NCR No.

:
INTERNAL AUDIT
NON CONFORMITY REPORT Date :
No.of pages:

Function under Audit : Audit No.

Reference
:
Document No.

Description of Non Conformity :

Root cause Lack of awareness about Procedures

Incomplete Documentation
Document Control
Organization
Lack of implementation of procedure

Name of Auditor Signature Name of Auditee Signature

Proposed Corrective action by auditee ( to be proposed up within 5 days from the date of NCR)

Auditee Sign.
Date
Acceptance of Corrective action by auditor :

Auditor Sign.
Date
Follow up comments if any by auditor

Auditor Sign.
Date

Continued compliance verified after 2 month period Result : OK / NO

from the date of acceptance of C.A. by auditor
NCR Closed Out

Auditor Sign.
Note : Attach additional sheet if required

Doc.No.: NSB-QA-F02 Rev.2

 Date

Doc.No.: NSB-QA-F02 Rev.2