ASSESSMENT NON CONFORMITY REPORT Each Assessment Discrepancy requires separate sheet to be filled up. Note: Laboratory : ACCAB Department: Ref. No: Activity: Date: MAJOR MINOR Classification Opportunity for Possible Improvement/Correction NCR Ref. of NC: (OPI) (Note: NCR Reference Number not required No.: for OPI) ISO 15189:2012 Clause Standard: Number(s): DESCRIPTION OF NC: Signature & Name of Laboratory Representative: Signature & Name of Assessor: CORRECTIVE ACTION PROPOSED BY THE LABORATORY: Name & Signature Implementation (Laboratory Target Date: Representative): Name & Signature of Lead Assessor: REMARK BY LEAD ASSESSOR , IF ANY:
ASSESSMENT NON CONFORMITY REPORT Note: Each Assessment Discrepancy requires separate sheet to be filled up. Laboratory : Department: ACCAB Ref. No: Activity: Date: Classification of NC: MAJOR MINOR Opportunity for Possible Improvement/Correction (OPI) (Note: NCR Reference Number not required for OPI) NCR Ref. No.: Standard: ISO 15189:2012 Clause Number(s): DESCRIPTION OF NC: Signature & Name of Laboratory Representative: Signature & Name of Assessor: CORRECTIVE ACTION PROPOSED BY THE LABORATORY: Implementation Target Date: Name & Signature (Laboratory Representative): REMARK BY LEAD ASSESSOR , IF ANY: Name & Signature of Lead Assessor:
CRA-F-09-15189-%20NON%20CONFORMITY%20REPORT.docx