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    FM-CPA-001 Corrective Preventif Action Request Rev.02

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    Emy Sumartini
    This document is a corrective-preventive action request form from PT. Battery Power Solutions International. It contains sections to identify problems or nonconformances, investigate root causes, outline corrective and preventive actions, and obtain approval. Section A allows selection of the document or customer issue triggering the request. Section B details the investigation results and root cause. Section C describes corrections taken and preventive actions to eliminate causes. Section D is for approving the actions and providing comments. The form aims to address issues and prevent recurrences systematically.

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    © All Rights Reserved
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    FM-CPA-001 Corrective Preventif Action Request Rev.02

    Uploaded by

    Emy Sumartini
    109 views2 pages
    This document is a corrective-preventive action request form from PT. Battery Power Solutions International. It contains sections to identify problems or nonconformances, investigate root causes, outline corrective and preventive actions, and obtain approval. Section A allows selection of the document or customer issue triggering the request. Section B details the investigation results and root cause. Section C describes corrections taken and preventive actions to eliminate causes. Section D is for approving the actions and providing comments. The form aims to address issues and prevent recurrences systematically.

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    FM-CPA-001 Corrective Preventif Action Request Rev.02

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    This document is a corrective-preventive action request form from PT. Battery Power Solutions International. It contains sections to identify problems or nonconformances, investigate root causes, outline corrective and preventive actions, and obtain approval. Section A allows selection of the document or customer issue triggering the request. Section B details the investigation results and root cause. Section C describes corrections taken and preventive actions to eliminate causes. Section D is for approving the actions and providing comments. The form aims to address issues and prevent recurrences systematically.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    109 views2 pages

    FM-CPA-001 Corrective Preventif Action Request Rev.02

    Uploaded by

    Emy Sumartini
    This document is a corrective-preventive action request form from PT. Battery Power Solutions International. It contains sections to identify problems or nonconformances, investigate root causes, outline corrective and preventive actions, and obtain approval. Section A allows selection of the document or customer issue triggering the request. Section B details the investigation results and root cause. Section C describes corrections taken and preventive actions to eliminate causes. Section D is for approving the actions and providing comments. The form aims to address issues and prevent recurrences systematically.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    PT.

    BATTERY POWER SOLUTIONS INTERNATIONAL

    CORRECTIVE-PREVENTIVE ACTION REQUEST/


    FORMULIR PERMOHONAN TINDAKAN PERBAIKAN & Ref. No. CPAR-
    PENCEGAHAN

    PART A
    CAR - Corrective Action Request; PAR - Preventive Action Request; OP-5.6-01 - Management Review; OP-8.2-02 - Internal Quality Audit;
    OP-4.2-01/02 – Documentation Requirements; DEFECT - Result of a Product NC; Repetitive NCR; CUSTOMER - Customer Complaint;
    OTHER - specify the nature of the CPAR
    OP-5.6- OP-8.2- OP-4.2- REPETITIVE
    CAR PAR DEFECT CUSTOMER OTHER
    01 02 01/02 NCR

    Issued By Department Date Issued Issued To Department

    Item WHAT IS THE IDENTIFICATION PROBLEMS, SUGGESTIONS/


    No. APA YANG MENJADI IDENTIFIKASI PERMASALAHAN, SARAN

    I AGREE TO REPLY THE REQUEST WITHIN ___ WEEK/S OF ISSUE/ SIGNATURE


    SAYA SETUJU UNTUK MEMENUHINYA DALAM WAKTU ___ WEEK/S OF ISSUE/ DATE

    PART B

    Item
    RESULT OF INVESTIGATION / ROOT CAUSE OF NON CONFORMANCE/
    No.
    HASIL INVESTIGASI/AKAR MASALAH KETIDAKSESUAIAN

    PART C

    Item CORRECTIONS TAKEN TO CORRECT THE PROBLEM/ PREVENTIVE ACTIONS


    No. KOREKSI YANG DIAMBIL UNTUK MEMPERBAIKI ELIMINATE THE CAUSES OF POTENTIAL
    PERMASALAHAN NC/
    TINDAKAN PENCEGAHAN
    MENGURANGI POTENSI PENYEBAB
    KETIDAKSESUAIAN
    PIC : PIC :

    TARGET TARGET
    DATE: DATE:
    PT. BATTERY POWER SOLUTIONS INTERNATIONAL

    Item CORRECTIVE ACTIONS ELIMINATE THE CAUSE OF NC TO LIST OF SUPPORTING


    No. PREVENT RECURRENCE / TINDAKAN PERBAIKAN UNTUK DOCUMENTS / DAFTAR
    MENGELIMINASI PENYEBAB TERULANGNYA DOKUMEN PENDUKUNG
    KETIDAKSESUAIAN
    PIC :

    TARGET
    DATE:

    THE CORRECTIVE OR PREVENTIVE ACTION TAKEN MEET MY SIGNATURE &


    REQUIREMENTS / TINDAKAN PERBAIKAN ATAU PENCEGAHAN DATE /
    MEMENUHI PERSYARATAN TTD & TGL
    PIC: Person in Charge

    PART D
    APPROVED BY SIGNATURE DATE
    QA/QC Manager

    QA/QC MANAGER’S
    COMMENTS:

    FM-CPA-001, Rev.02, P1/1

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