Non- Conformance Corrective Action Planning

What is Non-Conformance?

• A failure to meet a requirement of the NDIS Practice Standards

• Identified during audits (initial, mid-term, or re-certification)

Types of Non-Conformance:

• Minor: Low risk, usually due to incomplete documentation or slight process gaps

• Major: Higher risk, systemic failure, or potential harm to participants

• Critical: Immediate risk to safety or serious breach — requires urgent response

Steps in Corrective Action Planning:

• Identify the Issue

• Review the auditor’s report and clearly understand the non-conformance

• Root Cause Analysis

• Investigate why the issue occurred

• Consider system, staff, training, or process gaps

• Develop Corrective Actions

• Outline clear steps to resolve the issue

• Assign responsibilities and set realistic timelines

• Implement the Actions

• Update policies, procedures, or practices

• Conduct staff training if needed

• Improve documentation and monitoring

• Monitor and Verify

• Ensure the action is effectively implemented

• Collect evidence of changes and improvements

• Document the Process

• Maintain records of actions taken

• Prepare documentation for submission to auditors or the NDIS Commission

Timeframes:

• Minor non-conformities: typically addressed within 3 months

• Major/critical: often require faster or immediate resolution

Tips:

• Use a Corrective Action Register to track progress

• Engage your team in solution planning

• Focus on sustainable improvements, not quick fixes

• Learn from non-conformance to prevent recurrence

Outcome:

• Demonstrates your commitment to quality and compliance

• Builds trust with auditors, participants, and the NDIS Commission

• Strengthens your organisation’s systems and service delivery