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Observation Report: Prudential Customs Brokerage Services, Inc

This document is an observation report template used by Prudential Customs Brokerage Services to document potential non-conformities. The report collects information on the source of the observation, details of the observation or potential non-conformity, a root cause analysis using the 5 Whys technique, a preventive action plan with implementation responsibilities and target dates, and a follow-up section to check on the effectiveness of the preventive actions.

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Princessa Lopez Masangkay
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72 views2 pages

Observation Report: Prudential Customs Brokerage Services, Inc

This document is an observation report template used by Prudential Customs Brokerage Services to document potential non-conformities. The report collects information on the source of the observation, details of the observation or potential non-conformity, a root cause analysis using the 5 Whys technique, a preventive action plan with implementation responsibilities and target dates, and a follow-up section to check on the effectiveness of the preventive actions.

Uploaded by

Princessa Lopez Masangkay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Prudential Customs Brokerage Services,

Inc.

OBSERVATION REPORT
Company/Branch:

Department/Section:

Reported by:
(Name & Position)

Observation Report No.:

Date Reported:

Accepted by:
(Name & Position)

Noted by:
(Name & Position)

Sources of
Observation:
o Customer
complaint
o 3rd Party Audit
o Internal Audit
o Process

1.

o
o
o
o

Service Requirements
Complaints to Supplier
Management Review
Others:
_____________________________

DETAILS OF OBSERVATION /POTENTIAL NON-CONFORMITY:

2. ROOT CAUSE ANALYSIS (Use 5 Whys):

Analysis done by :
F-CPA-02
Revision: 01
Effectivity Date: 05/04/2015

Department/Branch Manager
Page 1 of 2

Prudential Customs Brokerage Services,


Inc.
Date

Date

3. PREVENTIVE ACTION PLAN/MEASURES TO BE IMPLEMENTED:

Person Responsible

Department/Branch Manager

Target Implementation Date

Date

4. FOLLOW-UP STATUS
NO
Date

EFFECTIVE :
Status

o
o

F-CPA-02
Revision: 01
Effectivity Date: 05/04/2015

Auditor

YES

Department/Branch
Manager

IMPLEMENTED
NOT IMPLEMENTED

Page 2 of 2

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