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Non-Conformance Corrective Action Report
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Incident Site
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As relates to incident management. May not be where incident occurred.
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Narre Warren North
Bilmont
Batlow
Legana
Ardmona
Harcourt
Irymple
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Please Select
Narre Warren North
Bilmont
Batlow
Legana
Ardmona
Harcourt
Irymple
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Details of Incident / Non-Compliance
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Outline what happened, including all relevant details.
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Incident / Non-Compliance Review
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What was the cause?
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Corrective Action
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What will be done to rectify the situation?
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Type of Non-Conformance
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Tick any that apply
Scheduling/Rostering
Fitness for Duty
Fatigue Knowledge
Responsibilities
Internal Review
Records/Documents
Other
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Long-Term Solution - Preventative Action
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What long-term measures can be taken to ensure the incident does not occur again?
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