NON-CONFORMANCE REPORT
Company XYZ Revision A FORM F1301 Date: 00/00/0000 Authorised by: J Brown, Quality Manager Page 1 of 1 |
DESCRIPTION OF THE NON-CONFORMANCE (to be completed by the person detecting the non-conformance)
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POSSIBLE CAUSES (to be completed by the person detecting the non-conformance)
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IMMEDIATE ACTION (to be completed by the person detecting the non-conformance)
Describe what was done to rectify the problem. Was product removed? Who was informed?
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NAME:
(of person detecting non-conformance) |
SIGNATURE: | DATE: |
Send form to Quality Representative
INVESTIGATION OF ROOT CAUSES (to be completed by Quality Representative/Quality Manager)
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INVESTIGATION COMPLETED BY:
(Name) |
SIGNATURE: | DATE: |
Quality Representative to discuss non-conformance with Department Manager
FURTHER CORRECTIVE ACTION REQUIRED AND TAKEN (to be completed by Department Manager)
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PREVENTIVE ACTION TAKEN (to be completed by Department Manager)
Quality Representative to check at next audit whether preventive action effective YES / NO |
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ACTION TAKEN BY:
(Depart Mgr Name) |
SIGNATURE: | DATE: |
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We would like to get a document on non-conformance actions on quality