File No

NCR No

Audit Date

Audit Type

Stage 2

Surveillance

Recertification

Classification

Standard Name

Client

Division

Section 1 - Details of nonconformity

Requirement:

Finding :

Objective Evidence :

Justification for classification (for IATF only) :

Auditor:

Client's Representative:

Section 2 - Result of investigation and determination of root cause

Client's Representative:

Section 3 - Correction (if applicable) and corrective action plan including completion date

Client's Representative:

Accepted by:

Section 4 - Verification of corrective action(s) (to be filled up by Auditor)

Verified by:

NCR Close Out:

Yes

NCR created date:

NCR closed date:

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