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Form - CAR Form

The document outlines a form for submitting Corrective Action Requests (CAR) and Preventive Actions, detailing processes, priorities, and required information. It includes sections for describing issues, assigning responsibility, and outlining action plans. Additionally, it specifies the need for root cause analysis and effectiveness verification upon completion of actions.

Uploaded by

Keshav Jha
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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19 views4 pages

Form - CAR Form

The document outlines a form for submitting Corrective Action Requests (CAR) and Preventive Actions, detailing processes, priorities, and required information. It includes sections for describing issues, assigning responsibility, and outlining action plans. Additionally, it specifies the need for root cause analysis and effectiveness verification upon completion of actions.

Uploaded by

Keshav Jha
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
Process 3
name of your CAR
Process 4
Process 5 form here
Process 6
Process 7
Process 8
Process 9
Process 10 Enter name or title of
CAR Administrator
here
For example, "Corrective Action Request"

For example, "CAR"

For example, "John Smith"


#
() - Rev 0
00
00
Preventive Action (potential
Type Corrective Action (existing issue)
issue)
Name:
Check one
Opportunity for Improvement / Suggestion Date:
Employee Customer ✘ Supplier / Subcontractor Feedback
Feedback Feedback
Source External Audit Internal Audit ✘ Management Review Action Item
Check one Finding Finding
Other:

Process 1 Process 2 Process 3


Process 4 Process 5 Process 6
Process
Check one
Process 7 Process 8 Process 9
Process 10 Other:

Priority
Check One Low Medium High Urgent / Critical

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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