Non Conformance & Corrective Action Report
NCR No:
Job Name: Customer Job No
Customer Production Operations Despatch Planning Engineering Technical/ Supplier Pre-
Complaint QC Press
DESCRIPTION OF PROBLEM (please tick appropriate box and include brief Description/s)
Non Conformance • Potential Problem
NCR Raised By: Date:
Production Date Shift Operator Name Machine Name
Rejected/Held Qty Order Qty % Rejection/Held Roll Nos
Location of Non-Conforming Goods
Investigation Of The Root Cause? (Explanation by the process owner)
Investigation Completed By: Date:
What Is The Immediate Solution To The Problem? (Corrective Action(s) Plan)
Is Further Investigation required? Yes • No
•
(This Section To Be Completed By Department Head/Manager)
Dept HOD Sign: Date:
What Are We Going To Do To Prevent It From happening Again? (Preventive Action(s) Plan)
Action/s To Be Taken Date Responsible
Completed Person
Follow Up:
Was It Fixed? (Note Evidence And Date That actions Were Completed) Yes • No •
Date:
Was The Fix Permanent? (Note Evidence That The Problem Was Fixed) Yes • No •
(Please Attach Supporting Documents/Actions)
Follow Up Completed By: Date:
Close Out: Yes • No • (If No, Raise New NCR) New NCR No.:
Closed Out By: DATE: _
QA Sign: Date:
INSTRUCTION ON HANDLING NON-CONFORMING PRODUCT
Alternate Use (Specify) Accept on Concession
Rework Segregate
Write Off/ Dispose
Authorized By
Sign Date