Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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AUDITOR’S NAME
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AUDIT REPORT NUMBER
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FUNCTION/PROCESS AUDITED
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REPRESENTATIVE/AUDITEE(S)
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PREVIOUS AUDIT DATE/NUMBER/RESULTS
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DATE(S) OF AUDIT
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DATE OF REPORT
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AUDIT OBJECTIVE(S): (describe the audit purpose and objectives)
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AUDIT SCOPE: (describe the extent and boundaries of the audit (e.g. units, locations, activities, processes, time periods to be audited)
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AUDIT CRITERIA: (Identify the applicable policies, procedures, standards and other requirements against which conformity will be assessed)
AUDIT SUMMARY:
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AUDIT FINDINGS
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OFI(S) IDENTIFIED:
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OFI description
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NC(S) IDENTIFIED:
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NC (s) description
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AUDIT CONCLUSION/COMMENTS:
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SIGNED (AUDITOR)
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DATE
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SIGNED (REPRESENTATIVE/AUDITEE)
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DATE
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FOLLOW UP/VERIFICATION:
FOLLOW UP/VERIFICATION:
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DETAILS:
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COMPLETED BY:
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DATE
KEY
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OK Process or control conforming and satisfactory
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NC Nonconformity Process or control nonconforming and unsatisfactory – corrective actions required (E.g. absence of, or substantial failure to meet the requirements of standard/audit criteria; total breakdown of a process or in the effective operation of a process, immediate risk to quality of process/product/service)
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OFI Opportunity for improvement Process or control satisfactory but some areas require minor improvement or update, do not require a formal response. May include: good practices which could benefit the process; areas of concerns which are not yet serious enough to raise NC; situations which if not addressed may give raise to nonconformity at a later date
