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Form CPAR

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QAC.822.MAN.F.001.

A
QUALITY & SERVICE AUDIT
Page 1 of 1
Revisi : 02
NON-CONFORMANCE REPORT Tanggal : 03 Nopember 2016

Auditor : Date :
Auditee : Outlet : RF Spazio
Store In Charge : Suhadi Shift / Jam : Opening
KETIDAK SESUAIAN / POTENSI KETIDAKSESUAIAN Sign
(NON – CONFORMANCE FINDING) :

Auditee

Auditor
ANALISA PENYEBAB (PROBLEM IDENTIFICATION) :

Date :

RENCANA TINDAKAN PERBAIKAN & PENCEGAHAN (CORRECTIVE AND


PREVENTIVE ACTION) : Prepared by

Store In Charge
End Date :

Approved by

Area Manager
Verified by
CATATAN PELAKSANAAN TINDAKAN PERBAIKAN & PENCEGAHAN (REMARKS
FOR CORRECTIVE AND PREPENTIVE ACTION) :

• Closed • Re – Verified Area Manager Tanggal :

• Closed • Repeat / Unclosed Auditor Tanggal :


QAC.822.MAN.F.001.A
QUALITY & SERVICE AUDIT
Page 1 of 1
Revisi : 02
NON-CONFORMANCE REPORT Tanggal : 03 Nopember 2016

Auditor : Firdausia Agustin Date : 26 September 2019


Auditee : Suhadi (Bambang Sugiarto) Outlet : RF Spazio
Store In Charge : Suparmin Shift / Jam : Opening
KETIDAK SESUAIAN / POTENSI KETIDAKSESUAIAN Sign
(NON – CONFORMANCE FINDING) :

Auditee
Orlep bbq 5016 dan 5011 pada pembuatan tanggal 020919 tidak tertulis kode
produksinya

Auditor
ANALISA PENYEBAB (PROBLEM IDENTIFICATION) :

Misskomunikasi antar crew saat overhandle dengan satu shift maupun shift berikutnya

Date :

RENCANA TINDAKAN PERBAIKAN & PENCEGAHAN (CORRECTIVE AND


PREVENTIVE ACTION) : Prepared by

Store In Charge
End Date :

membiasakan aktif berkomunikasi dan saling mengingatkan serta menuliskan di


dalam log book section agar tidak kembali terjadi misskomunikasi.
Approved by

Area Manager
Verified by
CATATAN PELAKSANAAN TINDAKAN PERBAIKAN & PENCEGAHAN (REMARKS
FOR CORRECTIVE AND PREPENTIVE ACTION) :

• Closed • Re – Verified Area Manager Tanggal :

• Closed • Repeat / Unclosed Auditor Tanggal :

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