CAPA Form

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CAPA FORM

Corrective Actions & Preventive Actions

Format No.:
CAPA Reference No.:
Non Conformity / Improvement/ Preventive Action:

Start Date:

Details

Target:

Present Status

Target Date:

CAPA Leader:
Team Member:
1.
2.
3.
4.
5.
6.
Root cause analysis

Corrective action:

Responsibilit
y

Target date
of
completion

Actual date
of completion

Horizontal Deployment / Preventive Action

Responsibilit
y

Target date
of
completion

Actual date
of completion

Document change :

Responsibilit
y to change

Target date
of
completion

Actual date
of completion

Verified By :

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