CAPA Form
CAPA Form
CAPA Form
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
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 :