Quality Incident of Non-Conformance (INC)
QMS
Date
*
-
Month
-
Day
Year
Date
State
*
Project Name
*
Project Number
*
Name
*
First Name
Last Name
Email
*
example@example.com
Failure Analysis
What has or will fail?
What were the contributing factors?
Cost of the failure?
Example: $8000
Why did it fail (Root Cause)?
What will or would have prevented failure?
What mitigation steps have been taken?
What further steps need to be taken?
What is the reccomended path forward?
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Does this failure require a RCA?
Yes
No
Investigation Team
Why did the failure occur (deductive RC arguement)?
What is the Root Cause(s)?
What are the corrective action items?
What is the ultimate outcome?
Who Closed This Incident Report?
first/last name
Date Closed
-
Month
-
Day
Year
Date
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