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Form - NCR, Car & Par

This document is a report form for recording non-conformities, corrective actions, and preventive actions. It includes fields to document the auditee, location, time, subject, non-conformity details, root cause analysis, disposition, corrective actions, preventive actions, verification and notes. The auditee must report the corrective actions from findings to the auditor within 3 days for verification and evaluation.

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881 views

Form - NCR, Car & Par

This document is a report form for recording non-conformities, corrective actions, and preventive actions. It includes fields to document the auditee, location, time, subject, non-conformity details, root cause analysis, disposition, corrective actions, preventive actions, verification and notes. The auditee must report the corrective actions from findings to the auditor within 3 days for verification and evaluation.

Uploaded by

ariefbasuki2572
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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PT.

PUNDARIKA ATMA SEMESTA

Report Of Non-Conformity, Corrective and Preventive Action


Number NCR : ____________________ Auditee : ___________ To : Auditor : ___________
(Superior or MR)

Location : ____________ Time : _______________

Subject :
Incoming Material Code & Name : Incoming Date : Supplier : Product Description & Batch Number : Production Date & Quantity : Environment : Others : Administration Quotation Invoice Surat Jalan __________________ Manufacturing Proses Dept./ Sect. : Safety : Internal Audit ( SMM / SMK3 / SML ) Positif Finding Observasi Root-Caused :

Non-Conformity

Reported by:
(Sign,Name,Function,Date)

Analysed by:
(Sign,Name,Function,Date)

Disposition of Non-Conformity : (Only for Incoming Material and Product) Repair by Special Disposition Others

(Sign,Name,Function,Date)

Corrective Action :

(Please mentioned the Person In Charge)

Preventive Action :

(Please mentioned the Person In Charge)

Corrected by:
(Sign,Name,Function,Date)

Analysed by:
(Sign,Name,Function,Date)

Verification & Evaluation :

(Filled by Superior or MR)

Note : Auditee harus melaporkan tindakan koreksi dari temuan kepada auditor dalam waktu 3 hari sekali untuk dilakukan verifikasi dan evaluasi.
(Sign,Name,Function,Date)

Form. No. : SOP/QC/02/1

Person In Charge)

unction,Date)

Form. No. : SOP/QC/02/1

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