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Evidence, audit & findings

Evidence should be:

  • Within the approved AIMS scope.
  • Relevant to the atomic requirement.
  • Current for the evidence period.
  • Authentic and controlled.
  • Sufficient to support the conclusion.
  • Representative of actual operation.
  • Traceable to owner, system, site or process.

Generic governance material may establish organisation-wide design but cannot prove that every included process operates effectively.

AreaExamples
Context and scopeContext analysis, interested-party register, scope statement, process map
LeadershipPolicy approval, objectives, resourcing, role assignments, management communications
PlanningRisk criteria, completed assessments, treatment plans, impact assessments, change plans
SupportCompetence records, communications, document control, resource decisions
OperationLifecycle records, approvals, supplier controls, operational risk and impact work
PerformanceMetrics, monitoring, internal audit programme and reports, management review minutes
ImprovementNonconformity records, cause analysis, corrective action and effectiveness verification
Annex AControl designs, operating records, tests and SoA decisions

Define the population before selecting a sample. Consider:

  • Sites and business units.
  • AI roles and lifecycle stages.
  • Internal and third-party systems.
  • Risk and impact levels.
  • New, changed and long-running processes.
  • Successful and exceptional cases.
  • Time periods and seasonal variation.

Record why the sample is sufficient. Convenience samples alone rarely support an organisation-level conclusion.

Capture:

  • Requirement and objective.
  • Population and selection method.
  • Documents or systems inspected.
  • Procedure performed.
  • Expected criteria.
  • Observed result.
  • Exceptions and contrary evidence.
  • Reviewer, date and independence.
  • Conclusion and linked finding.

A finding should distinguish:

  • Nonconformity — a requirement is not fulfilled.
  • Observation or improvement opportunity — no demonstrated failure, but weakness may undermine future effectiveness.

Where an audit programme distinguishes major and minor nonconformity, apply the programme’s defined criteria consistently. Do not downgrade a systemic failure merely to improve readiness reporting.

Correction addresses the immediate problem. Corrective action addresses the cause and prevents recurrence.

A complete record includes:

  1. Requirement and objective evidence.
  2. Scope and impact.
  3. Immediate correction or containment.
  4. Cause analysis.
  5. Corrective action.
  6. Owner and due date.
  7. Verification method.
  8. Effectiveness result.
  9. Related risks and changes.

Closing an action without verifying effectiveness does not demonstrate improvement.

  • Evidence index matches the current scope.
  • Controlled documents show approval and version.
  • Samples include operating and adverse cases.
  • Tests state objective criteria.
  • Findings are linked to exact atomic checks.
  • Nonconformities are reflected in the readiness conclusion.
  • Corrective actions address cause.
  • Effectiveness has been independently verified where appropriate.
  • Sensitive evidence is protected throughout review and export.