BM 03/QTCT 03.

PIDEU Gill KET QuA DANH GIA LBH: 02

Ngay: 01/0812018
AUDIT RESULT RECORD FORM Trang: ..1. .
ItALONG CANfOCO
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 BM 03/QTCT 03.
PillEU Gill KET QuA DANH GIA LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: .1. .
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REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED S TON
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 BM 03/QTCT 03.
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Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: .....1.......
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 BM 03/QTCT 03.
PilltU Gill KET QuA DANH GIA. LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: ..1. .
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REPRENTATlVE OF A UDIT GROUP

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BM 03/QTCT 03.
PillEU Gill KET QuA llANH GIA LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: ..1 .
114LONG CANfoC°

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PIDEU GID KET QuA BANH GIA LBH:02
~ AUDIT RESULT RECORD FORM Ngay: 01/0812018
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REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION
 ~\NCE"S7

BM03/QTCT 03.

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PHIEU GID KET QuA nANH GIA. LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: .1 .
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REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SEC
 BM 03/QTCT 03.
pmEU car KET QuA BANH GJA LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM

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Trang: .1 .

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 ti~ PHIEU GHI KET QuA DANH GIA
AUDIT RESULT RECORD FORM
BM 03/QTCT 03.
LBH: 02
Ngay: 0110812018
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REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION
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 SIIiCE,..1'SJ
BM 03/QTCT 03.
PHIEU GHI KET QuA DANH GIA LBH: 02
_ Ngay: 0110812018
. AUDIT RESULT RECORD FORM Trang: .1 .

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REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION
 BM 03/QTCT 03.
PHIEU GHI KET QuA DANH GIA

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LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: .1 .
1i4LONG CANfQCO

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REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION

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PliEU om KET QuA DANH GIA. LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: .....1....••.

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 EM 03/QTCT 03.
PIDEU GID KET QuA DANH GIA LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: ...../.......

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REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION
 - ----

BAo cAo SV KHONG pHiJ HQ'P BM 04/QTCT -03

LBH: 02
Ngay: 0110812018
NONCONFORMITY REPORT Trang: .1. .

t SI! khong phu hop so/Nonconformity No.: ~1

BQ phan duoc danh gialAudited section: Xac nhan cua bQ ph~ , diroc danh gia/ Confirmation of

J1mg 1& Inua.

audited section:

Tieu chuan danh gia Dieu khoan so SI! khong phil hop lo~i/Type of conformity
Audit standard Clause no.
DN~g [ffNh~
Major Minor
Chuyen gia danh gia: HQ Ten!: Won? lor» HQ Ten!: /){eu &01'- HQ Ten!:
Audit specialist Full name ' Full name - Full name
Chtr IcY: fO Chtr IcY: .~( ~Chli IcY:
Signature ~ Signature ;~ Signature

Mo ta SlJ khong phil hqp/Description of Nonconformity:

.l/t0 cfrLJo )I',n lM1 ,tH ~«-fi~J1 n7lft fo ohiJ ~ '1j au6
"til 7/1u In(}ot .
Nguyen nhan va hanh d9ng khac phuc/ Cause and corrective action:
V_"':,
~
- 1
c__aU "./11111
r- t ..r:
~111)
I i_I
Cff
tun
'1' IA ~

Nguoi oe xuat nguyen nhan va HDKP: Nguoi thirc hien : Thai han thirc hien :
Cause and corrective action proposed by Performed by Perfomance duration

PM duy~t hanh o9ng khac phuc: Theo d5i hieu qua:

Approve corrective action Monitor efficiency
o
D6ng y 0 Khong d6ng y K8t qua: 0 D~t DKh6ngd~t
Agree Disagree Result OK Not OK

s6 phi~u KPPN:
Corrective & preventive form no.

Chuyen gia oanh gia : TruOng ban oanh gia:

Audit specialist Audit board leader

NgaylDate: . Ngay/Date: .
 BM 03/QTCT 03.
pmEU om KET QUA BriNH GIA. LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: .1 .

- r ()~!l r.- ~ ....... ,

Chuyen gia danh giaJAudit specialist: D.lU /A( ..c[/](dt}.; .I/uiz7 ../!(!1:1: J!t,n .
Ngay danh gialAudit date: .,j,):I.t.Ui ..Don vi duoc danh giaJAudited section: ./J!..:::.&j..P.fl.}(j,l,( ~ !Ij
STY NQi dung <tanh gia GhLchu· ;
SN Audit content

v ~ I IV_. {J-.-.if''7

'Tl&J. hJI!' - ;1~- ..

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DM DI~N DoAN DA.NH GrA D..;.r D:q;N DON V1 otroc DAA"H GrA
REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION
 BM 03/QTCT 03.
pmEU ern KET QuA DANH GIA LBH: 02
Ngay: 0110812018
AUDIT RESULT RECORD FORM Trang: .1 .

Chuyen gia danh giaJAudit specialist:

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.D~ D~N DoAN I>ANH GrA D.M Dn::N DON VI IHfQC DANH GrA
REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION
 ~ PHIEU GHI KET QuA DANH GIA. 'MO"Q:~:~2
~ AUDIT RESULT RECORD FORM Ngay 0110812018
If.4iOHG CANfoCO Trang: .1. .

Chuyen gia danh giitJAudit specialist: ~;; 'lh<.. t: '/hM .

Ngay danh gj{JjAudil dale: .. J.I1.o.t1..njjiJcm vi diroc danh gjei/Auditedsecfion:)h.Un . .(iJ.U .
STT
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Remark

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D~ DI~N DoAN DA.NH GIA

D~ D~N DON vr DtJ(1C DA.NHGIA.
REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION
 BM03/QTCT 03.

~ PIDEU Gill KET QUA DANH GIA LBH: 02

Ngay: 0110812018
~
AUDIT RESULT RECORD FORM Trang: .....1....•..
1t4LOH~CANrOC0

Chuyen gia danh giaJAudit specialist: ~~ ~~ ~ ;.:: .

Ngay danh giaJAudit date: .f.t(Kf.Joll .. Don vi duoc danh giaJAudited section: .: .. . .&.L..c.L.
STT N§i dung oan.b-ghi
SN A uaitcont.e11.t

JJ-

D~ Dr:eN DO~~ DANH GrA. D~ Dr:eN DON VI DtrOC DANH GrA

REPRENTATIVE OF AUDIT GROUP REPRENTATIVE OF AUDITED SECTION
 •
~IIICE1'SJ

~CANfocO
.. ,
BAo cAo SV KHONG
NONCONFORMITY
pm) HC}P
REPORT
BM 04/QTCT-03
LBH: 02
Ngay: 01/0812018
Trang: "",/",,,

r--------- __~~_--~ __
~~----_,~~~-------------- _,
S\I khong phu hop so/Nonconformity No.: Ngay/Date: Aft ot/JJJA5
B9 phan diroc danh giaiAudited section:
Xac nh~n cua b9 ph~n diroc danh gia/ Confirmation of
audited section: <fJ6j
!f.r

Dieu khoan so Su khong phu hop lo~Ii/Typeof conformity

Clause no.
DN~ng G(Nh~
Major Minor
H9 Ten/; f{.
Full name
Chtr Icy:
1 r_ ~ , Ho Ten!: /"'.__C)
F~llname ~
Chfr ky; tiP 1P.7f:.:~
H9 Ten!:
Full name
Chtr ky:
Signature SignaturtY~/~' fJ Signature

Nguyen nhan va hanh o(>ng khAc phuc/ Cause and corrective action:
r-, r (' r c- f" fP f I ,,/(

- I(~~ 7lhcwl ; d1) ~ _:5J~~ ~fl1 X~tU?, (

- ~ ~ ~~c f~C.' ~ Je 7\UaJ ~,tI{, thtmh tp1lJ ~<lL

Nguoi de xuat nguyen nhan va HDKP: Ngtroi thuc hien : Thoi han thirc hi~n :
Cause and corrective action proposed by Performed by
,
Perfomance duration

PM duy'~t hanh d(>l1gkhii i~u qua:

Approve corrective actio Monitor ifficiency
5fD6ng y 0 Khong d6ng y K€t qua: 0 D~t DKhongd~t
Agree Disagree Result OK Not OK
sa phi€u KPPN:
Corrective & preventive for(/) no.

Chuyen gia dfmh gia : ~ TruOng ban danh gia:

Audit specialist Audit board leader

Na~: .. ~oti~~O~A~
.. ~_N~~_~_~_~_:_
...
_..
_
...
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_..
_...
_..
_
...
_..
5_" ___
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 BAo cAo SV KHONG pHiJ H<}P BM O4IQTCT-03
LBH:02
Ngay: 01108/2018
NONCONFORMITY REPORT Trang: .J. .

S\I khong phu hop solNonconformity No.: NgaylDate:

BO phan

~
diroc danh giaiAudited section:

Ifud., Ii~ ~~ audited section: {)7r

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Cause and corrective action proposed by Perfomance dJration
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