Halal NC & Car

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HNC&CAR FORM

Issue No: HALAL- FRM-001

HALAL NC & CAR REQUEST FORM Revision No: 0


Date Issued: 2014 06 01
Page 1 of 1

NON CONFORMANCE & CORRECTIVE ACTION


Department/ Site: CAR No.

Major Minor

Clause: Date of issue: Page _____ of ____

Nature Of Non-Conformance
Process problem Recurring nonconformance

Process: _________ Inspection & test

In-charge: _________

Supplier problem
Lot No/Delivery Date: __________
Delivered Qty: ________
Expiry Date: __________
Rejected Qty: __________

Description On Non-Conformance:

Issued by: Received by:

Proposed completion date: Date:

Root Cause Analysis:

Corrective Action And Disposition

Action by: Actual completion date:

Prevention Of Recurrence

Action by: Actual completion date:

Follow Up and Close Out

Objective evidence sighted On-site verification

CAR closed: YES/NO Follow-up visit comments:


HNC&CAR FORM
Issue No: HALAL- FRM-001

HALAL NC & CAR REQUEST FORM Revision No: 0


Date Issued: 2014 06 01
Page 2 of 1

HALAL Department (signed & dated): Actual close out date:

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