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AUDIT-BASED MATURITY ASSESSMENT FRAMEWORK

Based on ISO 21001:2018

Evaluating the maturity of educational organizations in implementing its Quality Assurance processes. The framework provides a structured approach to assess the organization's quality management system, identify areas for improvement, and enhance overall performance. By leveraging the OntoQA4Ed ontology, the assessment process can be automated and streamlined, allowing for more efficient and accurate evaluations.

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Institutional Audit
Institutional
Audit
        Inter-Rater Reliability
Reliability
Assessment
        Consensus Scoring (FGD)
Consensus-based
Scoring (FGD)
        Maturity Assessment
Maturity
Assessment

Institutional Audit

The Institutional Audit is the first step in the maturity assessment process. It involves a comprehensive evaluation of the institution's current practices, policies, and procedures. The audit aims to identify strengths and areas for improvement, providing a baseline for future assessments.

The audit process was conducted by two auditors, with the following results (click on a clause to view details):

4.1 — Understanding Organization And Its Context

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
4.1.a — DetermineRelevantIssues_UNISRI_24_25
Requirements: The organization shall determine external and internal issues that are relevant to its purpose, its social responsibility, and its strategic direction, and that affect its ability to achieve the intended outcomes of its EOMS
Indicators: Has the Organization identified, documented, and reviewed periodically (at least 1 time per year) internal and external issues through formal methods (e.g. SWOT/PESTEL/documented risk analysis), as well as evaluated their impact on the achievement of EOMS outcomes, as evidenced by a context analysis matrix and its relationship to risks and quality goals?
Strategic planning documents (including SWOT/PESTLE analysis), documented organizational context analysis, management review recordsEvidence_#1

4.2 — Understanding The Needs And Expectations Of Interested Parties

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
4.2.a — DetermineTheInterestedPartiesThatAreRelevantToTheEOMS_UNISRI_24_25
Requirements: The organization shall determine the interested parties that are relevant to the EOMS
Indicators: Has the Organization identified and identified relevant stakeholders using documented criteria (e.g., power-interest matrix), and documented the results in a list of stakeholders that is reviewed at least annually?
Stakeholder identification documentsEvidence_#1
4.2.b — DetermineTheRelevantRequirementsOfTheseInterestedParties_UNISRI_24_25
Requirements: The organization shall determine the relevant requirements of these interested parties
Indicators: Has the organization identified, prioritized, and documented the needs and expectations of stakeholders, including regulatory requirements, and established compliance indicators and evaluation methods?
Stakeholder requirement analysis documents, Documented stakeholder requirementsEvidence_#1
4.2.c — MonitorAndReviewInformationAboutTheseInterestedPartiesAndTheirRelevantRequirements_UNISRI_24_25
Requirements: The organization shall monitor and review information about these interested parties and their relevant requirements
Indicators: Does the Organization monitor and review periodically (at least annually through RTM) changes in stakeholder needs, evaluate their fulfillment rates based on KPIs, and document follow-up improvements in the Renop and Quality Targets?
Monitoring records, feedback reportsEvidence_#1

4.3 — Determining The Scope Of The EOMS

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
4.3.ab — DetermineTheBoundariesAndApplicabilityOfTheOMS_UNISRI_24_25
Requirements: The organization shall determine the boundaries and applicability of the EOMS to establish its scope. When determining this scope the organization shall consider: (a) the external and internal issues [4.1]; (b) requirements of relevant interested parties [4.2]
Indicators: When defining the scope of the SMOP, does the organization document the results of the context analysis (SWOT/PESTEL/risk register) and the needs of stakeholders, and demonstrate a direct relationship between the results of the analysis and the limitations and implementation of the scope, which is reviewed at least 1 time per year in the RTM?
Scope definition documents, strategic planning documents, stakeholder requirement analysisEvidence_#1
Evidence_#2
Evidence_#3
4.3.c — ProductsAndServicesOfTheOrganization_UNISRI_24_25
Requirements: Products and services of the organization
Indicators: Does the scope of SMOP explicitly include the educational products and/or services provided, including units, levels, and output of graduates, and ratified through the leadership decree and communicated to stakeholders?
Scope documentation, List of programs/services, Academic service portfolioEvidence_#1
4.3.d — TheScopeOfTheEOMSShallBeAvailableAndBeMaintained_UNISRI_24_25
Requirements: The scope of the EOMS shall be available and be maintained as documented information. The scope shall state the type of products and services covered, and provide justification for any requirement of this standard that the organization determines is not applicable to its EOMS
Indicators: Is the scope of the SMOP available as documented information in the Quality Manual or equivalent document, listing organisational restrictions, locations, services, as well as document versions, dates of approval, and change control mechanisms?
Documented scope statements, quality management system documentation, documented procedures (e.g., standard operating procedures), and documented information recordsEvidence_#1
4.3.e — ConformityDespiteNonApplicability_UNISRI_24_25
Requirements: Conformity to this standard may only be claimed if the requirements determined as not being applicable do not affect the organization’s ability or responsibility to ensure the conformity of its products and services and the enhancement of learners and other beneficiaries satisfaction
Indicators: Does the scope of the SMOP include a written justification for any non-applied clauses, accompanied by an analysis of the risks and impacts on the quality of educational services, as well as a periodic review plan for such exceptions?
Scope statement with exclusions, Justification documents, Policy documents, Management review recordsEvidence_#1
Evidence_#2

4.4 — Management System For Educational Organizations (EOMS)

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
4.4.1 — EstablishImplementMaintainAndContinuallyImproveAnEOMS_UNISRI_24_25
Requirements: Proses ditetapkan menggunakan matriks SIPOC (Supplier-Input-Process-Output-Customer). Setiap output memiliki indikator mutu terukur, target numerik, serta evaluasi validitas input-output minimal 1x/tahun
Indicators: The process is defined using a SIPOC (Supplier-Input-Process-Output-Customer) matrix. Each output has measurable quality indicators, numerical targets, and an evaluation of the validity of inputs and outputs at least 1x/year
Process maps, process descriptions, input-output specificationsEvidence_#1
4.4.1.a — DeterminingEOMSProcessInputsAndOutputs_UNISRI_24_25
Requirements: c) Determine and apply the criteria and methods (including monitoring, measurement and related performance indicators) needed to ensure the effective operation and control of these processes; d) Determine the resources needed for these processes and ensure their availability
Indicators: c) Quality targets are formulated based on SMART, have a baseline, target, and realization (%) that are monitored per semester through a performance dashboard and trend analysis for at least 3 years; d) The availability of resources is based on workload analysis, measured lecturer-to-student ratio, infrastructure adequacy index ≥95%), and periodic monitoring of budget realization
c) Performance indicators documentation, monitoring and measurement methods ; d)Resource planning documents, infrastructure records, human resource recordsEvidence_#1
4.4.1.b — DetermineSequencesAndInteractionOfProcesses_UNISRI_24_25
Requirements: Determine the sequence and interaction of these processes
Indicators: The sequence and interaction of the processes are defined in an integrated flowchart that lists the SLA, process cycle time, and bottleneck analysis that is reviewed annually
Process interaction diagrams, workflow diagramsEvidence_#1
4.4.1.cd — DeterminingProcessCriteriaIndicatorsAndResourceAvailability_UNISRI_24_25
Requirements: Address the risk and opportunities as determined in accordance
Indicators: Risks and opportunities are managed through a risk register with a score matrix (Likelihood × Impact), a minimum of 2x/year review, and a target to reduce the risk level ≥20% per year
Risk and opportunity registers, action plansEvidence_#1
Evidence_#2
Evidence_#3
4.4.1.e — AssignResponsibilitiesAndAuthoritiesForProcesses_UNISRI_24_25
Requirements: Assign the responsibilities and authorities for these processes
Indicators: Responsibilities and authorities are defined in documented job descriptions, equipped with individual KPIs, achievement-based performance evaluations (%), and clear escalation mechanisms
Organizational structure documents, role descriptions, and responsibility matricesEvidence_#1
Evidence_#2
4.4.1.f — AddressingIdentifiedRisksAndOpportunities_UNISRI_24_25
Requirements: g) Evaluate these processes and implement any changes needed to ensure that these processes achieve their intended results.; h)Improve the processes and the EOMS
Indicators: g) Process evaluation is carried out through annual internal audits, process effectiveness score measurement (%), documented reports, and systematic follow-up monitoring; h) Continuous improvement is carried out through log improvement and CAPA (Corrective and Preventive Action), with an action effectiveness rate of ≥85% and monitoring the completion of corrective actions
Process evaluation reports, performance review records, Improvement plans, corrective action recordsEvidence_#1
4.4.1.gh — EvaluatingAndImprovingProcessesAndTheEOMS_UNISRI_24_25
Requirements: Organisasi mengadopsi pendekatan proses berbasis PDCA, memiliki peta interaksi proses yang disahkan pimpinan, ditinjau minimal 1x/tahun, serta dimonitor melalui dashboard KPI dengan target capaian sasaran mutu ≥90% per tahun
Indicators: Organizations adopt a PDCA-based process approach, have a process interaction map approved by the leadership, reviewed at least 1x/year, and monitored through the KPI dashboard with a target of achieving quality targets of ≥90% per year
Process maps, EOMS documentation, process interaction diagramsEvidence_#1
Evidence_#2
4.4.2.ab — MaintainingAndRetainingDocumentedProcessInformation_UNISRI_24_25
Requirements: To the extent necessary, the organization shall: Maintain documented information to support the operation of its processes and Retain documented information to have confidence that the processes are being carried out as planned
Indicators: a) Documented information is controlled through the Document Management System (DMS), documented revision and approval controls, and document compliance index ≥95%.; b) Evidence of process implementation is stored in an integrated digital system (e.g. information system), with document retention control and recording compliance level ≥98%
a) Documented procedures, process documentation, quality management system documentation; b) Academic activity records, educational service process documentation, and information system-generated recordsEvidence_#1

5.1 — Leadership And Commitment

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
5.1.1.a — BeingAccountableForTheEffectiveness_UNISRI_24_25
Requirements: Being accountable for the effectiveness of the EOMS
Indicators: Leaders actively account for the effectiveness of SMOP through setting measurable quality targets, monitoring KPIs at least per semester, and reporting in documented Management Reviews
Leadership commitment records, organizational governance documents, performance evaluation reportsEvidence_#1
Evidence_#2
Evidence_#3
5.1.1.b — EnsuringPolicyAndObjectivesAlignStrategically_UNISRI_24_25
Requirements: Ensuring that the educational organization's policy and organizational objectives are established and are compatible with the context and strategic direction of the organization
Indicators: Management ensures that policies and objectives are aligned with the Strategic Plan through a cascading matrix of strategies to quality goals and annual evaluations based on organizational context analysis
Educational policy documents, strategic planning documents, and documented quality and strategic objectivesEvidence_#1
Evidence_#2
5.1.1.c — IntegratingEOMSRequirementsIntoBusinessProcesses_UNISRI_24_25
Requirements: Ensuring the integration of the EOMS requirements into the organization’s business processes
Indicators: The SMOP requirements are integrated in the process map (core, support, management) with process KPIs and evaluation through internal audits at least 1 time per year
Process maps, documented procedures incorporating EOMS requirements, and business process documentationEvidence_#1
5.1.1.d — PromotingTheUseOfProcessApproachesAndRisk-basedThinking_UNISRI_24_25
Requirements: Promoting the use of the process approach and risk-based thinking
Indicators: Organizations apply a process approach and risk-based thinking through risk registers, probability-impact analysis, and periodic risk mitigation effectiveness evaluations
Process maps, documented procedures incorporating risk controls, and process performance monitoring recordsEvidence_#1
5.1.1.e — EnsuringResourcesNeededForEOMS_UNISRI_24_25
Requirements: Ensuring that the resources needed for the EOMS are available
Indicators: Management determines and evaluates the adequacy of resources (human resources, budget, facilities) through annual planning with indicators of the adequacy ratio and realization of ≥ targets
Resource planning documents, budget allocation records, human resource recordsEvidence_#1
Evidence_#2
Evidence_#3
5.1.1.h — EngagingAndSupportingPeopleForEOMSEffectiveness_UNISRI_24_25
Requirements: Engaging, directing, and supporting a person to contribute to the effectiveness of the EOMS
Indicators: The leadership ensures the unit's involvement through regular coordination meetings, annual quality training, and the measurement of the ≥ 80% participation rate
Meeting records, communication records, participation recordsEvidence_#1
Evidence_#2
5.1.1.i — PromotingContinualImprovement_UNISRI_24_25
Requirements: Promoting continual improvement
Indicators: Improvement plans, innovation records, corrective action records
Improvement plans, innovation records, corrective action recordsEvidence_#1
5.1.2.a — TheNeedsAndExpectationsOfLearnersAndOtherBeneficiaries_UNISRI_24_25
Requirements: The needs and expectations of learners and other beneficiaries are determined, understood, and consistently met, as evidenced by monitoring their satisfaction and educational progress
Indicators: Management ensures that students' needs and expectations are determined through stakeholder identification, semester satisfaction surveys, and trend analysis of learning outcomes
Stakeholder requirement analysis, satisfaction survey reports, and performance monitoring reportsEvidence_#1
Evidence_#2
Evidence_#3

5.2 — Policy

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
5.2.1.b — AppropriatenessToThePurposeAndContextOfTheOrganization_UNISRI_24_25
Requirements: Is appropriate to the purpose and context of the organization
Indicators: The policies of the education organization are explicitly stated to be in line with the strategic goals and organizational context, as evidenced by the policy alignment matrix – Strategic Plan and conformity evaluation at least 1 time per year in the RTM
Educational policy documents and strategic context documentationEvidence_#1
5.2.1.c — ProvidingAFrameworkForEducationalObjectives_UNISRI_24_25
Requirements: Provides a framework for setting educational organization objectives
Indicators: The educational policy provides a framework for establishing educational objectives
Educational policy documents, strategic planning documents, and documented quality objectivesEvidence_#1
Evidence_#2
5.2.1.d — CommitmentToMeetingApplicableRequirements_UNISRI_24_25
Requirements: Includes a commitment to satisfy applicable requirements
Indicators: The educational policy includes a commitment to satisfy applicable requirements
Educational policy documents, register of applicable requirements, compliance monitoring records, and internal audit reportsEvidence_#1
5.2.1.e — CommitmentToContinualEOMSImprovement_UNISRI_24_25
Requirements: Includes a commitment to continuous improvement of the EOMS
Indicators: The educational policy includes a commitment to the continual improvement of the EOMS
Educational policy documents, improvement plans, and management review recordsEvidence_#1
5.2.2.a — AvailableAndMaintainedAsDocumentedInformation_UNISRI_24_25
Requirements: Be available and be maintained as documented information
Indicators: The policies of educational organizations are available, controlled, and maintained as documented information through a document control system (revision number, effective date, distribution, digital access), and verified at least 1 time per year
Documented educational policy, document control records, and communication recordsEvidence_#1

5.3 — Organizational Roles Responsibilities And Authorities

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
5.3.b — EnsuringPolicyUnderstandingAndImplementation_UNISRI_24_25
Requirements: Ensuring that the educational organization's policy is understood and implemented
Indicators: Ensuring that the policies of educational organizations are understood and implemented, as evidenced by documented socialization at least 1 time per year, surveys of the level of understanding of employees/lecturers (≥80% understand the policy), and monitoring implementation through internal audits and RTM
Educational policy documents, communication records, organizational structure documentation, and policy implementation recordsEvidence_#1
Evidence_#2
Evidence_#3
5.3.d — ReportingEOMSPerformanceAndImprovementOpportunitiesToTopManagement_UNISRI_24_25
Requirements: Reporting on the performance of the EOMS and on opportunities for improvement (see 10.1) to top management (see 9.3.2)
Indicators: SMOP performance reporting and improvement opportunities to top management is carried out periodically (at least 1 time per semester) through internal audit reports, KPI achievements, trend analysis, and RTL follow-up documented in RTM
Performance reports, internal audit reports, management review records, and improvement reportsEvidence_#1
Evidence_#2
Evidence_#3
5.3.e — PromotingFocusOnLearnersAndBeneficiaries_UNISRI_24_25
Requirements: Ensuring the promotion of a focus on learners and other beneficiaries throughout the organization
Indicators: Ensure promotion focuses on students and other beneficiaries across the organization through the establishment of satisfaction indicators (IKM ≥80%), student retention, learning outcomes (CPL), and follow-up of survey results at least every semester
Academic policy documents, learner support process documentation, and monitoring and evaluation recordsEvidence_#1
Evidence_#2
Evidence_#3
5.3.f — EnsuringEOMSIntegrityDuringChanges_UNISRI_24_25
Requirements: Ensuring that the integrity of the EOMS is maintained when changes to the EOMS are planned and implemented
Indicators: Ensure that the integrity of the SMOP is maintained when changes are planned and implemented through risk-based change management procedures, documented impact analysis, leadership approval, and evaluation of change effectiveness a maximum of 6 months after implementation
Change management records, documented procedures for change control, and system update recordsEvidence_#1
5.3.h — EnsuringIntegrationOfAllLearningProcesses_UNISRI_24_25
Requirements: Ensuring that all learning processes are integrated, regardless of the method of delivery
Indicators: Ensure that all learning processes are integrated, regardless of the delivery method, through a centralized academic information system, RPS-Curriculum–OBE conformity (≥90% alignment), monitoring of learning implementation, and integration evaluation at least every semester
Academic process documentation, curriculum documentation, learning management system records, and academic information system recordsEvidence_#1

6.1 — Action To Address Risk And Opportunities

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
6.1.1 — DetermineTheRisksAndOpportunities_UNISRI_24_25
Requirements: Determine the risks and opportunities
Indicators: What processes do organizations use to identify risks and opportunities?, Organizations have and implement documented methods to identify and assess risks and opportunities using a numerical likelihood–impact matrix, risk level classification, as well as the basis for prioritizing actions
Risk and opportunity registers, risk identification methodology, and risk management documentationEvidence_#1
6.1.1.a — EnsuringEOMSAchievesIntendedOutcomes_UNISRI_24_25
Requirements: Give assurance that with an EOMS, the organization can achieve its intended outcome(s)
Indicators: The organization has determined the desired results of the SMOP which are described into specific and measurable objectives, complete with quantitative and qualitative performance indicators (KPIs), and supported by clear documentation evidence, including risk registers, monitoring reports, and evaluation of target achievements, so that achievements can be verified, objectively measured, and understood by all relevant parties
Risk management plans, performance monitoring reports, and process evaluation recordsEvidence_#1
Evidence_#2
6.1.1.d — AchieveContinualImprovement_UNISRI_24_25
Requirements: Achieve continual improvement
Indicators: Organizations systematically identify, implement, and evaluate continuous improvement using clearly defined performance indicators (KPIs), evidence of improvement trends, and corrective action documentation, and review their effectiveness through regular reports and internal audits
Improvement plans, management review records, and performance evaluation reportsEvidence_#1
Evidence_#2
6.1.2 — ActionsForRisksAndOpportunitiesAreProportionateToTheirLikelihoodAndImpact_UNISRI_24_25
Requirements: Actions taken to address risk and opportunities shall be proportionate to the probability of occurrence and potential impact on the conformity of products and services
Indicators: Organizations apply documented quantitative risk assessment methods (based on probability and impact scales), define risk categories with clear value limits, and determine and implement actions proportionate to the level of risk with objective evidence of implementation and monitoring
Risk assessment matrices, risk evaluation criteria, and risk prioritization recordsEvidence_#1
6.1.2.a — PlanningActionsForRisksAndOpportunities_UNISRI_24_25
Requirements: The organization shall plan actions to address the risks and opportunities
Indicators: Has the organization planned actions to address these risks and opportunities? Each risk and opportunity in SMOP is identified, analyzed, and evaluated using the formal Risk Matrix method with a Likelihood × Impact scale (1–5). Mitigation plans are determined, those in charge are determined, and mitigation achievements are monitored through documented performance indicators. The entire process is recorded in the risk register and reviewed periodically so that it can be audited in a complete, measurable, and clear manner
Risk treatment plans, risk and opportunity registers, and action plansEvidence_#1
6.1.2.b — IntegratingActionsIntoEOMSProcessesAndEvaluatingEffectiveness_UNISRI_24_25
Requirements: Integrate and implement the actions into the EOMS process (see clause 8) and evaluate the effectiveness of the actions
Indicators: Organization: Integrate risk and opportunity actions into the SMOP process through documented procedures and integration matrices. Establish measurable performance indicators of action effectiveness. Using quantitative methods to measure changes in risk levels. Conduct periodic effectiveness evaluations at least once in an audit cycle. Document the results of the evaluation and follow up if the target is not achieved
Process documentation integrating risk actions, monitoring and evaluation records, and performance reportsEvidence_#1
Evidence_#2

6.2 — Educational Organization Objectives And Planning To Achieve Them

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
6.2.1.a — EstablishEducationalOrganizationObjectivesAtRelevantFunctions_UNISRI_24_25
Requirements: The organization shall establish educational organization objectives at relevant functions, levels, and processes needed for EOMS
Indicators: The organization establishes educational objectives at each relevant function, level, and process, which are documented in the Strategic Plan, Renop, and Unit Quality Goals. These objectives are complemented by measurable performance indicators (KPIs), quantitative targets, achievement periods, and formally established monitoring and evaluation methods
Documented educational objectives, strategic planning documents, and operational plansEvidence_#1
6.2.1.d — BeRelevantToTheConformityOfProductsAndServices_UNISRI_24_25
Requirements: Be relevant to the conformity of products and services and to the enhancement of learners, staff, and other beneficiaries' satisfaction
Indicators: The organization establishes educational organizational goals that are aligned with the suitability of educational products and services and the improvement of the satisfaction of students, staff, and other beneficiaries, documented in the Strategic Plan and Quality Goals, complemented by quantitatively measurable key performance indicators (KPIs) (e.g. satisfaction rate ≥ X%, complaint resolution rate ≥ X%, or service index improvement ≥ X%), It has a documented calculation formula, the previous year's baseline values, specific annual improvement targets, established success criteria, as well as measurement methods through structured satisfaction surveys, service evaluations, and performance data analysis, which are reviewed periodically in management review meetings
Documented educational objectives, service performance indicators, and stakeholder satisfaction reportsEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
Evidence_#5
6.2.1.e — BeContinuallyMonitored_UNISRI_24_25
Requirements: Be continually monitored
Indicators: Educational objectives are monitored at planned intervals, and Performance against educational objectives is measured and recorded
Performance monitoring reports, objective tracking records, and periodic performance reviewsEvidence_#1
Evidence_#2
6.2.1.fg — BeCommunicatedAndUpdatedAsAppropriate_UNISRI_24_25
Requirements: Be communicated and be updated as appropriate
Indicators: The organization ensures that the educational objectives at each function, level, and process are communicated and updated periodically through official documents (Strategic Plan, Renop, Quality Goals), coordination meetings, emails, or internal dashboards, with any changes recorded in official logs and verified for effectiveness through attendance lists, confirmation of acceptance, or related party feedback, documented for audit purposes
Communication records, updated objective documentation, and review recordsEvidence_#1
6.2.1.h — MaintainingDocumentedInformationOnObjectivesAndAchievements_UNISRI_24_25
Requirements: The organization shall maintain and retain documented information on the educational organization's objectives and their achievement of them
Indicators: Educational objectives are maintained as documented information. Documented information on the achievement of educational objectives is retained
Documented educational objectives, performance reports, and document control recordsEvidence_#1
Evidence_#2
6.2.2.abcd — PlanningActionsResourcesResponsibilitiesAnd_TimelinesForAchievingObjectives_UNISRI_24_25
Requirements: When planning how to achieve its educational organization objectives, the organization shall determine and outline in its strategic plan: a) What will be done ; b) What resource will be required ; c)Who will be responsible ; d)When it will be completed
Indicators: Plans to achieve educational objectives define the actions to be taken. Plans specify the resources required to achieve the objectives. Responsibilities for achieving objectives are assigned. Timeframes for achieving objectives are defined
Action plans, resource planning documents, responsibility assignment records, and implementation schedulesEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
6.2.2.e — EvaluatingResults_UNISRI_24_25
Requirements: How the results will be evaluated
Indicators: The organization evaluates the achievement of educational objectives by monitoring targets through a performance management system and evaluation results dashboard, as well as assessing the effectiveness of corrective actions using quantitative indicators (e.g. percentage of targets achieved, number of effective corrective actions ≥ X%), with documented evidence in the form of monthly evaluation reports, follow-up meeting minutes, and follow-up records verified by management, so that each outcome can be audited, measured, and clearly reviewed
Performance evaluation reports, monitoring systems records, and effectiveness evaluation recordsEvidence_#1

6.3 — Planning Of Changes

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
6.3 — ImplementingPlanned_ChangesToTheEOMS_UNISRI_24_25
Requirements: Where the organization determines the need for changes to the EOMS, the changes shall be carried out in a planned manner (see 4.4)
Indicators: The organization makes changes to the SMOP in a planned and systematic manner through documented change management procedures, with each change recorded in official logs and verified for effectiveness through a dashboard or management report. Indicators of Evidence: SMOP change procedures, change logs, monitoring dashboards, periodic evaluation reports
Change management procedures, change plans, and system change recordsEvidence_#1
Evidence_#2
6.3.a — ConsideringThePurposeAndImpactOfChanges_UNISRI_24_25
Requirements: The organization shall consider the purpose of the changes and their potential consequences
Indicators: The organization considers the purpose of each change and its potential consequences (positive/negative), including risk identification and mitigation measures, and is documented before implementation. Evidence Indicators: Risk & opportunity analysis documents, mitigation notes, minutes of change approval meeting
Change impact assessment records, risk analysis related to changes, and change planning documentationEvidence_#1
Evidence_#2
6.3.b — InterityOfTheEOMS_UNISRI_24_25
Requirements: The integrity of the EOMS
Indicators: Organizations maintain the integrity of the SMOP during change by assessing the impact of changes on key processes, procedures, and documentation, and evaluating integrity through internal audits and management reviews before and after changes. Indicators of Evidence: SOP changes, internal audit reports, management review results, improvement records when integrity is compromised
Change control records, system validation records, and post-implementation review reportsEvidence_#1
6.3.c — EnsuringAvailabilityAndReadinessOfInternalResources_UNISRI_24_25
Requirements: The organization shall consider the availability and readiness of internal resources
Indicators: The organization ensures the availability and readiness of internal resources for the implementation of change, including human resources and assets, by quantitative evaluation of readiness and allocation as per the needs of the change. Indicators of Evidence: Asset inventory documents, ready-to-use HR lists, resource allocation plans, readiness evaluation
Resource planning documents, capacity assessment records, and staffing plansEvidence_#1
Evidence_#2
6.3.d — AllocationOfResponsibilitiesAndAuthorities_UNISRI_24_25
Requirements: The allocation or reallocation of responsibilities and authorities
Indicators: The organization establishes or adjusts responsibilities and authorities related to changes, and documents each allocation/reallocation to ensure the implementation of changes according to the assigned roles. Evidence Indicators: Job Description, minutes of responsibility allocation meetings, log of change of authority, confirmation of related parties
Responsibility assignment records, organizational role documentation, and change management plansEvidence_#1
6.3.e — AvailabilityAndReadinessOfExternalProvidersNeededToImplementTheChange_UNISRI_24_25
Requirements: The availability and readiness of external providers needed to implement the change
Indicators: The organization ensures the availability and readiness of external providers necessary for implementing changes, including vendor performance evaluations, contracts/POs), and follow-up in case of constraints. Evidence Indicators: Vendor lists, contracts/POs, vendor performance evaluation reports, external coordination meeting minutes
Supplier evaluation records, external provider agreements, and service readiness documentationEvidence_#1

7.1 — Resources

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
7.1.1.1.ab — ProvidingResourcesForEOMSImprovementLearnerSatisfactionAndStaffCompetence_UNISRI_24_25
Requirements: The organization shall determine and provide the resources needed for the establishment, implementation, maintenance, and continual improvement of the EOMS, in such a way that they sustainably enhance: a) learner engagement and satisfaction through activities that improve learning and promote the achievement of learning outcomes; b) staff engagement and satisfaction through activities to improve staff competencies to facilitate learning
Indicators: The organization determines, provides, and evaluates the adequacy of resources (HR, financial, infrastructure, technology) to ensure the effectiveness of SMOP through annual reviews based on quality goal achievements. Measurement Indicator: % of human resource sufficiency vs needs (>95%), budget realization ≥90%), achievement of quality targets. Objective Evidence: RKAT, management evaluation report, resource adequacy analysis . Organizations measure increased student engagement and satisfaction through learning programs and support services with a target of at least X% increase per year. Measurement Indicators: Student satisfaction survey score ≥ 80%, activity participation rate ≥75% . The organization conducts a staff competency evaluation based on gap analysis and establishes an annual competency improvement plan. Measurement Indicator: % of staff meet competency standards ≥ 90%, number of trainings/year
Resource planning documents, budget allocation records, learner satisfaction reports, and staff development recordsEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
Evidence_#5
Evidence_#6
Evidence_#7
Evidence_#8
Evidence_#9
7.1.2.2.a — ProvidingHumanResourcesForEffectiveEOMSAndProcessControl_UNISRI_24_25
Requirements: The organization shall determine and provide the human resources necessary for the effective implementation of its EOMS and for the operation and control of its processes
Indicators: The organization plans human resource needs based on workload analysis and lecturer-to-student ratios according to national standards. Measurement indicator: Ratio of lecturers:students according to SN-Dikti
Human resource planning documents, competency records, job descriptions, and organizational structure documentationEvidence_#1
Evidence_#2
7.1.3.1.abc — FacilitiesThatMeetLearnerRequirements_UNISRI_24_25
Requirements: The facilities shall include, as applicable, the following facilities that meet learner requirements: a) buildings, and grounds; b) equipment including hardware and software; c) utilities
Indicators: The infrastructure required to support educational processes is determined and provided. Infrastructure meets learner requirements, including physical facilities, equipment, and supporting utilities.
Infrastructure inventory records, facility management records, and equipment maintenance recordsEvidence_#1
7.1.4.a.b — ProvidingASupportiveEnvironmentFor_StakeholderWellbeing_UNISRI_24_25
Requirements: The organization shall determine, provide and maintain a suitable environment to promote the overall wellbeing of relevant interested parties, by considering: a) psychosocial factor; b) physical factors
Indicators: Organizations measure the physical and psychosocial environment through annual well-being surveys. Measurement indicator: Well-being index ≥80%
Work environment policies, wellbeing program records, and environmental condition reportsEvidence_#1
Evidence_#2
7.1.6.2.abc — ProvidingAccessibleUpdatedAndLearnerCenteredLearningResources_UNISRI_24_25
Requirements: The organization shall provide learning resources, as appropriate, and shall make them available where and when needed. The learning resources shall: a) reflect the needs and requirements of learners, other beneficiaries and educators; b) be reviewed at planned intervals to ensure they are up to date; c) be catalogued and referenced
Indicators: Learning resources are reviewed and updated regularly at least 1x/year and documented in a catalog system. Measurement Indicator: % of updated collections ≥20% per year
Learning resource inventories, access records, review records, and cataloguing systems documentationEvidence_#1

7.2 — Competence

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
7.2.1.a — DetermineTheNecessaryCompetenceThatAffectsOrganizationPerformance_UNISRI_24_25
Requirements: The organization shall determine the necessary competence of person(s) doing work under its control that affects its educational organizational performance
Indicators:
Competency frameworks, job descriptions, and human resource planning documents.Evidence_#1
7.2.1.b — EnsuringPersonnelCompetenceThroughEducationTrainingOrExperience_UNISRI_24_25
Requirements: Ensure that these persons are competent on the basis of appropriate education, training, or experience
Indicators: The organization evaluates the competency gap at least 1x/year and establishes a follow-up plan. Objective Indicators % Gap Closed ≥80%
Competency assessment records, qualification records, and personnel evaluation reportsEvidence_#1
7.2.1.d — DevelopingAndEvaluatingPersonnelCompetence_UNISRI_24_25
Requirements: Where applicable, take actions to acquire the necessary up-to-date competence, and evaluate the effectiveness of the action taken
Indicators: The effectiveness of the training was evaluated using the pre-post test method or performance evaluation. Objective Indicators Score increase ≥20%
Training plans, training records, competency development programs, and training evaluation recordsEvidence_#1
7.2.1.f — RetainAppropriateDocumentedInformationAsEvidenceOfCompetence_UNISRI_24_25
Requirements: Retain appropriate documented information as evidence of competence
Indicators: Competency documented information is controlled in an HRIS system with access control and periodic backups. In the context of audit evidence, HRIS is an integrated digital system used to: Storing employees' personal data; Educational history keeper; Storing a certificate of competency; Keeping training history; Storing performance evaluation results; Manage competency matrix; Control data access and security. Objective Indicators: 100% Stored & Controlled Documents.
Competency records, training records, qualification documentation, and document control recordsEvidence_#1

7.3 — Awareness

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
7.3.abc — EnsuringEOMSAwarenessAndAccountability_UNISRI_24_25
Requirements: The organization shall ensure that relevant persons doing work under the organization’s control shall be aware of: a) the educational organization policy and strategy, and relevant EOMS Objectives; b) their contribution to the effectiveness of the EOMS, including the benefits of improved educational organization performance; c) the implication of not conforming to the EOMS requirements
Indicators: a) Organizations measure staff's level of understanding of policies, quality goals, and their role through annual awareness surveys. Comprehension rate ≥85%.; b) Relevant personnel understand their contribution to the effectiveness of the EOMS. Relevant personnel are aware of the benefits of improved educational organization performance; c) Relevant personnel are aware of the implications of not conforming to EOMS requirements
a) Awareness communication records, policy dissemination records, and objective communication documentation; b) Training records, awareness program documentation, and internal; c) Training materials, compliance awareness records, and internal communication recordsEvidence_#1

7.4 — Communication

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
7.4.1.abcdef — ManagingEOMSInternalAndExternalCommunications_UNISRI_24_25
Requirements: The organization shall determine the internal and external communications relevant to the EOMS, including; a) on what it will communicate; b) why to communicate; c) when to communicate; d) with whom to communicate; e) how to communicate; f) who communicates
Indicators: The organization establishes and documents the Communication Plan Matrix which contains: (a) what is communicated, (b) the purpose of the communication, (c) the time/frequency, (d) the receiving party, (e) the communication method/medium, and (f) the person in charge, and is reviewed at least 1 time per year in the RTM. Measurement Indicator: 100% of the elements (a–f) documented; annual review is carried out; ≥80% communication as planned
Communication plans, communication procedures, stakeholder communication matrices, and communication recordsEvidence_#1
7.4.2.abc — FacilitatingStakeholderEngagementInformationSharingAndCoordination_UNISRI_24_25
Requirements: Internal and external communication shall have the purpose of: a) seeking the opinion or consent of relevant interested parties; b) conveying to interested parties relevant, accurate and timely information, consistent with the organization’s mission, vision, strategy and policy ; c) collaboration and coordinating activities and processes with relevant interested parties within the organization
Indicators: Organizations evaluate the effectiveness of internal and external communication through an analysis of the level of understanding, stakeholder response, and satisfaction of communication at least 1 time per year. Communication satisfaction score ≥80%; response rate ≥70%; documented follow-up, Communication survey report, stakeholder response analysis, follow-up plan
Stakeholder communication records, information dissemination records, and coordination meeting recordsEvidence_#1
7.4.3.1.b — CommunicatingEducationalDesignContentAndDelivery_UNISRI_24_25
Requirements: The organization shall determine and implement effective arrangements for communicating with learners and other interested parties in relation to desain, content, and delivery of educational products and services
Indicators: The organization ensures that communication related to the design, content, and delivery of educational services is carried out through official media and evaluated for effectiveness every semester. 100% of the program is published in the official media; documented semester evaluations; information affordability level ≥80%, Official website, verified social media, publication evaluation report
Learner information systems records, performance reporting records, feedback records, and complaint handling recordsEvidence_#1
7.4.3.1.d — CommunicatingLearnerPerformanceAndAssessmentResults_UNISRI_24_25
Requirements: Learner’s performance data, including results of formative and summative assessments;
Indicators: The organization provides real-time access to student performance data through academic information systems and ensures the accuracy and security of data through annual system audits. 100% of students have active account access; system audit at least 1x/year, Academic portal system, access logs, IT audit reports
Learner information systems records, performance reporting records, feedback records, and complaint handling recordsEvidence_#1
7.4.3.1.e — ManagingFeedbackComplaintsAndSatisfactionSurveys_UNISRI_24_25
Requirements: Learner and interested parties’ feedback, including learner complaints and learners/interested parties’ satisfaction surveys
Indicators: Organizations manage feedback, complaints, and student and stakeholder satisfaction surveys through a documented system, including trend analysis and improvement follow-up. 100% of complaints are recorded; ≥90% of complaints are acted upon; annual analyzed satisfaction trends, complaint system, satisfaction survey report, follow-up report
Learner information systems records, performance reporting records, feedback records, and complaint handling recordsEvidence_#1
7.4.3.2 — MaintainingDocumentedCommunicationRecords_UNISRI_24_25
Requirements: The organization shall retain documented information of the communication process
Indicators: The organization keeps documented information related to the entire communication process (planning, implementation, evaluation, and improvement) in accordance with document control procedures. 100% documented and controlled communication documents; no major audit findings, communication document register, document control SOP
Communication records, document control records, and communication logsEvidence_#1
7.4.3.2.b — ImprovingTheCommunicationPlanThroughMonitoringResults_UNISRI_24_25
Requirements: At planned intervals, the organization shall analyse and improve the communication plan based on the results of monitoring
Indicators: The organization analyzes the results of communication monitoring and makes improvements to the communication plan based on evaluation data at least 1 time per year. Evaluation reports are available; ≥80% of recommendations acted upon, Communication evaluation report, improvement plan
Communication monitoring reports, evaluation reports, and improvement action recordsEvidence_#1

7.5 — Documented Information

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
7.5.2.abc — EnsuringControlledDocumentedInformation_UNISRI_24_25
Requirements: When creating and updating documented information, the organization shall ensure appropriate: a) identification and description (e.g. title, date, author, or reference numbr); b) format e.g. languange, software version, graphics and media (e.g. paper, electronic), taking into account the accessibility requirements of persons with special needs ; c) review and approval for suitability and adequacy
Indicators: a) All documents have a unique identification, revision number, effective date, and electronic approval. Measurement Indicator: 100% of documents have complete metadata; b) Documented information is created in appropriate formats and media, considering accessibility requirements; c) Documented information is reviewed and approved for suitability and adequacy prior to use
document control procedures, document templates, and document approval recordsEvidence_#1
Evidence_#2
7.5.3.1.ab — ControllingDocumentedInformationRequiredByTheEOMS_UNISRI_24_25
Requirements: Documented information required by the EMOS and by this standard shall be controlled to ensure it is available and suitable for use, where and when it is needed
Indicators: Documents are controlled through a digital-based system with tiered access rights. No uncontrolled documents, System logs.
Document registers, document access systems, and information security controlsEvidence_#1
7.5.3.2 — ControllingNecessaryExternalDocumentedInformation_UNISRI_24_25
Requirements: Documented information of external origin determined by the organization to be necessary for the planning and effective operation of the EOMS shall be identified, as appropriate, and controlled
Indicators: External documents are identified, catalogued, and reviewed periodically. Updated external document list, External document register
External document registers, regulatory documents, and update tracking recordsEvidence_#1
7.5.3.2.a — ControllingAccessRetrievalDistributionAndUseOfDocumentedInformation_UNISRI_24_25
Requirements: For the control of documented information, the organization shall address the following activities, as applicable distribution, access, retrieval, and use
Indicators: The process of distribution, access, and use is documented in the SOP and verified through internal audits. 0 (zero) major findings of document audit
Document distribution records, access control records, and document retrieval systemsEvidence_#1
7.5.3.2.b — ProtectionAndSecurityIncludingRedundancy_24_25
Requirements: Protection and security, including redundancy
Indicators: Documents have an automatic backup system and server redundancy. 100% daily backups, Log backups
Information security procedures, backup records, and data protection systemsEvidence_#1
7.5.3.2.d — ControlOfChange_UNISRI_24_25
Requirements: Control of change (e.g version control)
Indicators: The change control mechanism includes the proposal, review, approval, distribution, and withdrawal of old documents
Version control records, document revision history, and document change logsEvidence_#1

8.1 — Operational Planning And Control

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
8.1.1.a — DeterminingRequirementsForEducationalProductsAndServices_UNISRI_24_25
Requirements: The organization shall plan, implement and control the processes (see 4.4) needed to meet requirement for the provision of educational products and services, and to implement the actions determined in 6.1, by determining requirements for the educational products and services;
Indicators: The organization establishes and documents the requirements for educational services based on internal documents (Statutes, Academic Guidelines, SPMI, Curriculum) and external regulations (Permendikbud), as well as conducts periodic reviews at least 1 time per year to ensure compliance with identified risks and opportunities
Regulatory requirements documentation, organizational policies, and educational service specificationsEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
Evidence_#5
Evidence_#6
Evidence_#7
8.1.1.b — EstablishingCriteriaForTheProcesses_UNISRI_24_25
Requirements: Establishing criteria for the processes
Indicators: The organization sets the criteria for controlling the learning process through documented SOPs (registration, academic leave, intermediate semesters, switching study programs) which include process performance indicators, output acceptance parameters, and periodic monitoring every semester
Process criteria documentation, operational procedures, and service standardsEvidence_#1
8.1.1.d — ImplementingProcessControlsBasedOnDefinedCriteria_UNISRI_24_25
Requirements: Implementing control of the processes in accordance with the criteria
Indicators: The organization implements process control according to criteria through the evaluation of study results (GPA, on-time graduation, CPL achievements) and SPMI internal audits, with documented reports and follow-up on findings a maximum of 30 days after the audit
Process monitoring records, internal audit reports, and performance evaluation recordsEvidence_#1
Evidence_#2
8.1.1.e — MaintainingDocumentedProcessConformity_UNISRI_24_25
Requirements: Determining and keeping documented information to the extent necessary: 1) to have confidence that the processes have been carried out as planned; 2) to demonstrate the conformity of educational products and services to their requirements
Indicators: The organization determines, stores, and controls documented information as evidence of the suitability of educational processes and services, including archive control, document retention, and periodic backup of information systems (at least 1 time per week) by the ICT unit
Operational records, service delivery records, and documented evidence of conformityEvidence_#1
8.1.1.f — ControllingChangesAndMitigatingAdverseEffects_UNISRI_24_25
Requirements: The organization shall control planned changes and review the consequences of unintended changes, taking action to mitigate any adverse effects, as necessary
Indicators: Organizations have change control SOPs that include change risk identification, impact analysis on SMOP, management approval, controlled implementation, and documented evaluation of change effectiveness
Change control records, impact assessment reports, and corrective action recordsEvidence_#1
Evidence_#2
8.1.1.g — ControllingOutsourcedProcesses_UNISRI_24_25
Requirements: The organization shall ensure that outsourced processes are controlled (see.8.4)
Indicators: The organization establishes and implements control over the outsourcing process through partner selection criteria, cooperation agreements (MoU/SLAs), partner performance evaluations at least 1 time per year, and documentation of evaluation results and corrective actions when necessary
Supplier evaluation records, outsourced process control procedures, and service performance recordsEvidence_#1

8.2 — Requirements Of Educational Products And Services

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
8.2.1 — EnsuringFulfillmentOfEducationalServiceCommitments_UNISRI_24_25
Requirements: The organization shall ensure it can meet the claims made for to the educational products and services it offers
Indicators: Does the organization have and implement a Graduate Profile, Graduate Learning Outcomes (CPL), curriculum, and course structure that are documented and aligned to ensure that the competencies of graduates claimed to students and stakeholders can be achieved?
Program specifications, learning outcomes documentation, and performance achievement recordsEvidence_#1
Evidence_#2
8.2.1.a — DefiningEducationalRequirementsAlignedWithPolicyAndStrategy_UNISRI_24_25
Requirements: When determining the requirements for the educational products and services to be offered to learners and other beneficiaries, the organization shall ensure that the requirements for the educational products and services are defined, including those considered necessary by the organization due to its policy and strategic plan
Indicators: The organization determines the requirements for educational products and services through the Curriculum Preparation Guidelines which contain the basis of thinking, legal foundations, graduate profiles, CPL, as well as the evaluation and monitoring mechanism of the learning program, and is reviewed at least 1 time in 1 curriculum cycle with evidence of minutes and meeting attendance lists
Curriculum design documentation, educational program specifications, and strategic planning documentsEvidence_#1
Evidence_#2
8.2.2.c — CommunicatingLearningAndAssessmentRecognitionMethods_24_25
Requirements: Commencing with, or prior to the delivery of the educational products and services, the organization shall notify the learners and other relevant interested parties, and where appropriate, check their understanding of the means by which the learning is achieved and assessed will be recognized and retained as documented information
Indicators: The organization informs learners and related stakeholders about the learning process and assessment system through the Rector's Regulation. Academic socialization at the beginning of each semester, as well as providing proof of attendance lists and minutes; Understanding is verified through student satisfaction or feedback surveys at least 1 time per semester
Learning process documentation, assessment guidelines, and communication recordsEvidence_#1
Evidence_#2
8.2.3 — UpdatingDocumentedInformationAndCommunicatingRequirementChanges_UNISRI_24_25
Requirements: The organization shall ensure that relevant documented information is amended, and that relevant interested parties are made aware of the changed requirements, when the requirements for educational products and services are changed
Indicators: In the event of a change in the requirements of educational services, the organization conducts documented revisions to the curriculum, learning tools, and related documents through the change control mechanism, records the revision history (version & date), and submits official notification to stakeholders through a circular or academic information system within a maximum of 14 days from the date of the change
Change records, updated program documentation, and stakeholder communication recordsEvidence_#1

8.3 — Design And Development For Educational Products And Services

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
8.3.1 — ManagingTheDesignAndDevelopmentOfEducationalProductsAndServices_UNISRI_24_25
Requirements: The organization shall establish, implement and maintain a design and development process that is appropriate to ensure the subsequent provision of educational products and services
Indicators: The organization determines, implements, and maintains the curriculum design and development process that refers to the Development Master Plan and Rector's Regulations, with documented stages (planning, preparation, verification, validation, ratification), and an evaluation of effectiveness is carried out at least 1 time in 1 curriculum cycle and documented in the evaluation report
Design and development procedures, curriculum development frameworks, and strategic planning documentsEvidence_#1
Evidence_#2
8.3.2.d — DefiningDesignVerificationAndAalidationActivities_UNISRI_24_25
Requirements: In determining the stages and controls for design and development, the organization shall consider the required design and development verification and validation activities
Indicators: The organization carries out verification and validation of curriculum design through the fulfillment of internal and external requirements, the implementation of SOPs for curriculum preparation, proof of verification on the ratification sheet, and ratification through the Rector's Decree, with documented validation criteria and a maximum completion time before the academic year begins
Design review records, approval records, and validation reportsEvidence_#1
Evidence_#2
Evidence_#3
8.3.4.4.a — EnsuringAssessmentDesignAlignsEithLearningAutcomes_UNISRI_24_25
Requirements: The controls applied to the design and development process of sumative assessment shall ensure that a clear link can be demonstrated between the assessment design and the learning outcomes it is intended to assess, and where appropriate, the learning activities it is based on
Indicators: The organization ensures a clear relationship between the assessment design and the CPL through the review of the suitability of the RPS, teaching materials, exam questions, and assessment instruments, which are verified through documented sampling each semester and reported in the minutes of the learning evaluation
Assessment design documentation, learning outcomes mapping, and course-level documentationEvidence_#1
Evidence_#2
8.3.6 — ControllingDesignAndDevelopmentChangesToEnsureConformity_UNISRI_24_25
Requirements: The organization shall identify, review and control changes made during, or subsequent to, the design and development of educational products and services, to the extent necessary to ensure that there is no adverse impact on conformity to requirements or results
Indicators: The organization identifies, reviews, and controls changes in curriculum design and development through SOPs for curriculum preparation and review, recording of proposed changes, impact analysis, verification and revalidation, and documentation of revision history (version, date, approving party) which is reviewed at least 1 time per academic year
Change control records, curriculum review records, and updated design documentationEvidence_#1

8.4 — Control Of Externally Provided Processes Products And Services

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
8.4.1.a — EnsuringConformityOfExternallyProvidedProductsServicesAndProcesses_UNISRI_24_25
Requirements: The organization shall ensure that externally provided processes, products and services conform to requirements
Indicators: The organization establishes SOPs for External Provider Selection and Evaluation which contains: selection criteria (legality, competence, track record, capacity), risk analysis, performance indicators (timeliness ≥95%, specification conformity ≥98%, complaint rate ≤2%), and periodic evaluation at least 1 time per year with documented records
Supplier selection criteria, supplier evaluation records, and risk assessment recordsEvidence_#1
8.4.1.b — MaintainingDocumentedRecordsOfEvaluationsAndActions_UNISRI_24_25
Requirements: The organization shall retain documented information of these activities and any necessary actions arising form the evaluations
Indicators: Organizations maintain documented records of evaluations, re-evaluations, performance monitoring, and corrective actions against external providers in a digitized system or controlled archive, including evidence of score-based assessments and partner eligibility decisions
Supplier evaluation reports, performance monitoring records, and corrective action recordsEvidence_#1
Evidence_#2
8.4.2.a — ControllingExternalProcessesProductsAndServices_UNISRI_24_25
Requirements: The organization shall ensure that externally provided processes, products and services do not adversely affect to the organization’s ability to consistently deliver conforming products and services to its learners and other beneficiaries . The organization shall ensure that externally provided processes remain within the control of its EOMS
Indicators: The organization stipulates that all external processes that impact educational services are identified in the Outsourcing Process List, analyzed for risk, controlled through contracts/SLAs, and monitored through KPIs integrated in the Education Management System
Outsourced process control procedures, monitoring records, and integration documentation within EOMSEvidence_#1
8.4.3.a — EnsuringAdequacyOfRequirementsBeforExternalCommunication_UNISRI_24_25
Requirements: The organization shall ensure the adequacy of requirements prior to their communication to the external provider
Indicators: The organization ensures that any requirements to external providers are reviewed through an internal verification mechanism before being communicated, including: technical specifications, quality standards, estimated turnaround time, acceptance criteria, verification methods, and documented authorized approvals
Procurement requirements documentation, approval records, and communication records with external providersEvidence_#1

8.5 — Delivery Of The Educational Products And Services

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
8.5.1.1 — ImplementingControlledProductionAndServiceProvision_UNISRI_24_25
Requirements: The organization shall implement production and service provision under controlled conditions
Indicators: The organization implements production and service provision under controlled conditions through documented SOPs, work instructions, quality record forms, process performance indicators (e.g., compliance with RPS implementation ≥95%, service timeliness ≥98%), periodic monitoring, and evaluation of effectiveness every semester
Operational procedures, work instructions, and service delivery documentationEvidence_#1
Evidence_#2
8.5.1.1.d — SuitableInfrastructureAndEnvironmentForTheOperationOfProcesses_UNISRI_24_25
Requirements: Controlled conditions shall include, as applicable, the use of suitable infrastructure and environment for the operation of processes
Indicators: Infrastructure and learning environments are controlled through minimum infrastructure standards (device ratio ≥1:20, system uptime ≥99%, classrooms according to safety standards), digitized inventory lists, and annual infrastructure audits with written reports and follow-ups
Infrastructure records, facility management records, and environment management documentationEvidence_#1
8.5.1.2.2.a — EstablishingAdmissionCriteriaAlignedWithRequirements_UNISRI_24_25
Requirements: The educational organization shall establish a process for learner admission. In addition to the requirements in 4.4.1, the process shall establish admission criteria that conform to: 1. Organizational requirements ; 2. Requirements form the professional field ; 3. Requirements due to the content of the programme and/or pedagogical approach
Indicators: Student admission criteria are determined based on regulations, study program needs, and professional standards, with measurable parameters (minimum scores, capacity-based quotas, administrative & academic selection), recording of selection results, and evaluation of selection effectiveness carried out every academic year
Admission procedures, admission criteria documentation, and admission decision recordsEvidence_#1
Evidence_#2
Evidence_#3
8.5.1.3 — ManagingTeachingProcesses_UNISRI_24_25
Requirements: Delivery of educational products and services, the organization shall establish processes for teaching
Indicators: The learning process is controlled through the determination of teaching decrees, validated RPS, standard modules, evaluation methods, and implementation monitoring (RPS audit, student satisfaction survey ≥80%, lecturer evaluation each semester), and recorded evaluation results
Teaching plans, learning facilitation documentation, and academic administration recordsEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
8.5.5 — ManagingLearnerDataProtectionAccessSharingAndRetention_UNISRI_24_25
Requirements: The organization shall establish a method to deal with the protection and transparency of learners’ data and maintain it as documented information. The method shall establish: a) what learner data are collected, and how and where they are processed and stored; b) who has access to the data ; c) under which condition learner data may be shared with third parties; d) how long the data are stored for
Indicators: The organization establishes a Student Data Protection Policy which contains: the type of data collected, the location and storage method (encrypted SIAKAD), a role-based access rights matrix, data sharing procedures with third parties, data retention period (e.g. 5–10 years), annual security audits, and system access log records
Data protection policies, data management procedures, and system access control recordsEvidence_#1
8.5.6 — MaintainingDocumentedRecordsOfChangesAndRelatedActions_UNISRI_24_25
Requirements: The organization shall retain documentation of the results of the review of changes. The person(s) authorizing the change, and any necessary actions arising from the review
Indicators: The organization implements the Change Management SOP which includes: change identification, risk analysis, change proposal form, impact review, approval of authorized officials, implementation plan, post-change evaluation, and documented records stored in the quality management system
Change review records, authorization records, and implementation recordsEvidence_#1

8.6 — Release Of The Educational Products And Services

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
8.6 — ReleasingProductsAndServicesOnlyAfterPlannedRequirementsAreFulfilled_UNISRI_24_25
Requirements: The release of products and services to learners and other beneficiaries shall notproceed until the planned arrangements have been satisfactorily completed, unless otherwise approved by a relevant authority and, as applicable, by the learner and other beneficiaries
Indicators: The organization conducts verification before the implementation of the exam in accordance with the Academic Guidebook and the university's official circular. Verification includes a preparatory meeting, determination of the committee through a decree, validation and approval of questions by validators, and an exam readiness checklist before it is declared ready to be implemented". Applied control indicators: 100% of questions validated before printing 100% of the committee is set before the exam 100% of the minutes are signed on the day of the execution No exams are conducted without documented verification Monitoring is carried out every semester through internal audits and academic evaluations."
Verification records, approval records, and documented procedures for service releaseEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
8.6.ab — RetainingDocumentedInformationOnTheReleaseOfProductsAndServices_UNISRI_24_25
Requirements: The organization shall retain documented information on the release of products and services. The documented information shall include: a) evidence of conformity with the acceptance criteria; b) traceability to the person(s) authorizing the release
Indicators: The organization keeps all evidence of the release of exam and grade services through the archives of the study program and the SIAKAD system. Each grade is verified and approved by academic authorities before publication. Measurable control applied: 100% of the value has a trail audit (name, date, authorization) 0% of the value is published without official approval Archive completeness rate ≥ 98% per semester Minimum 5-year document retention Compliance is evaluated periodically through internal audits and management reviews
Service release records, conformity records, and authorization recordsEvidence_#1

8.7 — Control Of The Educational Non Conforming Outputs

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
8.7.1 — EnsuringNon-ConformedOutputsAreIdentifiedAndControlled_UNISRI_24_25
Requirements: The organization shall ensure that outputs that do not conform to their requirements are identified and controlled to prevent their unintended use or delivery
Indicators: Organizations have Non-Conformance Control Procedures (PK-8.7) in place that govern the identification, recording, verification, and control of nonconforming outputs. Each case is recorded in Form FR-8.7 with a unique registration number, verified by the competent authority, and resolved within a maximum of 7 business days. Trend analysis is carried out every semester and reported in RTM
Nonconformity identification records, control procedures, and incident recordsEvidence_#1
Evidence_#2
8.7.2 — CorrectingAndControllingNonconformingOutputs_UNISRI_24_25
Requirements: The organization shall deal with nonconforming output in one or more orders of the following ways: a) correction; b) segregation, containment, return or suspension of the provision of products and services; c) informing the learners or other beneficiaries; d) obtaining authorization for acceptance under concession . Conformity to the requirements shall be verified when nonconforming outputs are corrected
Indicators: The organization handles inappropriate outputs through corrections, service holds, notification to students, or official concessions by authorities. Each action is logged, re-verified prior to service release, and approved by the authorized authorities
Correction records, containment records, communication records, concession approvals, and verification recordEvidence_#1
8.7.3 — MaintainingDocumentedRecordsOfNonconformitiesAndActionsTaken_UNISRI_24_25
Requirements: The organization shall retain documented information that: a) describes the delivery of the programmes; b) describes any non-conforming outputs; c) describes the actions taken ; d) describes the concessions obtained; e) identifies the authority deciding the action in respect of the nonconformity
Indicators: The organization maintains a Register of Nonconformities, Corrective Action Forms, proof of communication, proof of concessions, identity of authority, and settlement status. Documents are stored for at least 5 years in the SIAKAD system and quality archive
Nonconformity records, action records, concession records, and authorization recordsEvidence_#1

9.1 — Monitoring Measurement Analysis And Evaluation

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
9.1.1.a — DeterminingMonitoringMeasurementAnalysisAndEvaluationMethodsAndCriteria_UNISRI_24_25
Requirements: The organization shall determine: a) what needs to be monitored and measured; b) the methods for monitoring, measurement, analysis and evaluation, as applicable, to ensure valid outcomes; c) the acceptance criteria to be used ; d) when the monitoring and measuring shall be performed ; e) when the results from monitoring and measurement shall be analysed and evaluated
Indicators: Monitoring and measurement are stipulated in the SPMI Handbook which includes key performance indicators (KPIs), data collection methods, analysis techniques (descriptive/trend statistics), acceptance criteria (numerical target ≥80%), monitoring frequency (per semester/year), and evaluation schedule in the Management Review Meeting
Monitoring and measurement framework, Key performance indicators (KPIs) / quality objectives, Measurement and evaluation procedures, Performance reports, Management review inputsEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
Evidence_#5
9.1.1.b — EvaluatingOrganizationalPerformanceAndEOMSEffectiveness_UNISRI_24_25
Requirements: The organization shall evaluate the educational organization's performance and the effectiveness of the EOMS
Indicators: The evaluation of the performance of educational organizations and the effectiveness of SMOP is carried out through Internal Audits and annual Management Review Meetings with reference to the achievement of KPIs, the level of non-conformity, the effectiveness of corrective actions, and the trend of improving performance by at least 5% per year
Monitoring and measurement framework, Key performance indicators (KPIs) / quality objectives, Measurement and evaluation procedures, Performance reports, Management review inputsEvidence_#1
Evidence_#2
Evidence_#3
9.1.2.1 — MonitoringTheSatisfactionOfLearnersOtherBeneficiariesAndStaffs_UNISRI_24_25
Requirements: The organization shall monitor the satisfaction of learners, other beneficiaries and staff, as well as their perception of the degree to which their needs and expectations have been fulfilled
Indicators: Measurement of student satisfaction, lecturers, education staff, and graduate users was carried out every semester using validated instruments (Likert scale 1–5), analyzed using a satisfaction index (IK ≥ 3.5), and reported in a quality evaluation meeting for follow-up improvement
Satisfaction survey instruments, Survey results and analysis reports, Feedback collection procedures, Stakeholder satisfaction dashboardsEvidence_#1
9.1.2.2 — EstablishingAndMaintainingADocumentedComplaintsAndAppealsProcess_UNISRI_24_25
Requirements: The educational organization shall establish and maintain as documented information a method for handling complaints and appeals, and shall make this known to its interested parties (see 10.2. The method shall include specifications for: a) communicating the method to all relevant interested; parties; b) receiving complaints and appeals; c) tracking complaints and appeals; d)acknowledging complaints and appeals; e) performing initial assessment of complaints and appeals; f) investigating the complaint and appeals g) responding to the complaints and appeals; h) communicating the decision ; i) closing complaints and appeals
Indicators: The organization has a documented complaint and appeal handling procedure that includes stages a–i (admission, record-keeping, initial assessment, investigation, decision, communication, and closure) with a maximum resolution SLA of 14 working days, as well as monitoring a ≥95% completion rate per semester
Complaint handling procedures, Complaint and appeal logs/registers, Case investigation records, Response documentation, Closure recordsEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
Evidence_#5
9.1.3 — EnsuringFeedbackIsRequestedAndAvailableToTheRelevantInterestedParties_UNISRI_24_25
Requirements: The organization shall ensure that the following feedback is requested from and made available as appropriate to the relevant interested parties: a) feedback on the educational products and services; b) feedback on their effectiveness in achieving the agreed learning outcomes; c) feedback on the organization’s influence on the community
Indicators: Feedback related to service quality, learning outcome achievement (learning outcome achievement ≥ 80%), and social impact were obtained through surveys, tracer studies, and annual FGDs, analyzed 3-year trends and used as the basis for curriculum revision and service improvement
Feedback reports, Graduate tracer studies, Stakeholder engagement reports, Community impact assessmentsEvidence_#1
9.1.4.2 — EnsuringObjectiveTransparentAndStakeholderFocusedEvaluations_UNISRI_24_25
Requirements: The organization shall ensure that: a) the interested parties involved in or affected by the evaluation are identified; b) the persons conducting the evaluation are competent and objective; c) evaluation reports are transparent and clearly describe the educational products and services and their objective, the findings, as well as the perspectives, methods and rationale used to interpret the findings; d) the context (e.g. learning environment) in which the educational service is provided is examined in enough detail to enable influences on the educational service to be identified
Indicators: Evaluations are carried out by competent personnel as evidenced by auditor certificates/evaluation training, maintain unit independence, and produce transparent reports that include evaluation methods, findings, context analysis, and documented improvement recommendations
Evaluation plans, Evaluator competency records, Evaluation reports , Context analysis reportsEvidence_#1
9.1.5 — AnalyzingDataToEvaluateConformitySatisfactionPerformanceEffectivenessAndImprovementNeeds_UNISRI_24_25
Requirements: The organization shall analyse and evaluate appropriate data and information arising from monitoring and measurement. The results of the analysis shall be used to evaluate: a) conformity of products and services; b) the degree of beneficiary satisfaction; c) the degree of staff satisfaction; d) the performance and effectiveness of the EOMS; e) if planning has been implemented effectively; f) the effectiveness of actions taken to address risks and opportunities; g) the performance of external providers; h) the need for improvements to the educational organization management system
Indicators: The monitoring data were analyzed using trend analysis, gap analysis, and risk-based evaluation to evaluate points a–h, documented in the minutes of the quarterly evaluation meeting, and produce an improvement action plan with measurable success indicators
Data analysis reports, KPI dashboards, Risk evaluation reports, Supplier performance evaluations, Continuous improvement reportsEvidence_#1
Evidence_#2
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9.2 — Internal Audit

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
9.2.1 — ConductingInternalAuditsToAssessEOMSConformityAndeffectiveness_UNISRI_24_25
Requirements: The organization shall conduct an internal audit at planned intervals to provide information on whether the EOMS conform to the organization’s own requirements for its EOMS , the requirements of this standard ; and is effectively implemented and maintained
Indicators: Internal audits are conducted on a planned basis every 6 months to ensure the conformity of the SMOP to the organization's internal requirements and ISO 21001:2018, as well as to evaluate the effectiveness of the implementation and maintenance of the SMOP based on audit performance indicators, non-conformity, and audit follow-up effectiveness
Internal audit programme, Audit schedules, Internal audit reports, Audit checklists, Audit plansEvidence_#1
Evidence_#2
9.2.2.a — PlanEstablishImplementAndMaintainAnAuditProgramme_UNISRI_24_25
Requirements: The organization shall plan, establish, implement and maintain an audit programme(s), including the frequency, methods, responsibilities, planning requirements and reporting, which shall take into consideration the EOMS’s objective, the importance of the processes concerned, feedback from relevant interested parties, and the results of previous audits
Indicators: The internal audit program is planned, determined, implemented, and maintained through the AMI cycle which covers all organizational units/functions, including UPT, by determining audit frequency, audit methods, person in charge, schedule, scope, audit criteria, as well as reporting and follow-up mechanisms for audit results based on risks and previous audit results
Internal audit programme documentation, annual audit plan, risk-based audit planning records, audit scope and criteria documentsEvidence_#1
9.2.2.c — EnsuringObjectivityAndImpartialityOfAuditProcess_UNISRI_24_25
Requirements: Select an auditor and conduct audits to ensure objectivity and the impartiality of the audit process
Indicators: Internal auditors are selected based on competence, independence, and objectivity as evidenced through auditor certification/training, and are ensured not to audit their own work or units to maintain impartiality in the audit process
Auditor qualification records, Auditor assignment matrix, Conflict of interest declarations, Auditor independence policyEvidence_#1
Evidence_#2
9.2.2.d — ReportingAuditResultsToRelevantManagement_24_25
Requirements: Ensure that the results of the audits are reported to the relevant management
Indicators: The results of internal audits are reported to the relevant management through audit reports and management review meetings within the stipulated time, including the status of non-conformities, recommendations for improvement, and the effectiveness of corrective actions
Internal audit reports, Audit summary reports, Communication records to management, Management review inputsEvidence_#1
9.2.2.g — MaintainingDocumentedRecordsOfAuditProgramsAndResults_24_25
Requirements: Retain documented information as evidence of the planning and implementation of the audit programme and the audit results
Indicators: Documented information related to audit planning, audit implementation, audit findings, follow-up, and audit results is maintained and controlled as objective evidence of the implementation of the audit program, as well as ensuring that auditors do not audit their own work
Audit programme records, Audit execution records, Audit reports archive, Audit documentation repositoryEvidence_#1

9.3 — Management Review

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
9.3.2.ab — ReviewingPreviousActionsAndChangesAffectingTheEOMS_UNISRI_24_25
Requirements: The management review shall include consideration of: a) the status of actions from previous management reviews; b) changes in external and internal issues that are relevant to the EOMS
Indicators: The management review is planned and implemented taking into account: a) the status of actions from the previous documented management review; b) changes in external and internal issues relevant to SMOP, including new risks, stakeholder satisfaction trends, and unit performance data. The RTM meeting agenda is equipped with a checklist of ISO 21001 points and a complete documented meeting minutes
Management review schedule, Management review meeting minutes, Follow-up action tracking records, Context analysis updatesEvidence_#1
9.3.2.c — ReviewingEOMSPerformanceEffectivenessResultsAndTrends_UNISRI_24_25
Requirements: Information on the EOMS performance and effectiveness, including trends in: 1) the learner and others beneficiary satisfaction and feedback related to the learner and other beneficiary requirements; 2) the extent to which objectives have been met; 3) process performance and conformity of products and services; 4) nonconformities and corrective action; 5) monitoring and measurement results; 6) audit results; 7) the performance of external providers ; 8) formative and summative assessment outcomes;
Indicators: Information on EOMS performance and effectiveness is presented in the form of quantitative and qualitative reports, including stakeholder satisfaction trends (KPIs ≥ 80%), achievement of objectives (target achievement of at least 90%), process performance, product & service suitability, non-conformity & corrective actions, monitoring & measurement results, audit results, external provider performance, and formative & summative assessments. All data is analyzed on a trend basis and accompanied by graphs/indicators
Performance reports, KPI dashboards, Satisfaction survey reports, Audit reports, Nonconformity and corrective action reports, Assessment outcome reportsEvidence_#1
9.3.2.e — EffectivenessOfActionsTakenToAddressRiskAndOpportunities_UNISRI_24_25
Requirements: The effectiveness of actions taken to address risk and opportunities (see 6.1)
Indicators: The effectiveness of actions taken to address risks and opportunities (see 6.1) was evaluated quantitatively: indicators of action success, completion status, and impact on SMOP performance were documented in RTM
Risk and opportunity registers, Risk treatment evaluation reports, Effectiveness assessment reportsEvidence_#1
Evidence_#2
9.3.3 — DecidingImprovementOpportunitiesEOMSChangesAndResourceNeeds_UNISRI_24_25
Requirements: The outputs of the management review shall include decisions related to: a) continual improvement opportunities; b) any need for changes to the EOMS; c) resource needs
Indicators: The outputs of the management review include decisions related to: a) opportunities for continuous improvement; b) the need for changes in SMOP; c) Resource requirements. Each decision is recorded in the RTM minutes with the target indicators, the person in charge, and the follow-up schedule
Management review reports, Action plans from management review, Resource allocation decisions, Follow-up action tracking recordsEvidence_#1

10.1 — Non Conformity And Corrective Action

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
10.1.1 — ApplyingCorrectiveActionsProportionalToNonconformities_UNISRI_24_25
Requirements: Corrective actions shall be appropriate to the effects of the nonconformities encountered
Indicators: Corrective actions are proportional to the impact and severity of the nonconformities
Risk-based prioritization records, Severity classification records, Action justification documentationEvidence_#1
Evidence_#2
Evidence_#3
Evidence_#4
10.1.1.a — RespondingToAndCorrectingNonconformitiesAndTheirConsequences_UNISRI_24_25
Requirements: When a nonconformity occurs, the organization shall react to the nonconformity, and as applicable: 1) take action to control and correct i; 2) deal with the consequence
Indicators: The organization reacts to identified nonconformities in a timely manner. Actions are taken to control and correct identified nonconformities. The consequences of nonconformities are identified and addressed
Nonconformity reports, Incident/case records, Immediate correction recordsEvidence_#1
Evidence_#2
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Evidence_#4
10.1.1.b — EvaluateTheNeedForActionToEliminateTheCausesOfTheNonconformity_UNISRI_24_25
Requirements: Evaluate the need for action to eliminate the causes of the nonconformity, in order that it does not recur or occur elsewhere, by: 1) Reviewing the nonconformity; 2) Determining the causes of the nonconformity; 3) Determining if similar nonconformities exist, or could potentially occur
Indicators: Nonconformities are systematically reviewed. Root causes of nonconformities are determined using defined methods. The organization evaluates whether similar nonconformities exist or could potentially occur elsewhere.
Root cause analysis reports (e.g., 5 Why, Fishbone), Nonconformity review records, Trend analysis reportsEvidence_#1
10.1.1.c — Implement_anyActionNeeded_UNISRI_24_25
Requirements: Implement any action needed
Indicators: Corrective actions are defined based on identified root causes. Corrective actions are implemented within defined timeframes
Corrective action plans, Implementation records, Action tracking logsEvidence_#1
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10.1.1.d — ReviewingCorrectionEffectiveness_UNISRI_24_25
Requirements: Review the effectiveness of any correction taken
Indicators: The effectiveness of corrective actions is evaluated after implementation
Corrective action effectiveness review reports, Follow-up audit records, Post-implementation evaluation reportsEvidence_#1
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10.1.1.e — MakingNecessaryEOMSChanges_UNISRI_24_25
Requirements: Make changes to the EOMS, if necessary
Indicators: Changes to the EOMS are implemented when required based on corrective actions
Updated procedures or process documents, Change management records, Revision history of documented informationEvidence_#1
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10.1.2.a — MaintainingRecordsOfNonconformitiesAndCorrectiveActions_UNISRI_24_25
Requirements: The educational organization shall retain documented information as evidence of the nature of the nonconformities and any subsequent action taken
Indicators: Documented information is retained describing the nature of nonconformities and actions taken
Nonconformity logs/registers, Corrective action recordsEvidence_#1
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Evidence_#4
10.1.2.b — TheResultsOfAnyCorrectiveAction_UNISRI_24_25
Requirements: The results of any corrective action
Indicators: Documented information is retained describing the results of corrective actions
Resolution reports, Audit findings databaseEvidence_#1
Evidence_#2
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Evidence_#4

10.2 — Continual Improvement

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
10.2.a — ContinuallyImprovingEOMSSuitabilityAdequacyAndEffectiveness_UNISRI_24_25
Requirements: The organization shall continually improve the suitability, adequancy and effectiveness of the EOMS, taking into account relevant research and best practices
Indicators: The organization establishes, implements, and documents continuous improvement programs based on evaluation, benchmarking, and research
A. Evidence based on performance evaluation results; B. Evidence-based benchmarking & best practice; C. Evidence berbasis riset / knowledge development; D. Evidence of measurability and impactEvidence_#1
Evidence_#2
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Evidence_#4
10.2.b — UsingEvaluationAndReviewResultsToDriveContinualImprovement_UNISRI_24_25
Requirements: The organization shall consider the results of analysis and evaluation, and the outputs from management review, to determine if there are needs or opportunities that shall be addressed as part of continual improvement
Indicators: Organizations use the results of data analysis and management review outputs to identify opportunities for improvement, establish action plans, and systematically monitor the effectiveness of their implementation
A. Evidence of gap and opportunity identification; and B. Evidence of planning for improvement actionsEvidence_#1

10.3 — Opportunities For Improvement

SubSubClause Evidence types Evidences Auditor_#1 score Auditor_#2 score
10.3 — ImplementingImprovementOpportunities_UNISRI_24_25
Requirements: The organization shall determine and select opportunities for improvement and implement any necessary actions to meet learner and other beneficiary requirements and enhance satisfaction of learners, other beneficiaries, staff, and other relevant interrested parities, including external providers
Indicators: Organizations systematically identify, analyze, and prioritize improvement opportunities based on: results of performance evaluation, auditing, and data analysis, feedback from students, staff, and stakeholders, as well as the needs and expectations of stakeholders
Report Improving the suitability of educational services, Report Improving the satisfaction of students and stakeholders, Overall organizational performance improvement reportEvidence_#1
10.3.a — ImprovingProductsAndServicesToMeetCurrentAndFutureNeeds_UNISRI_24_25
Requirements: These shall include improving products and services to meet requirements as well as to address future needs and expectations;
Indicators: Organizations improve educational products and services in a planned and documented manner to: meet the applicable requirements, anticipating future needs and expectations, and integrating innovation in the learning process and services
The improvement is shown through the development of curriculum, learning methods, and needs-based services, as well as the existence of measurable performance indicators and implementation resultsEvidence_#1
10.3.b — CorrectingAndPreventingUndesiredEffects_UNISRI_24_25
Requirements: Correcting, preventing or reducing undesired effects;
Indicators: Organizations identify, control, and mitigate unintended effects in the educational process through: the implementation of corrective measures, prevention, and risk mitigation, implementation of documented actions, and evaluation of the effectiveness of the actions taken
The effectiveness of the measures is evidenced through a reduction in the level of non-conformity or negative impact on educational servicesEvidence_#1
10.3.c — DetermineAndSelectOpportunitiesForImprovementAndImplementAnyNecessaryActions_UNISRI_24_25
Requirements: The organization shall determine and select opportunities for improvement and implement any necessary actions to meet learner and other beneficiary requirements and enhance satisfaction of learners, other beneficiaries, staff, and other relevant interrested parities, including external providers
Indicators: Organizations systematically identify, analyze, and prioritize improvement opportunities based on: results of performance evaluation, auditing, and data analysis, feedback from students, staff, and stakeholders, as well as the needs and expectations of stakeholders
Report Improving the suitability of educational services; Report Improving the satisfaction of students and stakeholders; Overall organizational performance improvement reportEvidence_#1

 

 

 

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