Non Conformance Report

  • NCR Reference Number

  • Date raised

  • Prepared by

  • Internally or Externally raised

  • If external, detail client name

  • Team involved

  • Site Location

Details of Non Conformance

  • Category of Non-conformance

  • Non-conformance rating

  • Description of Non-conformance

  • Supporting information

Root cause analysis

  • Methods of investigation

  • Immediate cause of NCR

  • Any underlying causes of NCR

  • Root cause of NCR

  • Agreed actions

  • Corrective actions

  • Corrective actions - Methodology

  • NCR Raised & Issued to

  • Who?

  • Who?

  • Who?

  • Agreed preventative actions

  • Do any changes need to be implemented in ongoing procedure?

  • Note the changes required to policy & methodology

Close off

  • Actions completed

  • Signed off on completion

Approval

  • Date and time of approval

  • Approver's signature

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.