Recall Investigation Report





Company Name
Quality Assurance Department

Recall  Investigation Report

 

Form No.
Issue Date:
Revision No: 
Report No #

Product  Name

Batch  No

Batch Size

Mfg Date

Expiry Date

Packing Date

                                                                                                                                       

Ref .NCR No      ­­____________                                                                                              Date         _______________

Description of complaint:
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__________________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________
Route cause Analysis: (Please attach complete investigation report if required)
_________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Immediate action taken:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
CAPA:
Corrective action taken:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Preventive actions recommended:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Investigated by:

Remarks by Quality Assurance manager (if any): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
     
 
QA manager:                                                                                                                           Date:


Remarks by Director (if any): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Director:                                                                                                                                   Date:
                                                                                                                                                                         

                                                                        

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