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    Form Corrective Action Request (CAR)

    Uploaded by

    Adi Saputra
    This document is a corrective action request form used to report non-conformities found during an audit. It contains fields to identify the non-conformity such as the audit source, area, date, and auditor. The non-conformity details and reference standards are provided. The auditee is responsible for performing a root cause analysis, detailing corrective actions, and target completion dates. The auditor then verifies if the non-conformity has been addressed and measures are in place to prevent reoccurrence.

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    Form Corrective Action Request (CAR)

    Uploaded by

    Adi Saputra
    37 views1 page
    This document is a corrective action request form used to report non-conformities found during an audit. It contains fields to identify the non-conformity such as the audit source, area, date, and auditor. The non-conformity details and reference standards are provided. The auditee is responsible for performing a root cause analysis, detailing corrective actions, and target completion dates. The auditor then verifies if the non-conformity has been addressed and measures are in place to prevent reoccurrence.

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    This document is a corrective action request form used to report non-conformities found during an audit. It contains fields to identify the non-conformity such as the audit source, area, date, and auditor. The non-conformity details and reference standards are provided. The auditee is responsible for performing a root cause analysis, detailing corrective actions, and target completion dates. The auditor then verifies if the non-conformity has been addressed and measures are in place to prevent reoccurrence.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    37 views1 page

    Form Corrective Action Request (CAR)

    Uploaded by

    Adi Saputra
    This document is a corrective action request form used to report non-conformities found during an audit. It contains fields to identify the non-conformity such as the audit source, area, date, and auditor. The non-conformity details and reference standards are provided. The auditee is responsible for performing a root cause analysis, detailing corrective actions, and target completion dates. The auditor then verifies if the non-conformity has been addressed and measures are in place to prevent reoccurrence.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 1

    LOGO

    Permintaan Tindakan Perbaikan No :


    (Corrective Action Request)
    Evidence Temua
    CAR No : :

    Identification : Sumber/ Source :


    Auditor/Inspektor : Audit Internal [AI] 内部稽核 :

    Audit Eksternal [AE] 外部稽核 :


    Area/Departement/Process : Audit Customer [AC] 审计客户

    Audit Supplier [AS] 审计供应商 :

    Auditee/PIC : Audit Pemerintah [AP] 政府审计

    Inspeksi [INP] 检查

    Tanggal/Date : Tinjauan Manajemen [TM] 程序/标准

    Ketidaksesuaian /Details of Non-Conformity


    Note : To be completed by Auditor. Explain the non-conformity along with details of how the issue occurred and what the impact was.

    Standard Referensi : Signature

    Name : ………………… Name : …………………


    Auditor/Inspektor Auditee/PIC
    Target waktu perbaikan /
    Classification : Minor 次缺点 Major 主缺点 Due Date
    :

    Tindak Lanjut Ketidaksesuaian/ Follow Up Non-Conformity


    Analisa Penyebab Ketidaksesuaian / Root Cause Analysis :

    Note : To be completed by Auditee. Investigate the root cause and detail what steps lead to the non-conformity.

    Tindakan Perbaikan / Corrective Action :

    Note : To be completed by Auditee. Explain what action was taken to resolve the non-conformity if any. If no action was taken, what should be done to prevent the issue from occurring again

    Tanggal penyelesaian /
    Completion Date …………………………………………. ……………………………………………..
    Name and signature of Auditee Name and signature of Dept. Head

    Verifikasi Tindakan Perbaikan / Verification :


    To be completed by Auditor. Explain if the non-conformance has been fixed and if measures are in place to prevent reoccurrence.

    Status : Komentar Auditor/Inspektor / Remark : Diverifikasi oleh / Verification by :

    Closed
    Detail
    Open Name : ………………… Name : …………………
    Auditor/Inspektor Lead Auditor

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