Doc #:

Logo Audit Report Revision 1

Change Order:

Audit Number
Audit Subject

Report
Date of Audit Auditor
Date
Audit Purpose
Audit Scope
Auditee(s)

Executive Summary

Review of Previous Audit Findings:

Audit # Description of Finding: Has finding been resolved? Explain:

Documents Reviewed During this Audit

Document Number Revision Title

Records Reviewed During this Audit

Record Number Title

Audit Findings
Finding Number Type of Nonconformity Major Nonconformity / Minor Nonconformity
Description of Requirement

Description of Observation (include reference to documents and records)

Confidential Page 1 of 2
 Doc #:
Logo Audit Report Revision 1
Change Order:

Audit Number
Audit Subject

Finding Number Type of Nonconformity Major Nonconformity / Minor Nonconformity

Description of Requirement

Description of Observation (include reference to documents and records)

Conclusion
The XXX area was found to be compliant, to be not fully compliant to XXX. Full compliance may be
achieved by performing corrective action in response to the above findings.

Auditor Name Signature Date

References to CAPA(s) and other

Audit follow-up
Written by Signature Date

Auditee Name Signature Date

Auditee Management Name Signature Date

Confidential Page 2 of 2