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Product Non-Conformance Report (PNCR)

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Section 1
To be Completed by QA DEPT.
Non Conformance Description:
Quantity:
QA/QC
Date:
Disposition?
Section 2 (To be completed by Receiver)
Please reply or return fax asap
Cause Analysis
Corrective Action
Name and Signature
Date
Section 3 (To be completed by QA dept)
Remedial Results?
Remarks
QA Name and Signature
Date:
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.