Information

Site/CA/RCA Information

  • Hotel:

  • Prepared by

  • Applicable Department/s:

  • Reference number or Date of original Audit - where non-conformance was identified

  • Reported NC

  • Source of NC

Root cause analysis & Corrective Action

Investigation / Explanation / Cause of Non-conformance ( if DCT /3rd Party Audit ensure you include details from the report)

  • In this section give infomation about how the NC happened

  • What happened, When was it identified

Correction to address the Non-Conformity

  • In this section provide details of what you have done to rectify the non-conformance

  • Details of what will be done to correct non confomance

  • Person(s) Responsible for Taking Corrective Action

Action Taken to prevent re-occurance

  • In this section details of how this will be prevented from re-occuring need to be explained Ie toolbox talks/Training

  • Details of action taken to prevent re-occurance

  • Completion Date

  • person who carried out the corrective Action

IMPROVEMENT NEEDS

  • Only complete this section if a Improvement need was raised. - Provide evidence that the Improvement need corrective action has been rectified.

  • Has the supporting evidence to demonstrate that corrective action has been implemented and evidence attached or sent

  • Date evidence supplied

Acceptance by Employee

  • (not mandatory but some evidence that NC has been feed back to staff/Department should be provided)

  • Employee Signature

  • Employee Name

  • Notes : I.E - details as to how NC has been feed back to staff

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.