Operations Non-Conformance Resolution Form

This form is designed to document and address non-conformance incidents in operational processes. Please complete the following sections to report and resolve the identified non-conformance.

Date of Report:
Time of Report:
Reported By:
Position:
Contact Information:

Non-Conformance Details

NC Report Number:
Date of Incident:
Time of Incident:
Location of Incident:

Description of Non-Conformance:

During the routine quality inspection, it was discovered that Batch #B23489 of the [XtremeWidget] failed to meet the specified hardness criteria as outlined in the product specification document PS-112. The average hardness measured across ten samples was 45 HRC, whereas the minimum acceptable value is 50 HRC.

Impact Assessment

Immediate Impact:

The immediate production schedule is affected as Batch #B23489 cannot proceed to the packaging stage. There is a potential delay in fulfilling customer orders for [XtremeWidget], impacting customer satisfaction and timely delivery commitments.

Potential Long-Term Impact:

Initial Response and Containment Actions

Action Taken:

The affected batch was immediately quarantined to prevent it from proceeding further in the production process. A re-inspection of the preceding and succeeding batches was initiated to determine the extent of the issue.

• Responsible Person(s):  [Name(s)]                     

• Date of Action:  [Month Day, Year]                      

Root Cause Analysis

• Investigation Lead:  [Name]                                 

• Team Members:  [Name(s)]                                  

• Analysis Method Used:  [5 Whys]                        

Root Cause(s) Identified:

The root cause was identified as an incorrect setting on the hardness testing machine used for Batch #B23489, which was not calibrated correctly, leading to inaccurate hardness measurements.

Corrective Action Plan

Corrective Actions:

1. Re-calibrate all hardness testing machines in the quality control department.

2.                                                                                                                                 

3.                                                                                                                                 

Planned Completion Date:  [Month Day, Year]         

Preventive Actions:

1. Implement a monthly maintenance and calibration schedule for all testing equipment to prevent recurrence. Develop a checklist for daily verification of equipment calibration by the operators.                                                                

2.                                                                                                                                   

3.                                                                                                                                  

Follow-Up and Resolution Verification

• Follow-Up Date:  [Month Day, Year]         

• Verification of Corrective Actions

                                                                                                                                    

                                                                                                                                    

Comments:

The implementation of a rigorous equipment maintenance and calibration program has significantly improved the accuracy and reliability of the testing data, preventing similar non-conformance incidents.

Approval

Report Prepared By:

Name: [Your Name]

Position: Quality Assurance Manager

Signature:

Date: [Date]

Reviewed By:

Name: [Name]

Position: [Position]

Signature:

[Month Day, Year]

Approved By:

Name: [Name]

Position: [Position]

Signature:

[Month Day, Year]

[Your Company Name] is committed to maintaining the highest standards of quality, safety, and compliance. This form is a crucial part of our continuous improvement efforts to identify, resolve, and prevent non-conformance in our operations. Thank you for your diligence and cooperation in this process.

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