IT Service Management
Non-Conformance Record
Date Reported
Non-Conformance ID
Reported By
Details of Non-Conformance
Description
Affected Service(s)
Date & Time of Occurrence
Detected By
Location / System
Immediate Action Taken
Action Description
Date & Time
By Whom
Root Cause Analysis
Description
Analysis Conducted By
Date
Corrective/Preventive Action
Details
Responsible Person
Target Date for Completion
Verification
Verified By
Date
Remarks
Closure
Closed By
Date
Comments