INTERNAL AUDIT REPORT

PART A: AUDIT DETAILS (Auditor to complete)

• Procedure No.

• Procedure Title

• Audit Date

  Date

• Audit Results

  Satisfactory

  Corrective Action Required

• Distribution:

• Auditor (s)

• Auditee (s)

• Audit Summary

• Corrective Actions

CA

• Opportunities For Improvement

OFI

• Observations

Observation

• ROOT CAUSE (to be completed by relevant Department Supervisor / Manager(s)

• Department Supervisor / Manager Signature

  Sign

• Date

  Date

• Any Corrective Actions Noted?

CA

• Description

• Required by

• Required by date

  Date

• Verified by

• Verified date

  Date

• Any Opportunities For Improvement Noted?

OFI

• Description

• Required by

• Required by date

  Date

• Verified by

• Verified date

  Date

• Any Observations Noted?

Observation

• Description

• Required by

• Required by date

  Date

• Verified by

• Verified date

  Date

• Comments (to be completed by the relevant Quality representative as required)

• Next Audit Schedule

  Date

• Sign

  Sign

• Date

  Date