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SECTION ONE TO BE COMPLETED BY THE PERSON IDENTIFYING THE NON-CONFORMANCE

  • 31-167 Rev 8 NCN Form C.Hall 11/10/2021

  • Raised By (full name required)

  • Date Raised

  • Categorisation

  • NCN Number

  • Problem Title

  • Quantity

  • Associated information: SO# / WO# / PO# / Customer Case #

  • Department/ Process

  • Problem Title

  • Quantity

  • Associated information: SO# / WO# / PO# / Customer Case #

  • Description of related Part / Product

  • Type of NCN (please select one box)

  • NCN Cost (£)

  • Part /Product Nunber

  • Pump Type

  • Associated Customer Name/ Supplier Name

  • Details of Concern – what was the issue that raised the concern? (provide as much information as possible inc. any photos or reports)

  • Containment Action – what did you do to isolate the issue?

  • NCN Sent to Owner

  • Signature

SECTION TWO TO BE COMPLETED BY THE PROCESS OWNER AND/OR SUPPLIER (FACILITATED BY GODIVA QUALITY TEAM)

  • Root Cause Analysis and 5-Why’s – why did the issue happen? (Make sure to investigate thoroughly and dive deep into the concern to identify true root cause)

  • Why #1:

  • Why #2:

  • Why #3:

  • Why #4:

  • Why #5:

  • Dept Head / Process Owner / Supplier Name

  • Signature

  • Date

Agreed Corrective Action?

  • What are the defined actions to rectify this particular issue?

  • Dept Head / Process Owner / Supplier Name

  • Signature

  • Date

Preventive Actions taken?

  • What defined actions have been taken to ensure issue doesn’t happen again?

  • Dept Head / Process Owner / Supplier Name

  • Signature

  • Date

  • Submit/ Return Forms Directly to the Godiva Quality Department once Completed

SECTION THREE TO BE COMPLETED BY THE QUALITY MANAGER

  • Is a Re-Audit of the process required? (if “Yes”, please attach Audit to this NCN)

  • Quality Manager Name

  • Quality Manager Signature

  • NCN Closeout Date

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