Sr. No.

AUDIT DEVIATION REPORT

Date : Page No. of

Audit Scope / Dept. : Auditee Responsible : Auditor : Non-Conformity :

Audit No. : Non-Conformity No. :

Personnel Interviewed :

Auditor Si n!ture : C!use !n!lyses :

Auditee Si n!ture :

Corrective !nd / or Preventive Action :

Auditee Si n!ture : "ollow-up Audit : #erific!tion !nd $ffectiveness of Corrective !nd / or Preventive Action %!&e :

Auditor Si n!ture : St!tus : Non-conformity is Closed / Not Closed '!n! ement Represent!tive :

"()*+**