(Use Separate Sheet If Required) : Corrective Action

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 2

CORRECTIVE AND PREVENTIVE ACTION REPORT

Repot No.: Date:


Customer Complaint: In-house Problem Supplier Problem
Problem Statement Reference Document / Record:

Root Cause Analysis:


(Use separate sheet if required)

Actual Cause:

Potential Cause:

Analysed By: Date:


CORRECTIVE ACTION
S.No. Action Responsibility Target Date

PREVENTIVE ACTION
S.No. Action Responsibility Target Date

CORRECTIVE ACTION IMPACT ANALSIS


8F13 Rev. No: 00 Date: 18-05-06
Prepared By Approved By Released By
Sign.
Name G.Mohanraj K.Balasubramaniyan G.Mohanraj
Designation MR DIR MR
Page 1 of 2
1.Whether applicable to other Part No.? Yes /No
2. Whether applicable to other M/c? Yes /No
3. Whether applicable to other System / Procedures? Yes /No
Standardisation:

Documents Changed
Date of
Document No. Details
Implementation

Training Provided on the Change


Employee Name Date Details

Corrective Action / Preventive Action Closed


Whether Corrective Action is Effective

Approved

8F13 Rev. No: 00 Date: 18-05-06


Prepared By Approved By Released By
Sign.
Name G.Mohanraj K.Balasubramaniyan G.Mohanraj
Designation MR DIR MR
Page 2 of 2

You might also like