TITLE: INTERNAL AUDIT NON-CONFORMANCE ROL

REPORT

INTERNAL AUDIT NON-CONFORMANCE REPORT

Date of Audit: 08-04-2022

AUDIT No.: 01 REPORT No.: 01 PAGE No.: 01

DEPARTMENT: QUALITY ASSURANCE
AUDITOR: VICTOR EHIJIE AUDITEE: Mr. CHIGOZIE
OBSERVATIONS INDICATING NON-CONFORMANCES STD/ PROPOSED
DOC CORRECTIVE ACTION
REF & DATE

NO TAG TO INDICATE IF BAG OF KAOLIN SAMPLE FLOW TAGGING OF

CHART KAOLIN SAMPLE TO
AT THE DOOR OF THE LAB IS REJECTED OR
FOR INDICATE STATUS
APPROVED. QA,
IMS
8.5.3
13-04-2022

NON-CONFORMANCES ACCEPTED

AUDITORS SIGNATURE WITH DATE AUDITEE’S SIGNATURE WITH DATE

ROOT CAUSE ANALYSIS / IMPLEMENTATION OF CORRECTIVE ACTION:

AUDITEE’S SIGNATURE WITH DATE

VERIFICATION OF CORRECTIVE ACTION

AUDITOR’S SIGNATURE WITH DATE

NON-CONFORMANCES CLOSED:

MR’S SIGNATURE WITH DATE

FORM No. R/MR-08 Rev.A Page 1 of 1