Free Quality Assurance Incident Report Template

Quality Assurance Incident Report


This Quality Assurance Incident Report provides valuable insights into the incident, its root causes, and the proposed corrective actions and recommendations to prevent similar occurrences in the future.


Reporting Personnel

Name: [Your Name]

Position: Quality Assurance Officer

Company Name: [Your Company Name]

Date: [Date]


I. Incident Details

Date of Incident:

May 25, 2053

Time of Incident:

10:30 AM

Location of Incident:

Production Floor, Facility A

Individuals Involved:

  1. Name: [Employee 1 Name]

Position: Machine Operator

  1. Name: [Employee 2 Name]

Position: Quality Inspector

II. Description of Incident

During routine quality inspection, [Employee 2 Name] discovered a deviation in product dimensions in Batch #20530524. Upon investigation, it was found that Machine #3 exhibited irregular performance, resulting in inconsistent product sizes.

III. Investigation and Analysis

Analysis of machine logs revealed fluctuations in temperature and pressure settings during the production run, likely causing variations in product dimensions. Maintenance records indicate that Machine #3 was overdue for scheduled maintenance.

IV. Corrective Actions

  1. Immediate calibration and maintenance of Machine #3 to restore optimal performance.

  2. Implementation of a more frequent maintenance schedule for all production equipment.

  3. Conducting refresher training sessions for machine operators on proper equipment operation and maintenance protocols.

V. Recommendations

  1. Establishing regular equipment performance checks to preemptively identify issues before they impact product quality.

  2. Exploring automated monitoring systems to provide real-time alerts for deviations in production parameters.

  3. Reviewing and updating maintenance schedules to ensure alignment with equipment manufacturer recommendations.

VI. Signatures

A. Reporting Personnel

Name

Role

Signature

Date Signed

[Your Name]

Quality Assurance Officer

[Date]

B. Individuals Involved

Name

Role

Signature

Date Signed

[Employee 1 Name]

Machine Operator

[Date]

[Employee 2 Name]

Quality Inspector

[Date]

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