Disagreement Report of Product Quality Certification
'First inspection' supervision/inspection
Name of examinee
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Inspection report No
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Department or area of examinee
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Inspection date
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Statement of disagreement with fact
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Disagree with terms of 'actory quality assurance capability requirements':
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Requirements of correction measures
'Carry out correction measures' set correction measures plan
Should complete within _____ days
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Verification method:
Evaluate the feasibility of correction measures plan and tracking verification in next site inspection.
Carry out documents evaluation on the confirmation information of correction
measures implement which provided by examinee.
Carry out site verification on the validity of correction measures implement.
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Inspector (signature)
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Inspection group head (signature)
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Representative of examinee (signature)
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brief description of the correction measures
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Representative of examinee(signature) Year Month Day
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View of
confirmation
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Is the correction measures plan feasible?
'Yes' No
Is the correction measure feasible or effective?
'Yes' No
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Confirmation person(signature)
Year Month Day
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