(FORM : XXX)

AUDIT REPORT

AUDIT REF. NO. : AUDIT DATE :

AUDITEE : DEPARTMENT :

DESIGNATION : LOCATION :

AUDIT CRITERIA :

SUMMARY OF FINDINGS : (Strength and Weakness)

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CONCLUSION :
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ACKNOWLEDGEMENT BY AUDITEE :

SIGNATURE : ____________________________ DATE : ____________________________

AUDITOR :

NAME : SIGNATURE : DATE :