Non Conformance Report AQ/ SMS

• Department:

  Select

• Date Issued:

  Date

• NCR Number:

• Job No:

• Description:

• Customer Name:

• Distribution: White Dept head Blue production Planning / Safety Dept. Green QC/QA White Fast

Section 1: Identification

• NCR Issued to:

• Signature:

  Sign

Reason for NCR

• Audit

  Yes

  No

  N/A

• Non Compliance with procedure

  Yes

  No

  N/A

• Inspection

  Yes

  No

  N/A

• Suggested improvement

  Yes

  No

  N/A

• Incident Investigation

  Yes

  No

  N/A

• Non Compliance with Legal requirements

  Yes

  No

  N/A

• Failure to report

  Yes

  No

  N/A

• Failure to action

  Yes

  No

  N/A

• Failure to wear PPE

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Descrption of NC

• undefined

Priority

• Critical

  Y

  N

• Urgent

  Y

  N

Disposition

• STOP PROCESS

  Yes

  No

  N/A

• REWORK

  Yes

  No

  N/A

• REJECT

  Yes

  No

  N/A

• CONTINUE

  Yes

  No

  N/A

• OTHER

  Yes

  No

  N/A

Close Out

• NCR issued by:

• Signature:

  Sign

• Corrective Action Report (CAR) number: