NON-CONFORMANCE
REPORT
Insert x in one of the boxes as appropriate
NON-CONFORMANCE REPORT
X QMS OHS EMS
CIR No.( given by QA Dept.) : Location:
NCR issued by - Name: Date:
Insert X in one of the boxes as appropriate:
Customer Complaint Process Non- Int Audit Non-
Conformance Conformance
Customer: Department: (Tick) Vendor:
W/H PROD ENGG Other
N
For internal audit provide Name of the
Auditee
Description of Non-conformity, Root Causes (Attach any supporting docs if
applicable)
CAUSES:
1. Failure in Purchasing / Supplier Control Process;
2. Lack of knowledge of hazards present;
3. Lack of operational controls; improper storage of materials
Insert X in one of the Required action type boxes as appropriate:
Repair&Rework Concessio Scrap Other
n
Correctio Corrective action Preventive action
n
PROPOSED CORRECTION OR CORRECTIVE / PREVENTIVE ACTION:
Responsible Person for Action: (Provide Name)
Proposed Completion Date: Actual Completion
REINSPECTION AFTER REPAIR/REWORK OF Date:
PRODUCT Acceptable/Unacceptable/To review
Disposition:
further:
THE FOLLOWING PART TO BE COMPLETED BY QA DEPT.
ACTION RESULT EFFECTIVENESS YES: No:
Comment including summary of evidence review
DATE CLOSED:
VERIFIED BY:
F-020, Rev. 0 Effective date: 13.06.2014 Page 1 of 1