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CAPA Form V1 - 0 PDF

This document is a corrective and preventive action request form used by a quality assurance department to document audit findings, observations, and corrective or preventive actions. It includes fields to provide details of the audit such as scope, findings, severity level, responsible parties, target completion dates, root cause analyses, corrective and preventive action details, evidence of completion, and sign-offs.

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Carlos Silva
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7K views1 page

CAPA Form V1 - 0 PDF

This document is a corrective and preventive action request form used by a quality assurance department to document audit findings, observations, and corrective or preventive actions. It includes fields to provide details of the audit such as scope, findings, severity level, responsible parties, target completion dates, root cause analyses, corrective and preventive action details, evidence of completion, and sign-offs.

Uploaded by

Carlos Silva
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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QUALITY ASSURANCE DEPARTMENT

Corrective Action / Preventive Action Request Form


Q-Pulse Ref. No: Type: Audit Inspection Audit / Inspection Scope: Document Reference: Raised by: Finding Severity: Raised to: (Dept/Person) Raised Date: Date:

Level 1 (Major) - NCP NCF Level 2 (Minor) - NCP NCF Level 3 (Obs) - Commendation SRC

QRC

Target Completion Date: Finding / Observation Details:

Root Cause Analysis: (by Auditee)

Corrective Action Details:

Action by: Preventive Action Details:

Completed Date:

Action by: Follow-up Action: (Verification)

Completed Date:

Verified by: Evidence Presented: (Attached if applicable)

Completed Date:

Closed by: (Auditor)

Closed Date:

CAPA Request Form/V1.0

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