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Mammut Industries FZE

Form Name: NON CONFORMITY REPORT


Corrective / Preventive Action Request
Form No.: MTD-QPF-03-01 Revision No. : 01 Page 1 of 1

Type :  NCR o Corrective/Preventive

Area
Date: S.N.:

Basis : A B C D E
A = Internal Audit , B = External Audit , C = Management Reviews/IMS Policy or Objectives, D = Customer Complaint E =
Process/Product Nonconformity
Statement of Nonconformity
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Issued By Target Date: / / 2010

Investigation of Root Cause (S) and Corrective Action :


Root Cause(s): ______________________________________________________________________________________________________________________

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Corrective Action(s): ______________________________________________________________________________________________________________________

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Follow-Up Status
 Closed  Open
First Follow-up: allocate 2nd Target Date: / / 2010
Agreed By :_____________________
Verification Results :
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 Closed  Open
Second Follow-up: Verified By: New Corrective Action No
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