Information

  • Report Title

  • Conducted on

  • Site

  • Prepared by

  • Other personnel involved

Section 1: Non-conformance details

  • NC number

  • NC raised against

  • NC sent to

  • NC Rating

  • Additional documents supporting NC to be sent separately

Section 2: Description of Non-conformance (completed by site raising NC)

  • Date and time of NC

  • Related document number

  • Description of NC

  • Photo of NC (if applicable)

  • Cause of NC

  • Photo of NC cause (if applicable)

  • Correction required as result of NC (if not documented above)

Section 3: Corrective Action (completed by site where NC originated)

  • Immediate corrective actions taken (and name of person taking action)

  • Date of immediate corrective action/s

  • Corrective actions taken (and name of person taking action)

  • Date of corrective action/s

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