New Non-Conformance Report - PmPal Incident Management

New Non-Conformance Report

A – To Be Completed By The Initiator

Date	Initiator	NCR #
Type of Non-Conformance Customer Supplier Product Service Process Quality
Investigator
Description of Non-Conformance
Expected Response Date	Investigator's Signature

B – To Be Completed By The Investigator

1. Immediate Containment Action / Disposition	Date for Completion
Disposition Reject / Scrap Accept with Concession Re-Grade Rework Repair with Concession Other (specify)
Concession by: Internal Customer	Approved By
2. Action Plan To Correct Non-Conformance (Rework / Repair Instructions)
Investigator's Signature	Date
Date for Completion

C – To Be Completed By The Verifier

NCR Closed By (print name)

Date

CAPA# (if required)