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    List Your Processes Here: Enter Full Name of CAR Form Here Enter Abbreviated Name of Your CAR Form Here

    Uploaded by

    chahi
    This document appears to be a template for a Corrective Action Request (CAR) form. It requests information such as the name of the person submitting the form, the date, whether the issue involves a process, supplier, or other source. It also has sections to describe the problem in detail, assign the issue to someone, determine the root cause, provide an action plan, verify if the action was effective, and allow for additional notes. The goal is to document issues and ensure corrective actions are taken to resolve problems and prevent recurrence.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    List Your Processes Here: Enter Full Name of CAR Form Here Enter Abbreviated Name of Your CAR Form Here

    Uploaded by

    chahi
    50 views4 pages
    This document appears to be a template for a Corrective Action Request (CAR) form. It requests information such as the name of the person submitting the form, the date, whether the issue involves a process, supplier, or other source. It also has sections to describe the problem in detail, assign the issue to someone, determine the root cause, provide an action plan, verify if the action was effective, and allow for additional notes. The goal is to document issues and ensure corrective actions are taken to resolve problems and prevent recurrence.

    Original Title

    Form - CAR Form.xlsx

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    © © All Rights Reserved

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    This document appears to be a template for a Corrective Action Request (CAR) form. It requests information such as the name of the person submitting the form, the date, whether the issue involves a process, supplier, or other source. It also has sections to describe the problem in detail, assign the issue to someone, determine the root cause, provide an action plan, verify if the action was effective, and allow for additional notes. The goal is to document issues and ensure corrective actions are taken to resolve problems and prevent recurrence.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    50 views4 pages

    List Your Processes Here: Enter Full Name of CAR Form Here Enter Abbreviated Name of Your CAR Form Here

    Uploaded by

    chahi
    This document appears to be a template for a Corrective Action Request (CAR) form. It requests information such as the name of the person submitting the form, the date, whether the issue involves a process, supplier, or other source. It also has sections to describe the problem in detail, assign the issue to someone, determine the root cause, provide an action plan, verify if the action was effective, and allow for additional notes. The goal is to document issues and ensure corrective actions are taken to resolve problems and prevent recurrence.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    List your Enter full name of

    processes here: CAR form here


    Process 1
    Process 2 Enter abbreviated
    Process 3
    name of your CAR
    Process 4
    Process 5
    form here
    Process 6
    Process 7
    Process 8
    Process 9
    Process 10 Enter name or title of
    CAR Administrator
    here
    For example, "Corrective Action Request"

    For example, "CAR"

    For example, "John Smith"


    #
    () - Rev 0
    00
    00
    Type Corrective Action (existing issue) Preventive Action (potential issue) Name:
    Check one
    Opportunity for Improvement / Suggestion Date:
    Employee Customer
    ✘ Supplier / Subcontractor Feedback
    Feedback Feedback
    Source External Audit Internal Audit
    ✘ Management Review Action Item
    Check one Finding Finding
    Other:

    Process 1 Process 2 Process 3


    Process 4 Process 5 Process 6
    Process
    Check one Process 7 Process 8 Process 9
    Process 10 Other:

    Priority
    Check One Low Medium High Urgent / Critical

    Describe the issue or problem in detail.

    Stop here. Submit to

    Assigned to: Date Assigned: Respond by:


    To be completed by the Assignee.
    Root Cause of Problem: (Required for all corrective and preventive issues; optional for suggestions for improvement.)

    Action Plan: (Actions taken to eliminate root cause, resolve issue and prevent recurrence.)

    Date Action Completed: Name:


    Stop here. Return to

    Effectiveness verified by: Date:


    Result: PASS FAIL: Returned for Further Processing
    Notes and
    justification:

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