Cory NC report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observation

• Enter Observation or Non- Conformity

  NC

  OBS

  ACT

• Issue Dated

  Date

Corrective Action

• What corrective action needs to be made

  NC

  OBS

  ACT

• Who will be responsible for the corrective action

  NC

  OBS

  ACT

• When should corrective action be completed by

  Date

• When was corrective action completed

  Date

• Are there any recommendations to prevent re-occurrence

  Yes

  No

  N/A

• What was the root cause of the problem

  Yes

  No

  N/A

Non Conformity Closed

• I am satisfied that this Non Conformity has been closed

  Yes

  No

  N/A

• Person Authorising closure of the non-conformity

  Sign

• Non Conformity Closed

  Date