Professional Documents
Culture Documents
Open Date: Response Due Date: Corrective Action Category Finding: Dept: Assigned To: CAR/SCAR# Dept # Cause 'n Correction a Repeat Yes No
Tool Used
Fishbone
5-Why's
No
Yes
No
Level 1
Level 2
Level 3
Type 1
Review Approved By: (Supervisor/Manager) Supervisor Follow up action complete? (Supervisor Tab)
Proposal Date? Follow-Up Date: Reviewed by: Follow-Up By:
Date:
Date:
Reject:
Follow-Up Results:
Date:
F14.1 Rev. I
Date Closed
Level 2-
Level 1-
Any actions that were taken to prevent the problem are to be completed within 30 days Step 5 Step 6 Step 7 Step 8 Step 9 Type in the name of the person completing the CAR, within the "Completed By" box Type in the Date of when the CAR was completed within the Date Box. Supervisor or Manager's name that reviewed the CAR, is required, complete the "Review Approved By" box Type in the Date of when the CAR was reviewed within the Date Box. After the corrective action(s) have been put into place (30 days) the Supervisor is to complete the Supervisor's Follow Up Action Form within 5 days and turn it into Quality
Step 10 Quality will perform a follow up audit for verification of corrective action(s) taken.
Complete: Date field, Department field and Supervisor field. Answer questions 1-5, 7,9-12 by providing a Y/N answer within the shaded areas. Provide a brief explanation for questions 6,8, 9 & 13
Instructions
F14.1 Rev I
Instructions
s form
F14.1 Rev I
Instructions
F14.1 Rev I
Instructions
Corrective Action: must be something concrete and not a simple "CAUTION THE OPERATOR" Does correction of the RC identified ensure that the problem will not recur? 7 8 What action is being taken to correct the deficiency which prevented the NC from being
identified? Describe:
What action(s) is planned to correct and prevent recurrence of the RC deficiency? Describe:
Has the implementation of the proposed corrective actions taken place. 10 Was there Training involved? If Yes, provide a copy of the Training 11 Was there Quality Points issued? If Yes, provide a copy of the write up 12 Mistake Proofing 13 What type of mistake proofing was put into effect: Describe:
Fishbone Diagram
Methods Materials Other
Manpower
Equipment
Environment
F14.1 Rev I
Fishbone Chart
Fishbone Diagram
F14.1 Rev I
Fishbone Chart
5 Why Chart
Non Conformance Statement
WHY
WHY
WHY
WHY
Root Cause WHY
F14.1 Rev I
5 Why Chart
5 Why Chart
F14.1 Rev I
5 Why Chart