From: ISO 9000 Standards Discussion
Date: Mon, 11 Dec 2000 13:43:04 -0600
Subject: Re: GAP Analysis /Preez/Hankwitz
From: "Hankwitz, John"
>From: Andre du Preez
(snip)
> I am looking for a methodology of how a GAP Analysis
> should be conducted with special reference to the
> Reporting of the results
>
> Regards
> Andre du Preez
Andre,
Perhaps the easiest method would be to simply perform an Internal Audit, focusing on those areas you are concerned with. Prepare an audit report, listing the shortcomings as if they were findings for a corrective action. We've done this many times in the past, and have found it to be simple and effective.
John Hankwitz
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From: ISO 9000 Standards Discussion
Date: Mon, 11 Dec 2000 13:44:59 -0600
Subject: FW: GAP Analysis /Preez/Venkatasamy
From: "venkatasamy.v"
ISO publication N474R (October 2000) gives a good guidance on
this. This can be printed from ISO web site.
http://www.iso.ch/
Venkatasamy
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From: ISO 9000 Standards Discussion
Date: Mon, 11 Dec 2000 13:53:12 -0600
Subject: Re: Q: GAP Analysis /Preez/Green
From: Joseph & Susan Green
Joe Green's reply (lengthy, but good mental exercise)
Gap Analysis is certainly a necessity to "base line" an existing system; whether or not the organization being audited knows they have a system for the management of quality or not.
Preparation:
Only a person who knows the entire content of the reference standard to be audited against can effectively perform a useful gap analysis. The knowledge must be intuitive, because the auditor will need to recognize the actual system and compare what is observed to the reference standard.
A planned audit of an already documented quality management system is relatively easy compared to a gap analysis.
Even though the objective is to compare "reality" (the organizations methods) to a reference standard; the gap analysis can easily overlook satisfactory or compliant issues simply because the auditee doesn't understand what the auditor is actually looking for, and the auditor doesn't recognize what he/she is seeing. While tracking down a "clause" of the reference standard the auditor must remain extremely aware of all actions going on around them.
Observing, tracing and flow charting (no interviews) forms the basis for a productive gap analysis. Questioning (interviewing) should only be conducted after the observation, tracing and flow charting phase of analysis is complete.
I have observed that when done effectively this audit requires 75% observe, trace, and flow chart and maybe 15% interview to confirm what has been observed. The balance (10%) is repeat observation and tracing to correct and improve the "systems" flow, actions, and content.
Instead of "show me" audit method, the person conducting a gap analysis should rely on the "take me to where you"....
Design you products
Receive orders (whatever)
Process orders (whatever)
Produce your product
Store your product
Measure your product
Put your product when it's not salable
Package your product
Ship your product.....and on through all QMS elements of the
reference standard.
Only after observing (and mapping) the "actions" in all areas of the audited organization should any direct questions be asked.
When asking questions "parables" "teaching stories" are a necessity to lead the auditee to what the auditor is hopeful of finding.
Example: I see your recieving clerk places the incoming material in two or three areas. Have I missed any? (not that we know of)
The reason I am asking is because most successful organizations give their employees latitude in how they do their job. For example your receiving guy usually has a logical "path of least resistance" that he/she has developed to allow completion of tasks with a minimum of wasted effort.
Now we can begin to zero in on issues:
(at this point intuitive knowledge of the reference standard is essential to the person conducting the audit)
"Do you look at every item that is received?"
"Ever receive something that you suspect isn't correct (in your
opinion)?"
"Who else receives stuff when your off sick or on vacation?"
"Do they perform the task the same as you do?"
"Is there someone to go to if you don't know how to handle a
problem that comes up?" (Who would that be?)
"What", "When", "How", "Where", "Who"
This line of questions could be almost endless; however, when the gap analysis is exhausted in this one area; the entire reference standard will be addressed: 1994 = 19 or 20 elements and 9K2K #'s 4 through 8.
The above method should produce a flow chart (map) (diagram) or something that allows the auditor to convey what he has seen and learned so that issues that are defined in the reference standard can be easily seen as present or absent from this single audited function.
The above "location" or "task" specific gap analysis should be repeated for every visible and discrete group and/or task within the audited organization.
When complete, the various flow charts should be arranged and referenced to show how they connect with each other. A system map should be apparent. I believe even "chaos" can be flow charted.
The finished "system" map can then be used to point out "gaps" (if any), "system weakness (if any). and provide a framework by which issues concerning all requirements of the reference standard can be proven "present" or "absent".
You will notice I have not mentioned one word as yet concerning documentation and records. Documentation that is already present may be noted on the same flow charts (individual area or system), and the same is true for records.
Only after the above task is completed and verified as to what is actually being done by the organization can "gap analysis" begin. That task is relatively straight forward.
1. Follow the flow with the audited organization and show where the requirements defined in the reference standard are already being met.
2. Follow the flow, identify possible missing elements, verify with the auditee that the suspect "gap" (defined requirement) is actually absent.
3. Quote the reference standard requirements as they apply to identified compliant functions found, and also as the requirements apply to those areas which constitute a suspect gap.
4. Explain or teach why the requirement is prudent to a well managed QMS; and be sure to address (with examples) the Benefit to be derived from closing the identified gap or recognizing and appreciating the value derived from those requirements already being addressed.
I have only seen a few "gap analysis" audits conducted in this fashion. Unfortunately most "gap analysis" audits focus only on what the organization is missing; rather than what it already has.
Try it you'll like it.
Takes time and effort but the reward is priceless.
Opinion
"Gap Audit" followed by "Analysis of the data" when called gap analysis audits are not what needs to be done. Even though we call it a "Gap Analysis" this activity should be defined as a "planned assessment and analysis" of existing methods conducted against a reference standard for the purpose of fact based decision making.
Attempted Humor
Invent an anacronym in the name of ISO
Planned Assessment And Analysis = P(A)3
Old Joe
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From: ISO 9000 Standards Discussion
Date: Mon, 11 Dec 2000 13:58:27 -0600
Subject: Re: Q: GAP Analysis /Preez/Scalies/
From: "Charley Scalies"
How it should be done depends on the individual circumstances. However, I will describe how I do it in a great many cases. I call the process a Team Gap Analysis. The best "Team" is one that includes the major process owners, provided they also represent that critical mass of people who, together, know how everything in the organization works. It generally ranges from 3 to 10 people though I have done a Team of 25. (The more the merrier. )
We guide the team through an exhaustive checklist of all ISO requirements, explaining each as we go.( This doubles as their ISO education. It works better than a talking heads presentation because they are learning the standard in the context of their own organization.) As they discuss and explain their current practices in each area, we facilitate their identification of all the areas in need of attention, i.e., the gaps between requirements and practices. In the final step, we faciltiate their preparation of an Implementation Action Plan - who will do what, when. The entire process typically consumes 1 1/2 to 2 consecutive days. (Yes we often work into the weekend to minimize the impact on day to day activities.)
My checklist is in the form of a Microsoft Excel '97 spreadsheet (ISO Scorecard - one for ISO9000-1994 and another for the 2000 version). Each checklist item (well in excess of 200 of them ) is scored 1, where the organization meets the requirement, and 0, where it does not. The Scorecard calculates the "score" on each element (1994) or process group (2000) and on a Total basis. (Scale of 100). It also presents the results in a bar graph form. The "report" consists of the summary score and the bar graph. 2 pages in all.
Throughout the implementation program, the Scorecard is continually updated and used to provide ongoing status reports to management.
Feel free to contact me off list if you want to know more about the Scorecards or the Team Gap process.
Charley Scalies