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September 2007 Internal EMS Audit Plan and Summary Report

General Information

 Document Control Information
  • Date of audit: August 27, 2007 - September 06, 2007
  • Period covered by the audit: October 01, 2006 - September 06, 2007
  • Date of audit report completion: September 07, 2007
 Owner: EMS Core Team

Approver: Mr. William Moog
Audit Objectives
Evaluate the installation's EMS against the criteria listed in the USMC EMS Conformance Guide
  • Determine if the MCAS Miramar EMS contains a framework of interrelated components (Policy,
    Planning, Implementation, Checking/Corrective Action, and Management Review)
  • Determine if Installation Command supports the EMS.
  • Determine if the EMS Core Team has implemented improvements to the EMS
  • Determine if continual improvement is occurring
Audit Criteria

Audit Team

 

AUDIT ROLE (view roles) AUDITOR AUDITOR'S CAPABILITIES
AND QUALIFICATIONS
Lead auditor LT Rommel E. Tanglao ISO 14001/HQMC EMS Lead Auditor Trained

 

Audit Scope
The full audit report can be found at 2007 POA&M. The scope of this management system audit was developed by the EMS Core Team. The scope was determined with consideration of the following factors:
  • Nature of the operation in terms of its environmental aspects and potential environmental impacts
  • Importance of practices and management system elements
  • MCAS Miramar's performance versus established objectives and targets

The following table summarizes the scope of this management system audit. All of the below listed EMS elements were audited to determine if MCAS Miramar is in conformance with the USMC EMS Conformance Guide.

Elements Conformance Status
Element 1 Environmental Policy Statement Yes
Element 2 Requirements Yes
Element 3 & 4 Practices, Aspects, and Risk Prioritization Yes
Element 5 Environmental Objectives and Targets Yes
Element 6 Actions to Improve Performance Yes
Element 7 Structure, Responsibilities, and Programs Yes
Element 8 Funding and Manpower Yes
Element 9 Training Yes
Element 10 Communication Yes
Element 11 Emergency Preparedness and Response Yes
Element 12 Document and Record Control Yes
Element 13 Environmental SOPs Yes
Element 14 EMS Document Yes
Element 15 Monitoring and measurement Yes
Element 16 Problem Solving Yes
Element 17 EMS Review Yes
Element 18 Management review Yes

Each of the 18 Elements was assessed using a customized checklist that was based on the USMC EMS Conformance Guide. In keeping with the current HQMC Compliance Auditing guidelines, the EMS audit team categorized each nonconformance using the definitions located in Chapter 4 of MCO P5090.2A.

Major Nonconformance - A deficiency that could result in an NOV, a fine, or other enforcement action if discovered by a regulatory agency. Major nonconformance's are normally the result of noncompliance with an applicable Federal, state or local law, regulation, or permit.

Minor Nonconformance - A deficiency that would normally not result in an NOV, a fine, or other enforcement action if discovered by a regulatory agency. Minor nonconformance's usually result from poor management practices or failure to fallow installation SOP's, MCO's, or DON and DoD Directives. Also falling into minor nonconformance's are minor differences in interpreting requirements and repetitive deficiencies identified as part of a trend.

Improvement Note - Deficiencies beyond the capability of the commander to resolve. Improvement notes may include deficiencies across installations/commands that require a Marine Corps-wide approach to resolve or the need for clarification in regulation, guidance, orders, and/or checklists. Improvement notes may also include significant differences in opinion or interpretation of requirements between the installation staff and EMS Audit Team.