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Insert Company Logo Here

Document
Manufactured by Company name, address, phone # and brief description Issue Date
Revision Date
Approval Date
Approval Signature
Mock Recall Policy – Sample Template

Mock Recalls are performed twice per year and records are retained. The Mock Recall Report contains the
following information:

 The date the mock recall was performed


 The reason for the mock recall
 Detail the action taken
 Document the Recall Class
 Document the Percentage of Recovery
 Detail Corrective Action taken
 Record the total time of the recall

Records of a Mock Recall will be detailed on insert applicable Exhibit # here. These records are stored in
the insert applicable department here – example: Quality Control Department.

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