Doc. No.

:
COMPANY
Revison No. :

AUDIT SUMMARY REPORT Page :

PART 1 : AUDIT INFORMATION

AUDIT NO. : AUDIT DATE :

DEPARTMENT : AUDIT LOCATION :

AUDITOR : AUDITEES :

: :

: :

PART 2 : REFERENCES STANDARD/DOCUMENTS

PART 3 : SUMMARY OF AUDIT FINDINGS

PART 4 : FOLLOW-UP AUDIT

AUDITOR LEAD AUDITOR

Signature : Signature :
Name: Name:
Date: Date: