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Fm-09 Corrective Preventive Action Request

This document is a corrective and preventive action request form initiated by the quality department regarding issues found during an audit of the production department. The audit identified the top five defects from the weekly quality report as issues to address - holes, oil stains, skip stitches, loose stitches, and folding problems. The production department acknowledged the request and set a target date of November 30th, 2012 to complete corrective actions. The form provides sections to document the root cause analysis, proposed corrective and preventive actions, verification that actions addressed the issues, and closure of the corrective action process.

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Arshad Aziz
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228 views2 pages

Fm-09 Corrective Preventive Action Request

This document is a corrective and preventive action request form initiated by the quality department regarding issues found during an audit of the production department. The audit identified the top five defects from the weekly quality report as issues to address - holes, oil stains, skip stitches, loose stitches, and folding problems. The production department acknowledged the request and set a target date of November 30th, 2012 to complete corrective actions. The form provides sections to document the root cause analysis, proposed corrective and preventive actions, verification that actions addressed the issues, and closure of the corrective action process.

Uploaded by

Arshad Aziz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Document Number

Corrective & Preventive Action Request

Issue

Issue Date

03

01/08/2012

SECTION A
CPAR #. _______

Date.________
Reasons of CPRAR

Department / Section

_Quality Dept____________________

(Name of Deptt / Section from where the corrective action request is initiated)

Department / Section

__Production Dept___________________

Re-occurring non-conformance
Vendor Supply
Customer Complaint/Feedback
Audit findings
Others

(Name of Deptt / Section from where the corrective action is required)

Quality of Product

Non Conformity affecting

Safety

Regulatory

Non Conformity Related to

Product

Process

Quality System

Nature of Nonconformity

Major

Minor

Critical

Non Conformity Description


Top five defects marked from Weekly inline quality Report, Have to work on its reduction.
1-Hole
2-Oil Stain
3-Skip Stitch
4-Loose Stitch
5-Folding Problem
(Use additional sheets/supporting documents if required)

Identified By. _NOOR KHAN_______________ / ___________


(Name and Sign)
(Auditor/Head of Deptt / Section from where the corrective action request is initiated)

Reviewing Status by MR:


Date:________

MR:

Acknowledge By: _Mr. Adeel / Mr. Junaid Sardar________/____________Date of submission:_12-11-2012______


(Name and Sign)
(Auditee/Head of Deptt / Section from where the corrective action is required)

Target Date for Completion : _30-11-2012_______

SECTION B
Root Cause

Copy to : Originator / MR / Auditee/Concerned Area

Document Number

Corrective & Preventive Action Request

Issue

Issue Date

03

01/08/2012

Corrective Action:

Implementation Date: ____/____/____


Prepared By __________________/____________

Acknowledge By: __________________/____________

(Name and Sign)

(Name and Sign)


(Auditee/Head of Deptt / Section from where the corrective action is required)

Preventive Action

Implementation Date: ____/____/____


Prepared By __________________/____________

Acknowledge By: _____________/______________

(Name and Sign)

(Name and Sign)


(Auditee/Head of Deptt / Section from where the corrective action is required)

Verification of Action Taken

Verified By __________________/____________

Acknowledge By: _____________/______________

(Name and Sign)

(Name and Sign)


CAPA COORDINATOR OR MR

CAPA COORDINATOR / MR COMPLETE THE FOLLOWING SECTION


CAPA Completion Date:
Date of Verification completed ____________
Was CAPA effective

] Yes

Result of Verification Activity____________

] No

If No specified Reason_______________________________________________________________
CAPA Closed Coordinator Initial and date__________
MR / DMR Remarks

Date of CAPA file closed.____________

Copy to : Originator / MR / Auditee/Concerned Area

CAPA Closed MR Initial and date:______________

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