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)

 

 

 

 

 

POSSIBLE CAUSES (to be completed by the person detecting the non-conformance)

 

 

 

 

 

 

 

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?

 

 

 

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)

 

 

 

 

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)

 

 

 

 

PREVENTIVE ACTION TAKEN (to be completed by Department Manager)

 

 

 

Quality Representative to check at next audit whether preventive action effective    YES / NO

ACTION TAKEN BY:

 

(Depart Mgr Name)

SIGNATURE: DATE:

 

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MAUS Quality Assurance software is designed to help organisations develop their own customised Quality Manual, which can either be used for ISO 9001:2008 certification and accreditation or just to help document and improve an organisation’s current quality systems.

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