Incident Report Format | Incident Report Template | Incident Report Format For Production & Process Incidents | Incident Report For Equipment breakdown or malfunction |
Incident Report No.: IR/PRD/2025/045
Incident Raised By: (Name, Sign & Date)
Department: Production
Date of Incident: 29-Aug-2025
Time: 11:20 AM
Category: ☐ Quality Impacting Incidents ☑ Quality Non-Impacting Incidents
(SECTION I) Description of the Incident:
During the compression process of Batch No. TBL/2025/089, the Tablet Compression Machine (Model: Cadmach CMD3-27 Station) suddenly stopped due to motor failure. Production was interrupted, and approximately 8 kg of granules remained uncompressed in the hopper.
(SECTION II) Immediate Action:
- Machine was immediately stopped and isolated from power supply.
- In-process material was collected in polybags and labeled as “On Hold – Pending QA Decision”.
- Engineering department was informed for troubleshooting.
- Incident was reported to QA.
Action Taken By: Production Officer (Name, Sign & Date)
Action Checked By: Production Head (Name, Sign & Date)
Preliminary Investigation (Root Cause for Incident):
- Engineering inspection revealed motor overheating due to inadequate lubrication in the gear system.
- Preventive maintenance schedule was not followed as per SOP.
Department Head: (Sign, Date & Name)
(SECTION III) Classification of Errors / Events responsible for Incident:
☑ Breakdown of an Equipment / Instrument / Utility Machine
☐ Malfunctioning of an Equipment / Instrument / Utility Machine
☐ Power Failure
☐ Documentation Error
☐ Human Error
☐ Others
(SECTION IV) Suggested Corrective Action & Preventive Action To Be Taken:
Corrective Action:
- Replace faulty motor with new one.
- Clean and lubricate gear assembly.
Preventive Action:
- Revise preventive maintenance schedule for compression machine.
- Engineering to maintain logbook for lubrication check every 15 days.
- Retrain production and engineering staff on equipment handling and maintenance.
Responsible Staff: Engineering Officer (Name, Designation)
Target Date for Completion: 05-Sep-2025
Suggested By: Department Head (Sign, Date & Name)
Reviewed By: Plant Head (Sign, Date & Name)
(SECTION V) Evaluation and Recommendation by QA / VP Technical:
- No quality impact observed on processed batch material.
- Material to be resumed after machine rectification and line clearance by QA.
Q.A. Head / VP Technical: (Sign, Date & Name)
(SECTION VI) Compliance of the Recommendations and Closure:
Verification Done By:
- Department Head (Sign, Date & Name)
- QA Head / VP Technical (Sign, Date & Name)
Final Conclusion with Estimated Commercial Loss:
No commercial loss observed; minor production delay of 4 hours.
Remarks: Incident Closed.
Head of Quality Assurance Department / VP Technical: (Sign, Date & Name)