Company
Name
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Doc. Level:
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NCR
Non
Conformity Report
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Doc. No:
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Rev. No.:
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Date of Issue:
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Non-Conformity
identified By :
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Date
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NCR No.
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Responsibility
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Target Date:
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Name:
Designation:
Sign:
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Need for improvement
Change/Amendment
Disciplinary Action
Customer Feedback/Compliant
Machine Maintenance
Internal Audit Finding
Incident/Accident
Supplier/Sub-Contractor
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   NCR Type Critical:- Major:- Minor :- |
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DESCRIPTION
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Sender’s
Signature:-__________ Date: _______ Receiver’s
Signature:-_____________ Date: _________
INVESTIGATION SUMMARY (use Separate sheet in case of detail investigation
report and attached with this document).
CORRECTIVE ACTION TAKEN:
Corrective Actions Taken By: Name: _______________
Designation : __________________ Sign / Date: __________________
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ROOT CAUSE:
Investigated By: (Department Head) Name: __________ Designation :
__________Sign: ______________Date: _________
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PREVENTIVE ACTION RECOMONDED:
Preventive Action Recommended By: Name:
________________ Designation : _______________Sign / Date: ______________
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NCR Closed Out On:
______________________NCR Closed Out By (QA Officer): ____________________
Reviewed By: (QA Incharge) _________________________
Authorized By (Director/ MR / Auditor): _______________
►Critical: A
deficiency leading to harmful effects to human/animals.
►Major= A
deficiency in which the product is OOS.
►Other / Minor
= A deficiency which is neither critical nor major however it is a departure
from GMP
Ref: PIC/S =
PI 013-3
g to harmful effects to human/animals.
►Major= A
deficiency in which the product is OOS.
►Other / Minor
= A deficiency which is neither critical nor major however it is a departure
from GMP
Ref: PIC/S =
PI 013-3