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: Applicant | Signature: |
Date: 21/02/2017
d) Causes of non-conformance (Not applicable for potential non-conformance)
not applicable
Completed By : Supervisor | Signature : |
Date: 21/02/2017
e) Investigation findings and disposition (Not applicable for potential non-conformity)
–
Causes of Non-conformity:
–
Disposition Decision
– Repair / Rework | Accept with or w/o rectification | Regrade for alt Application |
– Reject | Corrective Action Not Required | Corrective Action Requir |
Recommended By | Recommended By |
HOD / PM / Appointed Staff | HOD / PM |
Date: | Date: |
(Name / Signature / Date) | (Name / Signature / Date) |
Section 2 Corrective Or Preventive Action Report
Recommended By | Recommended By |
HOD / PM / Appointed Staff | HOD / PM |
Date: | Date: |
(Name / Signature / Date) | (Name / Signature / Date) |
Section 3 Implementation Audit