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Form - CAR Form

The document provides instructions for filling out a Corrective Action Request (CAR) form. It explains that for forms with 10 or fewer processes, the "CAR Form - Checkbox" version should be used, while the "CAR Form - Dropdown" version should be used for forms with more than 10 processes. It then provides examples of fields to populate in the form, including the type of action, source of the request, affected process, priority, and sections for describing the issue, assigning responsibility, documenting the root cause and action plan, and verifying the effectiveness of the action.

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Venkat Bhagavati
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77 views6 pages

Form - CAR Form

The document provides instructions for filling out a Corrective Action Request (CAR) form. It explains that for forms with 10 or fewer processes, the "CAR Form - Checkbox" version should be used, while the "CAR Form - Dropdown" version should be used for forms with more than 10 processes. It then provides examples of fields to populate in the form, including the type of action, source of the request, affected process, priority, and sections for describing the issue, assigning responsibility, documenting the root cause and action plan, and verifying the effectiveness of the action.

Uploaded by

Venkat Bhagavati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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List your Enter full name of

processes here: CAR form here


Process 1
Process 2 Enter abbreviated
Etc.
If you have only 10 name of your CAR
processes or less, just fill in form here
the names and use the
"CAR Form - Checkbox"
version of the form.

Enter name or title of


CAR Administrator
here
If you have more than 10
processes, you may list add
as many as you like, but
use the "CAR Form -
Dropdown" version of the
form instead.
For example, "Corrective Action Request" Corrective Action (existing issue)
Preventive Action (potential issue)
Opportunity for Improvement / Suggestion

For example, "CAR"

For example, "John Smith" or "QA Manager"


Employee Feedback Low
Customer Feedback Medium
Supplier / Subcontractor Feedback High
External Audit Finding Urgent / Critical
Internal Audit Finding
Management Review Action Item
#
() - Rev 0
00
00
Type of Action: Name:
Source of Request: Date:
Process Affected:
Priorty:
Describe the issue or problem in detail.

Stop here. Submit to

Assigned to: Date Assigned: Respond by:


To be completed by the Assignee.
Root Cause of Problem: (Required for all corrective and preventive issues; optional for suggestions for improvement.)

Action Plan: (Actions taken to eliminate root cause, resolve issue and prevent recurrence.)

Date Action Completed: Name:


Stop here. Return to

Effectiveness verified by: Date:


Result: PASS FAIL: Returned for Further Processing

Notes and
justification:
#
() - Rev 0
00
00
Type Corrective Action (existing issue) Preventive Action (potential issue) Name:
Check one
Opportunity for Improvement / Suggestion Date:

Employee Feedback Customer Feedback Supplier / Subcontractor Feedback


Source External Audit Internal Audit
Management Review Action Item
Check one Finding Finding
Other:

Process 1 Process 2 Etc.

Process 0 0 0
Check one 0 0 0
0 Other:

Priority Low Medium High Urgent / Critical


Check One

Describe the issue or problem in detail.

Stop here. Submit to

Assigned to: Date Assigned: Respond by:


To be completed by the Assignee.
Root Cause of Problem: (Required for all corrective and preventive issues; optional for suggestions for improvement.)

Action Plan: (Actions taken to eliminate root cause, resolve issue and prevent recurrence.)

Date Action Completed: Name:


Stop here. Return to

Effectiveness verified by: Date:


Result: PASS FAIL: Returned for Further Processing
Notes and
justification:

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