Superseded controlled
                 copies shall be retrieved by the Document Controller to prevent unintended use of the
                 obsolete copies. The master obsolete copy shall be stamped by the Document
                 Controller as Obsolete on every page and filed for reference.
       7.5.6     Copies of QMS documents may be provided by the Document Controller to requesting
                 parties, upon approval of the QMR. The copies shall likewise be reproduced from the
                 Master Copy, but these shall be uncontrolled, i.e., the copy provided shall not be
                 replaced shall it be superseded.
       7.5.7     The revision number of, and changes to, internal QMS documents (those which are
                 authored by BulSU) shall be indicated in the Revision History. Revised documents shall
                 bear the same code as the document they replace, but the revision numbers are
                 updated, unless the management system documentation is re-structured.
       7.5.8     Except for Quality policy, which shall be reviewed at least annually as part of the QMS
                 management review, internal QMS documents shall be reviewed and revised, where
                 necessary, at least every three (3) years. Review may also be prompted by changes to
                 the management system scope and/ or requirements, audit findings, management
                 directive, among others. Records of reviews shall be maintained.
       7.5.9     Documents of external origin affecting the QMS shall be identified and their distribution
                 controlled. The process owners shall periodically revisit the sources of these
                 documents to ensure that the documents are updated.
       7.5.10 QMS records shall be controlled in accordance with the established procedure on
              records control. The procedure shall include identification, maintenance, storage, and
              retrieval, protection from damage and/ or loss, and disposal of QMS records.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       7.5.12 Master lists of records per department/ unit/ college shall be prepared for immediate
              reference on the implementation of the management system.
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          8.1.2     BulSU also control planned changes and review the consequences of unintended
                    changes, acting to mitigate any adverse effects, as necessary. Further, BulSU ensures
                    that outsourced processes are controlled or influenced.
8.2.2 Determining and Reviewing Requirements and Changes for Products and Services
                    8.2.2.1       BulSU, through its relevant departments/ units/ colleges and key functions,
                                  shall ensure that customer requirements related to their specific services are
                                  determined. These include among others the following:
                    8.2.2.2       Further, relevant departments/ units/ colleges and key functions shall review
                                  customer requirements prior to confirming the provision of their services and
                                  ensure that:
   This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                               •    Relevant departments/ units/ colleges and key functions can meet the
                                    defined service requirements;
                               •    Records of the results of the review and actions arising from the review
                                    are maintained in accordance with the established procedure on control
                                    of documented information;
                               •    Where the customer provides no documented statement of requirement,
                                    relevant college/ department/ office/ unit and key functions confirm and
                                    document such requirements before acceptance; and
                               •    Where customer requirements are changed, relevant department/ unit/
                                    college and key function ensure that applicable documents are amended
                                    and that relevant personnel are made aware of the changed
                                    requirements.
                 8.3.1.1       BulSU shall consider the following in determining the stages and controls for
                               design and development of its instruction, research and extension services:
                 8.3.2.1       BulSU shall determine the requirements essential for the specific types of
                               products and services to be designed and developed. Inputs include:
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 8.3.2.2       Inputs shall be adequate for design and development purposes; complete
                               and unambiguous; and conflicting design and development inputs shall be
                               resolved.    BulSU shall retain documented information on design and
                               development inputs in accordance with the established procedure on control
                               of documented information.
                 8.3.3.1       BulSU shall apply controls to the design and development process to ensure
                               that:
                 8.3.5.1       BulSU shall identify, review and control changes made during, or after, the
                               design and development of products and services, to the extent necessary to
                               ensure that there is no adverse impact on conformity to requirements.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 8.3.5.2       BulSU shall retain documented information (in accordance with established
                               procedure on control of documented information) on:
8.4 Purchasing and Control of Externally Provided Processes, Products and Services
       8.4.1     BulSU ensures that externally provided processes, products and services conform to its
                 requirements.   BulSU determines and applies controls to externally provided
                 processes, products and services when:
                 8.4.1.1       Products and services from external providers are intended for incorporation
                               into BulSU’s own products and services;
                 8.4.1.2       Products and services are provided directly to the customer(s) by external
                               providers on behalf of BulSU; and
                 8.4.2.1       Purchases of key raw materials and services are made only from suppliers
                               and contractors included in the “List of Suppliers”. New suppliers and
                               contractors are accredited and included in the List of Suppliers based on their
                               previously demonstrated satisfactory performance, as evidenced by any or
                               combination of the following:
                 8.4.3.1       Purchases are made via purchase orders or purchasing contracts. In both
                               cases, requirements are detailed in the purchasing documents such as code,
                               technical specification, price, condition, delivery date, etc.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 8.4.4.1       Purchased supplies and services are verified through the inspection of
                               condition, quantity and quality of the delivered goods or services. Depending
                               on the performance of the products or items in the process, random sampling
                               can be initiated for product quality characteristics.        Performance are
                               monitored closely and any issues encountered is raised accordingly for
                               appropriate action. Records of verification are retained.
                 8.4.4.2       Key raw materials are inspected upon receipt or delivery. Inspections include
                               completeness and accurateness of documentation, and the physical state of
                               the product, including containers, ensuring there is no leak that could
                               contribute to material degradation and may results to hazards. Some controls
                               applied to incoming raw materials include the following:
                 8.4.4.3       For direct supplies, in the case, of direct flow status, product quality is
                               guaranteed based on previous acceptance rate. Purchased products failing
                               to meet acceptance criteria are physically identified, segregated and handled
                               and/ or disposed in accordance with the procedure on Control of
                               Nonconforming Outputs.
                 8.4.4.4       Where the purchasing function requires verification of the purchased products
                               or services at the premises of suppliers and services providers, it shall define
                               verification arrangements and methods of release with the suppliers in the
                               purchasing documents.
                 8.5.1.1       Operations and processes of BulSU that could affect the quality of its
                               instruction, research and extension services shall be identified, planned,
                               maintained and carried out under specified conditions to meet customer
                               requirements and enhance customer satisfaction.
                 8.5.1.3       The service provision processes covered in the QMS that shall need to be
                               carried out under controlled conditions are illustrated in Figure 8.1 –Business
                               Processes of BulSU and listed as follows:
A. CORE PROCESSES
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                       Type:                                                                    Page:
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This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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OTHER CAMPUS            CORE PROCESSES (MAIN CAMPUS)                                                    SUPPORT PROCESSES (MAIN CAMPUS)
                                    INSTRUCTION                                                            OFFICE OF THE               OFFICE OF THE VICE
                                                                                                            PRESIDENT                     PRESIDENTS
                       • ADMISSION (Admissions Office)
  HAGONOY              • REGISTRATION (Registrar’s Office)                                          ADMINISTRATION AND                         EXECUTIVE
   CAMPUS                                                                                                FINANCE                              OPERATIONS
                       • TEACHING/ ASSESSMENT
                         (Academic Affairs)                                                                                            •   Alumni Affairs
   MENESES               - Architecture & Fine Arts                                                    ADMINISTRATION
                                                                                                                                       •   Communications Group
                                                                  EXTERNALLY PROVIDED PROCESSES
                                                                                                                   EXTERNAL PROVIDERS
                                                                                                   Instruction, Technical Supplies & Materials, Equipment &
      MONITORING CUSTOMER SATISFACTION                                                            Parts, Academic & Research Institutions, Printing Services,
       (Students, Institutions, Private Companies)                                                        Maintenance Services, General Utilities, Etc.
LEGENDS:
           INFORMATION                  BulSU                   EXTERNALLY                                        OTHER                        EXTERNAL
           FLOW                         PROCESSES               PROVIDED CORE                                     CAMPUSES                     PROVIDERS
           SERVICE FLOW                 COVERED IN              PROCESSES
                                        THE QMS
     This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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B. SUPPORT PROCESSES
                 8.5.1.6       Other departments/ offices/ units of BulSU provide the support processes for
                               its provision of instruction, research and extension services. Other support
                               process/ services such as Finance, Administration, Auxiliary, Training,
                               Executive Operations are described in the Student Manual and/ or in the
                               detailed procedures of the respective departments/ offices/ units providing
                               support to the provision of secondary and tertiary education
                 8.5.2.1       Where appropriate, BulSU shall identify its products and services including
                               their status where practicable, by suitable means throughout product
                               realization. Identification and traceability requirements of the standard
                               applies among others to the following:
8.5.2.2 The need for identification and traceability may also apply to the following:
                 8.5.2.3       The process or methods in the use of unique identification and traceability
                               shall be built-in in the specific operational procedures, guidelines and work
                               instruction for the different services of the University.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 8.5.3.1       Customer properties covered under this element of the standard shall include
                               but not limited to the following:
                 8.5.3.2       The University shall ensure that customer properties given to the University
                               shall be identified, verified, and reasonably protected while being handled/
                               kept. These properties form part of the QMS documented information. The
                               control and/ or maintenance of such properties shall be in accordance with
                               the procedure on documented information.
8.5.4 Preservation
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 8.5.6.1       BulSU, through its relevant colleges/ departments/ offices reviews and
                               controls changes in its manufacturing processes, to the extent necessary to
                               ensure continuing conformity to service requirements.
                 8.5.6.2       BulSU retains documented information describing the results of the review of
                               changes, the person(s) authorizing the change, and any necessary actions
                               arising from the review.
       8.6.1     Products and services are not released for use until conformance to specification has
                 been demonstrated. If product is released before testing is completed, records are
                 kept which will permit appropriate action in the event of subsequent nonconformity per
                 record retention procedures.
       8.6.2     Final inspections and tests for conformance against specified requirements are
                 completed as defined in the Quality Plan and/ or as described in other documents.
                 Systems are in place to assure that all required inspections and tests on products prior
                 to and during final inspection are performed and that the results meet specified
                 requirements.
       8.7.1     The identification of nonconforming goods and services and determining subsequent
                 actions shall be carried out in accordance with the established procedure on control of
                 nonconforming outputs. These nonconformities maybe detected out of specification
                 during monitoring and measurement of processes at different stages of the BulSU
                 operations and services.       Nonconforming outputs in the provision of instruction,
                 research and extension services shall include, but are not limited to the following:
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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       8.7.4     When nonconforming outputs are detected, the System Improvement Request (SIR)
                 shall be initiated to relevant functions of the concerned division. The SIR shall be
                 initiated and processed in accordance with the procedure on corrective action.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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          9.1.1     As illustrated in the PDCA framework of the QMS, the performance of the management
                    system is monitored, measured, analyzed and evaluated to:
                    9.1.1.2       Identify areas for continually improving the quality performance of BulSU and
                                  the effectiveness of the QMS.
          9.1.2     BulSU’s QMS processes shall be monitored and measured at relevant stages and
                    levels to determine their conformity to planned arrangements and the requirements of
                    the ISO 9001:2015 Standard on which this management system is based. The
                    monitoring and measurement of processes and products are aimed at identifying areas
                    for continually improving the implementation and effectiveness of the management
                    system.
          9.1.4     Results of monitoring and measurement shall be recorded and analyzed to facilitate the
                    assessment of the management system’s overall performance and to identify
                    opportunities for continual improvement.
                    9.2.1.3       Relevant functions of the University shall monitor and measure the
                                  satisfaction level of their customers (e.g., students, partner institutions and
                                  private companies) on the quality of instruction, research and extension
                                  services they provide. Customer satisfaction survey forms that are aimed to
                                  determine how well the different colleges/ departments/ offices are meeting
                                  the requirements of their customers shall be developed.                   Customer
                                  satisfaction indicators and criteria shall include but not limited to the following:
   This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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• Instruction
                               •    Research
                                    −   Cost-effectiveness of researches
                                    −   Relevance of researches
                                    −   Timeliness of research completion
• Extension
                 9.2.1.5       Faculty, researchers, extension workers and staff; facilities and services with
                               performance rating below the acceptable performance level shall be
                               considered nonconforming personnel/ facility/ service and shall require
                               intervention from the Head from their respective college/ department or
                               organizational unit. Any rating below the set acceptable rating for two
                               consecutive semesters shall be addressed with appropriate corrective action.
                               Appropriate action may also be initiated when the performance rating is still
                               within an acceptable level but there is a decreasing trend in performance and/
                               or when a performance criteria not met, such as submission of syllabus and
                               other required documents related to instruction (for faculty), punctual
                               attendance to work/ classes, satisfied clients (no complaints), etc. Records of
                               the nonconforming personnel and action taken shall be maintained.
                 9.2.2.1       Performance against set goals, objectives and performance indicators shall
                               be monitored and measured at planned intervals, i.e., in college/ department/
                               office meetings and during performance appraisals.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 9.2.2.3       The progress of the University against its Development Plans shall be
                               reviewed at the college/ department/ office level every end of semester and
                               where appropriate, corrective actions shall be taken at each level of
                               responsibility. Accomplishment Reports of each colleges/ departments/
                               offices shall be submitted to their respective Heads for consolidation and
                               submission to the University President at the end of every school year.
                               Objectives, which are not achieved or programs which are not implemented
                               as planned, shall be evaluated during the Strategic Planning and where found
                               relevant, shall be carried over for the next school year.
                 9.2.2.4       Where practicable, and at the discretion of the QMS Working Team, new and
                               additional objectives and performance indicators may be set when objectives
                               are met well in advance of the target schedule.
                 9.2.2.5       Additional objectives and programs may also be set upon recognition of other
                               priority areas for improvement. These improvement areas may result from
                               corporate directives, the organization’s continuing review of its new activities,
                               products; and/ or considering new information and available technology for
                               BulSU.
                 9.2.2.6       Objectives which are not achieved or programs which are not implemented as
                               planned shall be addressed in accordance with the established procedure on
                               corrective action
                 9.2.3.1       BulSU shall monitor its QMS processes and service through audits and
                               inspections at relevant stages of the product realization processes. To
                               facilitate this activity, the processes are categorized as follows:
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 9.2.3.3       Core processes and support services rated below the acceptable
                               performance level shall be considered nonconforming process or service and
                               shall require intervention from the Head of their respective college/
                               department/ office. Any rating below the set acceptable rating for two
                               consecutive semesters shall be addressed with appropriate corrective action.
                               Where practicable, comparative analysis of the results of monitoring and
                               measurements activities shall be done to establish trends, which could be
                               used in identifying the need for preventive actions.      Records of the
                               nonconforming process or services, and any action taken shall be
                               maintained.
                 9.2.4.1       BulSU monitors and measures its products and services at a defined
                               frequency and stage of business processes realization against criteria
                               specified in the quality or process control plans and documented procedures.
                               The verification activities, when these are to be performed and the
                               responsibilities for these are also contained in the plans.
9.2.4.2 Instruction
9.2.4.3 Research
                 9.2.4.4       Extension
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                               •    Extension projects and programs shall be within the thrusts and priorities
                                    of the University, presented before a committee during the in-house
                                    review, recommended for approval by the Extension Office and finally
                                    approved by the Board of Regents. The project shall be conducted
                                    based on the set time frame (if not, change in schedule should be
                                    justified) and an activity/ accomplishment report shall be submitted.
                 9.2.5.1       BulSU define data that needs to be collected, analyzed and evaluated, and
                               record where these data are gathered by responsible personnel. The results
                               of monitoring and measurement activities are the main sources of data or
                               information to be analyzed and evaluated. Where appropriate, statistical
                               techniques are applied in the analysis of data.
                 9.2.5.3       The results of monitoring and measurement activities shall be the main
                               sources of data or information to be analyzed. Relevant Heads of the offices,
                               colleges, departments and organizational units shall ensure that data or
                               information obtained in their respective areas that relate to the QMS and the
                               quality of services being provided shall be summarized, consolidated and
                               analyzed. Where necessary, appropriate statistical techniques shall be used.
                               Data analysis shall include among others information relating to the following:
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
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                 9.2.5.4       The results of data analyses are one of the basis in identifying nonconformity
                               or inadequacies of the QMS. Likewise, the results are also used in identifying
                               the need for corrective action, additional training of personnel, and areas and
                               opportunities for further improvement in the management system.
       9.3.1     BulSU shall establish, implement and maintain procedures for periodically monitoring
                 and evaluating its compliance with applicable statutory and regulatory requirements to
                 which it subscribes (CHED Memos, AACCUP requirements, etc). The University shall
                 evaluate its compliance every end of the semester.              Compliance shall also be
                 evaluated in light of new and/ or amendments of existing regulations, and other
                 significant changes in the University that could potentially affect its QMS performance.
       9.3.2     BulSU’s compliances are also evaluated considering new and/ or amendments of
                 existing laws and regulations, installation of new equipment/ facilities, renovation/
                 repairs and improvements of facilities use of new or modified products or process, after
                 an accident or emergency, and other significant changes in BulSU that could potentially
                 affect its quality performance.
       9.3.3     Breaches with applicable laws and regulations, including timely application or renewal
                 of required permits and licenses and/ or submission of reports are closely monitored.
                 For compliance to legal limits or standards, where practicable, comparative analysis of
                 the results of tests and measurements is done to determine trends, which could be
                 used in identifying further opportunities for improvement. The results of periodic
                 evaluation are reflected on the Master List and/ or prescribed reports.
       9.3.4     The results of periodic compliance monitoring and evaluation are brought to the
                 attention of the Management. Non-compliance issues are acted upon and where
                 necessary, addressed with appropriate corrective action. Where practicable,
                 comparative analysis of the results of tests and measurements shall be done to
                 establish trends, which could be used in identifying the opportunities for improvement.
       9.4.1     Internal audit of the management system shall be carried out in accordance with the
                 established procedure. Audit of the entire management system shall be conducted at
                 planned intervals at least annually. Additional audits may be undertaken where there
                 are identified problems that could seriously affect the integrity of the QMS. The
                 purposes of the internal audits are as follows:
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
                                                                                                Document No.:
                                   BULACAN STATE UNIVERSITY (BulSU)
                                                                                                 BulSU-PM-QMS-01
                       Type:                                                                    Page:
                                              POLICY MANUAL                                             66 of 74
                       Tile:                                                                    Effective Date:
9.4.1.2 Verify that the QMS is properly implemented and maintained; and
                 9.4.1.4       The internal audit shall be undertaken by a team of qualified auditors. The
                               team shall comprise auditors from different colleges/ departments/ offices of
                               BulSU and shall be headed by the Lead Internal Auditor. The auditors shall
                               be appropriately trained and must have completed at least the following
                               trainings or their equivalents:
       9.4.2     The auditors must also be familiar with the BulSU processes and QMS requirements.
                 To ensure the objectivity and impartiality of the audit process, the internal auditors shall
                 not audit their own work/ areas.
       9.4.3     The Lead Internal Auditor shall maintain an audit program that takes into consideration
                 the status and importance of the processes and areas to be audited and results of
                 previous audits. An internal audit matrix shall be developed to determine the scope of
                 audit that shall be conducted for every area/ process/ function. Results of the audit
                 shall be recorded in checklists and the nonconformities and observations shall be
                 documented using the Corrective Action and Internal Audit Report forms. Audit records
                 shall be maintained and properly controlled.
       9.4.4     The process owner of the audited area/ function/ process shall ensure that correction
                 and corrective actions are taken to eliminate the detected nonconformities and their
                 causes without undue delay. Follow-ups of corrective actions taken to address audit
                 findings shall be performed in accordance with the established procedure on corrective
                 action.
                 9.5.1.1       A two-tier review shall be adopted for the review of the QMS to ensure its
                               continuing adequacy, suitability and effectiveness.
                 9.5.1.2       The first tier shall be in the college/ department/ office/ unit level, which shall
                               focus on day-to-day issues and implementation of the QMS. This review
                               shall be chaired by the Deputy QMR. The Review Team at this level shall
                               include at minimum, College/ Department/ Office/ Unit Representative(s), the
                               Document Controller and/ or the Document and Record Custodian.
                 9.5.1.3       The second tier shall be a dedicated review of the QMS which shall be
                               conducted at least once a year. This periodic review shall be conducted by
                               the defined Management Review Committee (refer to the QMS Functional
                               Structure of BulSU) and chaired by the University President. The Committee
                               comprises at minimum the University President, Executive Committee, QMR,
                               Deputy QMRs, Lead Internal Auditor. Other resource persons or audience
                               may be identified and invited as deemed necessary.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
                                                                                                Document No.:
                                   BULACAN STATE UNIVERSITY (BulSU)
                                                                                                 BulSU-PM-QMS-01
                       Type:                                                                    Page:
                                              POLICY MANUAL                                             67 of 74
                       Tile:                                                                    Effective Date:
9.5.2.1 The review inputs shall include but are not limited to the following:
                 9.5.2.2       The above agenda need not be covered in a single meeting, but these must
                               be discussed within each second tier QMS review cycle, i.e., one year.
9.5.2.3 Review Outputs - Outputs shall include actions and decisions regarding:
                 9.5.2.4       The minutes of the meeting shall be maintained in accordance with the
                               documented procedure for records control. Copy of the minutes shall be
                               distributed to all the members of the Management Review Committee, who
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
                                                                                                Document No.:
                                 BULACAN STATE UNIVERSITY (BulSU)
                                                                                                 BulSU-PM-QMS-01
                       Type:                                                                    Page:
                                              POLICY MANUAL                                             68 of 74
                       Tile:                                                                    Effective Date:
                 9.5.2.5       The QMR may post some highlights of the meeting and/ or relevant
                               information about the performance of the management system for possible
                               participation and consultation among their employees and members on-site.
                 9.5.2.6       Where appropriate, the management may initiate the issuance of corrective
                               action for areas needing further investigation and immediate action, areas for
                               improvement, or issues that could result to a potential nonconformity.
                 9.5.2.7       Records of reviews, including decisions and actions taken shall be retained
                               by the Document Controller.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
                                                                                                   Document No.:
                                      BULACAN STATE UNIVERSITY (BulSU)
                                                                                                    BulSU-PM-QMS-01
                          Type:                                                                    Page:
                                                 POLICY MANUAL                                             69 of 74
                          Tile:                                                                    Effective Date:
          10.1.1 The results from the analysis and evaluation of quality performance, internal audits and
                 management review are considered by BulSU when acting to improve the QMS.
                    10.2.1.3 Valid complaints from customers or low satisfaction level during customer
                             satisfaction monitoring;
                    10.2.1.5 Objectives that are not achieved or programs not implemented as planned,
                             detected during monitoring and measurement activities;
10.2.1.8 Potential problems identified during the analysis of QMS performance data.
          10.2.2 Relevant BulSU personnel shall be guided in addressing actual and potential
                 nonconformities and other system improvement requirements of the QMS through the
                 established procedure on Nonconformity and Corrective Action. The procedures on
                 corrective actions that shall define responsibilities and authorities for the above
                 nonconformities/ system improvement requirements and shall contain provisions for the
                 following:
                 10.2.2.2 Corrective actions shall be appropriate to the nature and magnitude of the
                          problem to the QMS performance of BulSU. Evaluation of results of
                          corrective action raised and implementation of corresponding action plans
                          and resolutions shall be covered by the management review process.
       10.3.1 BulSU continually improves the suitability, adequacy and effectiveness of the QMS to
              enhance its quality performance including conformity of products and services.
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
                                                                                                        Document No.:
                                        BULACAN STATE UNIVERSITY (BulSU)
                                                                                                         BulSU-PM-QMS-01
                               Type:                                                                    Page:
                                                      POLICY MANUAL                                             71 of 74
                               Tile:                                                                    Effective Date:
SUPPORT
 7.1     Resources
7.1.1    General                          BulSU-PM-QMS-01 7.0 STRENGTHENING THE SUPPORT FOR THE
                                                          QMS – Section 7.1, Resources for the QMS
7.1.2    People                          BulSU-OP-HRMO-00 Human Resources Management Office
                                               Series
7.1.3    Infrastructure                  BulSU-OP-BGMO-00 Building and Ground Management Office OPs
                                               Series
        This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
                                                                                                        Document No.:
                                        BULACAN STATE UNIVERSITY (BulSU)
                                                                                                         BulSU-PM-QMS-01
                               Type:                                                                    Page:
                                                      POLICY MANUAL                                             72 of 74
                               Tile:                                                                    Effective Date:
OPERATION
 8.1     Operational planning             BulSU-PM-QMS-01             8.0 OPERATING THE QMS – Section 8.1,
         and control                                                  Operational Planning and Control of BulSU’s
                                                                      Business Processes
          − Instruction                                               BulSU Faculty Manual
                                                                      BulSU Student Manual
          − Research                                                  BulSU Research Manual
          − Extension                                                 BulSU Extension Manual
 8.2     Requirements for                 BulSU-PM-QMS-01             8.0 OPERATING THE QMS – Section 8.2,
         products and services                                        Requirements for Products and Services
8.2.1    Customer                         BulSU-PM-QMS-01             8.0 OPERATING THE QMS – Section 8.2,
         communication                                                Requirements for Products and Services
8.2.2    Determining the                  BulSU-PM-QMS-01             8.0 OPERATING THE QMS – Section 8.2,
         requirements for                                             Requirements for Products and Services
         products and services
        This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
                                                                                                        Document No.:
                                        BULACAN STATE UNIVERSITY (BulSU)
                                                                                                         BulSU-PM-QMS-01
                               Type:                                                                    Page:
                                                      POLICY MANUAL                                             73 of 74
                               Tile:                                                                    Effective Date:
PERFORMANCE EVALUATION
        This is a controlled documented information and must not be printed and photocopied without permission from the QMR.
                                                                                                        Document No.:
                                        BULACAN STATE UNIVERSITY (BulSU)
                                                                                                         BulSU-PM-QMS-01
                               Type:                                                                    Page:
                                                      POLICY MANUAL                                             74 of 74
                               Tile:                                                                    Effective Date:
IMPROVEMENT
This is a controlled documented information and must not be printed and photocopied without permission from the QMR.