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Area or procedure to be audited
Name of auditor?
Documentation used to support audit findings
Name of person involved with the audit
Name of person (s)?
Observations during internal audit (including positive)
Problems identified (discrepancies)
How are problems to be resolved?
Audit findings rating
Ratings: Acceptable: The process audited meets the requirements.
Conditionally Acceptable: 2 minor discrepancies where the procedure violations do not cause the breakdown of the procedure but do require correction (to be re-audited within 1 month to ensure correction has been effective.
Unacceptable: immediate action is required. Action plan and non-conformance form to be completed. A re-audit is required within 1 week.
Any supporting evidence?
Specify NCF record number
Lead auditor: B. Payne
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.
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