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Egba Split-Clamps Limited

Form 105: Internal Quality Audit Record


Date:

Sheet No:

Function/Area/ Process
Activities / Aspect
Audited.
Process Representative
Reference

Details of activities, documents, methods, procedures, records, results and


reports examined during audit.

Reference Non-compliance record (nil report required). Exact


observation of the facts. Where it was found. What was
found? Why it is non-compliance.

Auditor(s):
Name(s):
Process Representative
Name:

Minor
or
Major

Date:

Signature:

Date:

Signature:

Criteria
Reference

Form 105, Rev. 0, 12th Nov, 2012

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