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Sr. No.

CORRECTIVE ACTION REPORT Date :


Page No. of

Audit Scope / Dept. : Audit No. :

Auditee Responsible : Non-Conformity No. :

Auditor : Personnel Interviewed :

Non-Conformity :

Auditor Signature : Auditee Signature :


Cause analyses :

Correction & Corrective Action :

Auditee Signature :
Follow-up Audit : Verification and Effectiveness of Corrective Action Taken :

Auditor Signature :
Status : Non-conformity is Closed / Not Closed

Management Representative :

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