FAQ for Transitional Facilities: Performance Based Verification 2022 - FAQ Infographic on PBV Sample PBV report
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FAQ for Transitional Facilities: Performance Based Verification 2022 This document includes: • FAQ • Infographic on PBV • Sample PBV report Produced by Border Clearance Services, Biosecurity NZ Version 1, Feb 2022 1
Frequently Asked Questions for Transitional Facilities: Performance Based Verification (PBV) 2022 Contents What is Performance-Based Verification (PBV)?........................................................................ 3 Why has Biosecurity NZ (Ministry for Primary Industries) decided to use PBV for Transitional Facilities? ............................................................................................................................ 3 Is PBV allowed under the Biosecurity Act?................................................................................ 4 Why are we making the shift f rom inspection to verification? ........................................................ 4 How are the Biosecurity Profiles and verification f requencies decided? ......................................... 5 Are the Biosecurity Profiles flexible? ........................................................................................ 6 What is Evidence-based assurance? ....................................................................................... 6 What does PBV mean for my Transitional Facility? .................................................................... 7 What is the cost impact of PBV for my TF? ............................................................................... 7 How will we know what we are supposed to do for a PBV visit? ................................................... 8 What will verification include? ................................................................................................. 9 How will we know what the outcome of a verification visit is? ....................................................... 9 What are verif ication topics and how are they rated? .................................................................10 Will Corrective Actions still be required? ..................................................................................13 When is PBV starting at Transitional Facilities? ........................................................................13 What happens if I don’t agree with the verif ier’s f indings?...........................................................13 Will the TF Operator training include information about PBV? .....................................................14 Where can I find more information? ........................................................................................14 Glossary .............................................................................................................................15 2
Q What is Performance-Based Verification (PBV)? A PBV means verification is conducted at a frequency (the time between verification visits) which is determined by the TF operator’s performance (the effectiveness of your biosecurity management). • The PBV programme has defined graduated verification frequencies (PBV steps) ranging from monthly through to 24 months. • A business with a proven history of acceptable performance will move up the range to less frequent verification, whereas a business with unacceptable p erformance will move down the range to more frequent verification. • This means greater certainty for TF management that there will be less disruption to their business due to BNZ intervention and also enables BCS to manage verification work more efficiently. Q Why has Biosecurity NZ (Ministry for Primary Industries) decided to use PBV for Transitional Facilities? A PBV is an alignment of the existing verification programme with other PBV programmes administered by MPI. The approach has been proven to be a workable model for lifting regulatory compliance (Animal Products, Food Safety). Biosecurity NZ believes this is the best approach for achieving the goal of lifting TF national compliance and providing evidence-based assurance. This also aligns with the Biosecurity NZ strategic approaches and principles, including: • Operational excellence; doing the basics well • Science and evidence based • Guardians of our way of life • Ensuring the right regulation, compliance and accountability • Providing the tools, systems and processes for everyone to play their part 3
Q Is PBV allowed under the Biosecurity Act? A Yes. Currently TFGen (The Standard for Transitional Facilities for General Uncleared Risk Goods) which is issued under the Biosecurity Act 1993, established a performance-based verification approach. The refreshed PBV programme provides greater transparency and criteria for decision making and verification frequencies. Q Why are we making the shift from inspection to verification? A Inspection The act of examining for the presence of risk. Verification The act or process of confirming or checking for accuracy. The process by which we ensure the TF operators are compliant with the biosecurity requirements. • BNZ’s objective is to strengthen the Sea Cargo Pathway. In relation to annual (current) verification-inspections at TFs this means creating a shift in how Biosecurity NZ confirms TF and operator compliance. TFs and TF operators are responsible for effective biosecurity management. Inspection methodology places the onus on the “inspector” to identify non-conformance/non-compliance and ensure these are corrected. • Verification shifts and resets the onus to identify non-conformance/non-compliance and correct these onto the TF and TF Operator. The verification methodology seeks objective evidence from the TF Operator of effective biosecurity management since the last verification. Corrective actions have a focus on improving and strengthening the operator processes and practices to prevent recurrence. • This will provide a clear reminder that biosecurity management is the operator responsibility and Biosecurity NZ’s role is to verify the effectiveness of the operator biosecurity management. • Verification will also require the operator to develop a corrective action plan for correcting and improving programmes & processes where non-conformance/non- compliance are identified during PBV. [From a quality management perspective, inspection typically is designed to identify one off defects as opposed to verification (which is part of an assurance programme) designed to strengthen and improve a product or service, not just separate good from bad] 4
Q How are the Biosecurity Profiles and verification frequencies decided? A Biosecurity Profiles are an improved approach to TFs risk assessment, which previously was based only on Tiers 1-3 (commodities a TF is approved to receive). Biosecurity Profiles (BPs) place each TF on a scale from high complexity and high biosecurity risk through to low complexity and low biosecurity risk. This enables a true resource to risk approach and as the profiles are dynamic, a TF profile may change over time according to changes in a TF’s complexity and risk. A Biosecurity Profile is calculated f or each Transitional Facility based on the following criteria over a 12-month period: • consignment type • container number • consignment number • country of import • the PBV history • 100% container reporting • and moderated by BCS with local knowledge. There are four profiles, each of which sets the maximum PBV f requency a business may attain e.g. • Profile 1 = PBV step 6 (6 months) • profile 2 = PBV step 7 (12 months) • profile 3 = PBV step 8 (18 months) • profile 4 = PBV step 9 (24 months). The Biosecurity Profile sets the maximum verification period a TF business may attain. Businesses move up and down the PBV steps based on their performance. The following table details the PBV steps, the verification intervals, the change in verification frequency based on PBV outcome and the maximum verification frequency achievable based on the TF biosecurity profile. For example, for a TF with Biosecurity Profile 3, the verification steps applicable to that facility would be a PBV step 0 through to a maximum of PBV step 8. PBV step Verification interval Number of consecutive Number of acceptable outcomes to unacceptable move up to next step outcomes to move down to next step Step 0 Direct Biosecurity As determined by Biosecurity - Oversight NZ on a case-by-case basis Step 1 2 weekly Two One Step 2 1 monthly Two One Step 3 6 weekly Two One 5
Step 4 2 monthly Two One Step 5 3 monthly Two One Step 6 6 monthly Two One Step 7 1 yearly Two One Step 8 18 monthly Two One Step 9 2 yearly Two One Q Are the Biosecurity Profiles flexible? A Biosecurity NZ determines a PBV ceiling for each facility based on their biosecurity profile. This profile is determined based on several criteria which consider biosecurity risk and complexity of operations at the facility in the preceding 12 months. The purpose is to determine a maximum verification interval that provides an acceptable level of protection i.e., each of the four biosecurity profiles have a corresponding PBV ceiling. The profiles are updated monthly based on the facilities transactions and this may change a facilities profile e.g., if high risk commodities or consignments from high-risk countries arrive at a facility when previously they did not. Verification frequency based on performance A facility receiving an unacceptable PBV outcome will drop a PBV step which will result in more frequent verification. To advance up a PBV step to receive less frequent verification, a facility must achieve two consecutive acceptable PBV outcomes. Facilities may move up the PBV steps until they reach the PBV ceiling as determined by their biosecurity profile. Q What is Evidence-based assurance? A Able to prove through objective evidence an assurance statement is truthful. • Evidence-based assurance is in relation to regulatory assurances provided by BCS to the BNZ Leadership team, stakeholders, and government. These assurances must be supported with traceable, truthful, and accurate objective evidence i.e. , if an assurance is challenged, BCS can easily prove its validity. • Effective operator biosecurity management at Transitional Facilities is critical to the performance of the biosecurity system. The PBV programme will enable BCS management to provide assurance to government, BNZ leadership and stakeholders that transitional facilities are operating in compliance with the biosecurity 6
requirements. Those facilities that aren’t have been identified and appropriate controls are in place. • This assurance will be proven through verifier competency and proficiency, consistency of PBV decisions, accurate, trusted data, truthful information, and ability to withstand external scrutiny when challenged or audited. Q What does PBV mean for my Transitional Facility? A • PBV will allow a move from “one size fits all” to providing choice for TFs to utilise their own individual TF operator quality biosecurity programmes. • More useful, new style PBV report produced for TF Operators at conclusion of each PBV, of a quality suitable for use at board room level and which provides a clear picture on the facility performance and compliance with regulatory requirements • Assurance your TF operator programme is being effectively implemented • Better recognition of the crucial role of Accredited Person & Approved Operator appointed under the Biosecurity Act have within the biosecurity system • Good compliance can result in less verification visits • Proactive management ensures acceptable outcomes to avoid more frequent verification Q What is the cost impact of PBV for my TF? A Facilities participating in the trial were not invoiced for Biosecurity NZ time. A cost recovery review process is in place and this section will be updated once completed. Facilities receiving an unacceptable PBV outcome will incur more cost due to more frequent verification. Additional costs may also be incurred if the verifier needs to visit the facility to verify corrective action plans have been completed as agreed. The overall verification time is influenced by the preparedness of the operator in terms of availability during the PBV and access to required documentation and records. 7
Q How will we know what we are supposed to do for a PBV visit? A • Start-up meeting A Start Up meeting is held with each business before the first Performance Based Verification (PBV) to discuss rules, roles and responsibilities. Operators are provided with an information pack at time of booking and clarification is available on request. An explanation for why this change is occurring will also be given. • Entry meeting Before each verification the biosecurity verifier will explain how the verification will work. They will explain the objective of the day, work through any health and safety requirements and give any updates from Biosecurity NZ. • Exit meeting At the end of the PBV, the verifier will hold an exit meeting to explain the outcome of the verification, as well as any aspects of the operator biosecurity management which are performing well, could be improved or require formal corrective actions. • PBV report Following each PBV, the verifier will email a PBV report to the operator. This will formalize details discussed at the exit meeting, including any corrective action plans. Effective management to prevent recurrence of the reported issues will be verified at the next PBV. • PBV scope The verifier may inform the operator of the verification plan (scope) prior to the next scheduled verification. PBV seeks evidence of conformance and compliance throughout the year, not just on the day. Operator identification and management of issues through-out the year has a strong weighting on determining the PBV outcome. 8
Q What will verification include? A At the commencement of each verification visit, the verifier will advise the operator of the scope of verification, which should include: a. follow up verification to previous reported non-conformance and/or non- compliance b. the planned verification topics, including any “must do topics” notified by national programmes c. an assessment of the operator’s internal verification activities, including day to day monitoring, supervision, recording, reporting and corrective actions; and d. an assessment of any records relating to those activities; and e. a physical verification of the operating environment and relevant biosecurity activities occurring on site at the time of the verification; and f. the expected duration of the verification Note: The verifier may notify the operator of the planned scope prior to the day of PBV occurring. (2) Despite advising the scope, the verifier is not restricted to that scope during the verification visit. (3) The operator is provided the opportunity to respond to any identified compliance issues and their response is taken into consideration when determining the verification outcome. (4) On completion of the verification and assessment of objective evidence obtained during verification, the verifier must rate each of the topics verified and assign an overall outcome for the verification. Q How will we know what the outcome of a verification visit is? A A report will be sent to Transitional Facilities from the verifier, after b eing peer-reviewed within Biosecurity NZ. This will include ratings on verification topics and the PBV outcome. Verified topics will be rated as either, performing, conforming, non -conforming, non- complying or critical non-complying . The PBV outcome will be either: a. an acceptable outcome; or b. an unacceptable outcome. 9
Acceptable outcome means a) that the operator is substantially complying with applicable regulatory requirements; and b) where there have been any departures from requirements, the operato r’s corrective and preventive actions have been, or are being applied appropriately and are effective. Unacceptable outcome means the verifier has determined that the operator is not in substantial compliance with applicable regulatory requirements. Q What are verification topics and how are they rated? A Verification Topics Verification topics correspond with topics in TFGEN. The intention is to focus on operator management which ensures the outcome, and the specific requirements of the standard are being achieved. 10
Verification Topic Results Classifying the performance status of verification topics helps form a picture of how well a business entity / operator is managing their biosecurity responsibilities and achieving the expected biosecurity outcomes. Under the previous verification model, individual issues were rated as minor, major and critical. The new verification programme will rate the topic rather than individual issues. The intention is to strengthen operator procedures and practices relating to the verification topic rather than focus solely on correcting the issue i.e. under the hygiene topic, fixing cracks in a container pad alone will not strengthen the operator programme. Improving the operator hygiene management procedure to ensure early detection of cracks and timely corrective action by the operator occurs is the aim of PBV. Based on verification results, each topic is classed as either performing, conforming, non - conforming, non-complying or critical non-compliance Performing A verification topic should be classed as performing when: • The operator is fully meeting applicable requirements of the Biosecurity Act 1991 and regulatory requirements relevant to their approval. The operator can demonstrate sound knowledge of the applicable requirements of the Act, the conditions of approval, legal duties and how to meet these; and • There are systems and procedures in place that are documented where required; and • Procedures are routinely followed; and • Full records are available where required; and • The operator identifies departures from requirements, implements timely corrective and preventive actions and follows up to ensure these are effective. Conforming A verification topic can be classed as conforming when: • Observations made during verification indicate the potential for a current activity to deteriorate into non-conformance if it continues uncorrected; or • The operator identifies departures from requirements, effectively implements corrective and preventive actions and follows up to ensure these are effective. • Systems and procedures require slight updates or amendments. • Recording sheets/systems are in place with minimal gaps in recording. Non-conforming A verification topic can be classed as non-conforming when: • Applicable requirements of the Act and regulatory requirements relevant to their approval are not fully met by the operator, but the departure from requirements is not reasonably likely to have adverse effect on biosecurity; or • The operator is not ensuring departures from requirements are identified in a timely manner or ensuring the corrective, preventive and follow up actions are effective. • There is a definite need for improvement in systems and procedures; or 11
• There are isolated or sporadic lapses in implementation of procedures; or • There is a consistent failure to keep adequate records. Non-complying and Critical non-compliance A verification topic can be classed as non-complying when: • Applicable requirements of the Act and regulatory requirements relevant to their approval are not met and findings can be referenced to an offence under the Act; or • Applicable requirements of the Act and regulatory requirements relevant to their approval are not met and/or the findings require the verifier to apply a compliance action; or • A significant failure to manage biosecurity risks or comply with an applicable requirement of the Act or regulatory requirements relevant to their approval is evident to the extent that it is reasonably likely to have an adverse effect on biosecurity in the future if improvements aren’t made. If biosecurity is threatened immediately, then this is Critical non-compliance; or • The operator is not ensuring departures from requirements are identified in a timely manner. Corrective, preventive and follow up actions have not occurred or are ineffective. • Procedures and management systems that directly impact biosecurity are absent or insufficient to manage biosecurity requirements and risks; or • Procedures and management systems are not followed, and this constitutes a direct/immediate risk to biosecurity; or • Several non-conformances against an applicable requirement of the Act, regulatory requirements relevant to their approval exist or there is repeated non-conformance of a single requirement over successive verifications. 12
Q Will Corrective Actions still be required? A Corrective Action Plans (CAPS) replace the current Corrective Action Requests (CARS) in use. A CAP would typically be issued for a topic that was rated non-compliant or for a topic that had several non-conformances. For topics rating conforming or non-conforming a CAP may not be issued but actions will be agreed by the operator to address and manage internally through their own corrective action process and provide evidence of this at the next PBV. CAPS will have an agreed timeframe for the operator to supply the evidence of completion to Biosecurity NZ. Q When is PBV starting at Transitional Facilities? A • The intention is to commence phase-in of PBV at certain profile levels from February 2022. • Prior to the phase-in, report testing and PBV was conducted at selected TFs. • Feedback is an integral part of the phase-in period, and will be sought from TF Operators as part of this process. Q What happens if I don’t agree with the verifier’s findings? A Requesting a decision review (1) An operator who is not in agreement with a verifier decision may seek a review of that decision by emailing their request along with supporting information to bcs.pbv@mpi.govt.nz. (2) Border Clearance Services National Programmes unit will conduct a fact-based assessment of the request and aim to respond to the submitter within 10 working days. The submitter will be provided details of how to escalate their request should they be dissatisfied with the initial response. (3) National programmes will maintain a national register of all requests for a decision review and associated correspondence. 13
Q Will the TF Operator training include information about PBV? A The TF operator training is currently being updated to include information on PBV, this will include the information on the Biosecurity Profiles, the PBV audit and Corrective Action Plans. Q Where can I find more information? A Prior to your first verification, your verifier will provide you with an information pack containing: a copy of the PBV report template, an infographic on the PBV journey and this FAQ document. Your verifier will be able to provide clarification on the day of your PBV. Alternatively, you may seek further information or clarification by contacting Biosecurity New Zealand, National Programmes by email BCS.PBV@mpi.govt.nz; or Visiting the Biosecurity New Zealand, Sea Cargo Pathways Programme, internet site 14
Glossary Acceptable outcome means a) that the operator is substantially complying with applicable regulatory requirements and delivering the intended outcomes; and b) where there have been any departures from requirements, the operator’s corrective and preventive actions have been, or are being applied appropriately and are effective. Biosecurity profile: Biosecurity NZ determines a biosecurity profile for each TF by assessing their previous 12 months biosecurity activities against several criteria (consignment types received, number of consignments, number of shipping containers, country of import, PBV history, 100% container reporting). The purpose is to determine an appropriate maximum verification interval (PBV ceiling) appropriate for each TF that is commensurate to the level of complexity and biosecurity risk associated with the TF. CAP corrective action plan. A document notifying the operator of identified non- conformance or non-compliance which requires the operator to plan appropriate corrective and preventive actions. Compliance action means a standard regulatory action/intervention which Biosecurity New Zealand requires to be taken when a specific operator non-compliance is identified during PBV. External verification is verification conducted by a person who is independent to the business and processes being verified/audited. External verification focuses on the effectiveness of an operator’s management control and supervision of their programme for delivering the required regulatory outcomes. PBV conducted by Biosecurity NZ is external verification. First verification frequency means the verification frequency assigned to a facility following their first PBV, being either a new facility or an existing facility transitioning to PBV. Must do verification topics are verification topics notified to verifiers by Biosecurity NZ’s National Programmes, Border Clearance Services, and which must be included in the PBV scope. Regulatory requirement means any requirement of the Biosecurity Act 1993, associated regulations, notices, and standards that apply to facilities. Regulatory observations mean observations made by a Biosecurity Officer while conducting activities other than PBV at a biosecurity business. PBV Performance based verification. Businesses achieving acceptable PBV outcomes at conclusion of their verification will receive less frequent verification (u p to the PBV ceiling for the business). Businesses achieving an unacceptable PBV outcome will receive more frequent verification. PBV steps means a range of graduated verification frequencies (steps) e.g., from step 1, fortnightly verification, through to step 9, 24 monthly verification. PBV ceiling means the longest interval between verification visits that a facility may attain and maintain through achieving acceptable PBV outcomes. Unacceptable outcome means the verifier has determined that the operator is not in substantial compliance with applicable regulatory requirements. 15
Unannounced verification means a verification visit that has minimal or no prior notification to the business, other than that necessary to ensure safe access and availability of required staff. Unscheduled verification means a visit that is notified to the business in a shorter timeframe than would be expected for a scheduled visit (e.g., notified approximately a week in advance of the visit). Verification topic means a regulatory subject verified during PBV e.g., when verifying a TF operator, a verification topic may be “Hygiene Management”. Rating a verification topic means the rating applied to a verification topic on completion of the PBV. Ratings reflect the effectiveness of the operator biosecurity management of the verification topic. Verifier means a Biosecurity New Zealand employee deemed through their management system to have met verifier competency and proficiency requirements and has been authorised to perform verification activities at specific businesses. Note (i) verifiers may also be an Inspector appointed under section 103 of the Biosecurity Act 1993; and (ii) some verifiers may also be Biosecurity Auditors appointed under section 105B of the Biosecurity Act 1993. 16
Performance-Based Verification Report Company Name Thank you for commitment to protecting NZ from harmful pest and disease through good biosecurity TF Unique Identifier practices at your facility On commencement of the revised Biosecurity New Zealand verification programme, known as performance- based verification (PBV) you will be emailed a report like this a few days after your verification has been completed. This will now be a paperless process. Report Status The new report layout and key changes are explained on the following pages. Final report date Your verifier will answer any questions you may have prior to commencing PBV. Peer reviewed
Report scope Issued to The operators name will appear here This section records Biosecurity NZ Issued by The verifiers name will appear here and Facility personnel who Biosecurity New Zealand regional office participated in the PBV. PBV Scope: Biosecurity Act 1993, TFGEN, IHS Performance Based Verification Summary Verification Date: This section provides information on the verification frequency, Type of verification: the outcome of the PBV and when the next PBV is due. Biosecurity Profile: Each PBV will be rated as either acceptable or unacceptable, as PBV Outcome: per the rating criteria (see last section of this document). The outcome will determine when your next PBV will be due. Current PBV Step: New PBV Step: Next PBV due by: The introduction section provides an Is the facility a Biosecurity Business Pledge partner? overview of the report and process for managing corrective actions. 1. Introduction This report relates to the performance-based verification of your transitional facility. The purpose of the verification was to determine your biosecurity management practices for ensuring conformance with your TF operator manual and compliance with the Biosecurity Act 1993, Facility Standard: Standard for Transitional Facilities for General Uncleared Risk Goods and other biosecurity standards appliable to your TF and Operator approval. The verification was a sampling exercise and therefore this report is based on the observations made during the verification. Each verification topic in this report is assigned a performance rating as either performing, conforming, non-conforming, non-complying or critical non-complying. As discussed at the exit meeting the TF operator is responsible for addressing all reported non-conformances and non-compliances through your corrective action process and to keep records to demonstrate completion. The last section of this report details any specific corrective action plans required to be completed by agreed clearance dates. All details of this report were discussed with the operator during the exit meeting. If you have concerns about the technical findings of the report, or clearance of corrective action plans (CAPs), that cannot be resolved between you and the verifier, you may raise your concerns by contacting Biosecurity NZ, National programmes at bcs.pbv@mpi.govt.nz In-Confidence Page 2 of 6
2. Executive Summary The verifier will provide a high-level summary of the PBV, summarising the PBV outcome, positive reinforcement of good biosecurity practices, any significant non-compliance or non-conformance and any corrective action plans which may be required 3. Verification Topics completed this PBV 3.1 Physical and Structural Requirements Section three of the PBV report is designed to align TF Security with TFGEN andTFGEN Performingto operator 2.1 easy correlation facilitate Narrative on operator management of each Topic will be provided, including manuals. examples of Objective evidence Verification topics e.g., TF security, will each have a observed. short narrative along with a rating as per the rating Leased TFs criteria (see last section TFGEN of this report 2.1.1 for details). Performing TF location The verification narrative TFGEN 2.2 and ratings relate to Performing operator biosecurity management e.g., conformance Official TF signage TFGEN 2.3 Performing with the operator manual & procedures and compliance with TFGEN and other regulatory 3.2 Operational Requirements requirements applicable to the facility. Approved TF Operator TFGEN 3.1 Performing Verification results will enable Biosecurity NZ to provide industry with high level compliance trends TF Manual which may beTFGEN used by3.2operators to review and Performing strengthen their own procedures and practices. Manual structure and Information TFGEN 3.2.1 Performing Receipt and management of uncleared risk goods TFGEN 3.3.1 Performing Transfer of topics Verification uncleared risk will be goods rated as performing, conforming, TFGEN 3.3.2 Performing non-conforming, non-complying and critical non-complying. Unclaimed uncleared risk goods authorised to TFs TFGEN 3.3.3 Conforming The scale enables clear separation of less serious though to TF veryaccess seriousand security of uncleared risk goods issues. TFGEN 3.4 Non- conforming Segregation of uncleared risk goods TFGEN 3.5 Critical non- compliance Record keeping High resolution photos may be TFGEN 3.6 Not verified included where useful to do so. Hygiene Management TFGEN 3.7 Non- complying The operator had not ensured shipping containers were placed appropriately before opening. The two photos show placement on gravel and incorrect spacing plus another on grass and too close to trees presents a biosecurity risk and non-conformance with the operator manual and non- compliance with requirements. In-Confidence Page 3 of 6
Pests, other organisms, vermin and weed control TFGEN 3.8 Not applicable Internal audits of TF activities TFGEN 3.9 Performing Inspection of uncleared risk goods at TFs TFGEN 3.10 Performing Contingency plans TFGEN 3.11 Performing Staff training TFGEN 3.12 Performing MPI Verification TFGEN 3.13 Performing High risk facilities will be reported in the 3.3 to 3.8 High Risk same manner as in section 3.2 above. 3.3 High Risk Biosecurity TF Is the facility approved for this function? No 3.4 Biosecurity Refuse TF Is the facility approved for this function? No 3.5 Biosecurity Treatment TF Is the facility approved for this function? No 3.6 Decontamination TF Is the facility approved for this function? No 3.7 Incineration or sterilisation TF Is the facility approved for this function? No 3.8 Holding non-compliant farm animals at TF or POFA Is the facility approved for this function? No 4. What do I need to do now? • Manage all reported non-conformances and non-compliances through your corrective action process and to keep records to demonstrate completion. • Manage corrective action plan(s) (if issued) and provide evidence Section 4of&completion to Border 5 details operator corrective Clearance Services by the agreed clearance date. actions required as a result of the PBV. • Contact your Border Clearance Services verifier if you would like clarification on any aspects of this report or corrective actions. For significant non-conformance or non- compliance, a corrective action plan 5. Corrective Action Plans (CAP) may be issued. Total number issued: 0 A corrective action request (CAR) template will no longer be issued. Rather Infringement notice issued: No the operator may determine the method Intention to suspend notice issued: No which best suits their needs for Compliance order issued: No documenting the plan. Biosecurity NZ expectation is the plan will be documented and include planned • Some instances were identified where the systems or procedures were not in conformity corrective action, or compliance with TF Operator Biosecurity Management Programme and plan to understand why / or Biosecurity the issue has occurred and then take regulatory requirements which has resulted in the following Corrective Action Plan(s) (CAP) being issued. appropriate preventive action to reduce the likelihood of recurrence. • You are reminded it is your responsibility to provide evidence of satisfactory completion to the verifier by the agreed clearance date. The operator should complete the CAP by the date agreed to with Biosecurity NZ and send evidence of completion. In-Confidence Page 4 of 6
Corrective Action Plan Reference (1) Verification topic: Agreed clearance date: Regulatory requirement and or outcome not achieved Verifier/Auditor findings TF Operator Action Required Using your process for managing corrective actions, I recommend you: 1) Investigate the circumstances that led to the raising of this CAP and provide records of your conclusions on the cause of the issue to your BNZ verifier for review; and 2) Describe the corrective action you have taken as a result of your investigations, to correct the issue and prevent recurrence; and 3) Provide evidence of corrective action implementation. This should include copies of any system changes you have made, and records to demonstrate that your corrective actions have been implemented and are effective. Regulatory reminder 1) Operator responsibilities As a TF operator approved under the Biosecurity Act 1993, section 40 you are responsible for managing compliance with conditions of the TF and your TF operator approvals, including compliance with applicable standards and all directions given by an inspector relating to goods held at your facility. 2) Possible consequence to ineffective management of your corrective action plan Failure to resolve the issues identified in the agreed operator corrective action plan(s) may result in further escalation of these issues by BNZ using powers under s126 of the Biosecurity Act 1993. Possible consequences May include but may not be limited to; interruption of operations, specific actions on management staff, infringements, suspension, or cancellation of the facility. Contact For enquiries relating to PBV please email BCS.PBV@mpi.govt.nz Criteria for determining a PBV Outcome Acceptable PBV outcome means a) that the operator is substantially complying with applicable regulatory requirements; and In-Confidence Page 5 of 6
b) where there have been any departures from requirements, the operator’s corrective and preventive actions have been, or are being applied appropriately and are effective. Unacceptable PBV outcome means the verifier has determined that the operator is not in substantial compliance with applicable regulatory requirements. Criteria for rating a Verification Topic Performing: TF operator manual fully conforms with requirements and is effectively managed to deliver the required outcomes Conforming: The TF operator manual is effectively managed to deliver the required outcomes however some improvements are required to strengthen processes and procedures Non-Conforming: The TF operator manual is not being managed effectively and improvements are required to strengthen processes and procedures to give assurance the required regulatory outcomes will be met. Non-complying & Critical non-compliance: The TF operator manual is not effectively managed and required regulatory outcomes are not being met. Where the non-compliance has an immediate and significant impact on biosecurity then this is categorised as critical non-compliance. An operator corrective action plan is required to strengthen processes, procedures, and biosecurity management. In-Confidence Page 6 of 6
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