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Form No.

: MTD-QPF-05-04

Rev. No.: 0 Date:19-03-09


PREVENTIVE ACTION FORM
ISSUED TO: NCR No.: DATE:

NON CONFORMITY TYPE


Sales/Marketing Customer Service Assembly Delivery Servicing QC Others

NON CONFORMITY MAGNITUDE Major Minor Observation

DESCRIPTION :

AT VARIANCE TO DOCUMENT/STANDARD:

INITIATED BY :
TITLE SIGNATURE DATE

CAUSE OF NON-CONFORMITY:

EVALUATED BY :
TITLE SIGNATURE DATE

PREVENTIVE ACTION (IF APPLICABLE)

PROPOSED BY
TITLE SIGNATURE DATE

CONCLUSION SIGNED IN CONFIRMATION OF EFFECTIVENESS OF CORRECTIVE/PREVENTIVE ACTION

TITLE SIGNATURE DATE


If this is a paper copy, it is uncontrolled. You must verify the on-line revision before using.

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