Non-conformance Report

Untitled

Form No: AAA-AAA-MT SOPHIA-NC-NC-PA-R(IP- QUEST)-17-00003

Rev : 00 (F16/HQ)

NON-CONFORMANCE AND CORRECTIVE & PREVENTIVE ACTION REQUEST
Section 1 Non-conformance Report

a) Nature of non-conformance / Nature of potential non-conformance
Nature of non-conformance

b)In-house / External
in-house

c) Description of non-conformance / Areas of potential non-conformance
in house

Raised By: ApplicantSignature:

Date: 21/02/2017

d) Causes of non-conformance (Not applicable for potential non-conformance)
not applicable

Completed By : SupervisorSignature :

Date: 21/02/2017

e) Investigation findings and disposition (Not applicable for potential non-conformity)

Causes of Non-conformity:

Disposition Decision

–      Repair / ReworkAccept with or w/o rectification Regrade for alt Application
–      RejectCorrective Action Not RequiredCorrective Action Requir

 

Recommended By  Recommended By
HOD / PM / Appointed StaffHOD / PM
Date:Date:
(Name / Signature / Date)(Name / Signature / Date)

 

Section 2 Corrective Or Preventive Action Report

Recommended By  Recommended By
HOD / PM / Appointed StaffHOD / PM
Date:Date:
(Name / Signature / Date)(Name / Signature / Date)

 

Section 3 Implementation Audit

Implementation carried out satisfactorily             Yes                   No
Audited By:             Date: