INTERNAL AUDIT REPORT - FIND
|Equipment: | |
|Location: | |
|Asset Number: | |
|Equipment failure reported by: | |
|Date of failure: | |
NATURE OF FAILURE:
POSSIBLE CAUSES OF FAILURE:
OUT OF SERVICE NOTICE:
( YES ( NO
CORRECTIVE ACTIONS:
List all corrective actions undertaken.
| |Actions |Details |Completed |
|1 | | | |
|2 | | | |
|3 | | | |
|4 | | | |
|5 | | | |
FOLLOW-UP ACTIONS:
Describe actions to prevent re-occurrence of the equipment
|Note: Once the form is completed it should be saved under a file name with the following format: |
|{Equipment Failure Report}_{4 digit number}_{yyyy}_{Equipment name}_{ddMMMyy}.doc |
|Date: | |
|Head of Laboratory (signature) | |
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