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Date ……………… Non-conformance Report No…………..

Contract Requirements:

Non-conformance

This is based on the following observations/facts:

Due date:: Lead auditor: Eng.


Root cause analysis: (For auditee use. The complete report shall be returned)

Corrective actions implemented:

Date: Name:
Corrective actions verified by Lead auditor (for Lead auditor use only):

Approved:: Lead auditor:

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