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: |
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. |
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:
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]
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 Actions:
Re-calibrate all hardness testing machines in the quality control department.
Planned Completion Date: [Month Day, Year]
Preventive Actions:
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.
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. |
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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