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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