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    List Your Processes Here: Enter Full Name of CAR Form Here Enter Abbreviated Name of Your CAR Form Here

    Uploaded by

    ganrash
    This document appears to be a template for a Corrective Action Request (CAR) form. It prompts the user to provide information such as their full name, the abbreviated name of the CAR form ("CAR" in this example), and the name of the CAR Administrator ("John Smith"). It also guides the user to classify the type of request, identify the process and source involved, determine the priority level, and describe the issue in detail. Space is provided for assigning ownership of the issue and due dates, analyzing the root cause, developing an action plan, and later verifying the effectiveness of the actions taken.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    List Your Processes Here: Enter Full Name of CAR Form Here Enter Abbreviated Name of Your CAR Form Here

    Uploaded by

    ganrash
    22 views4 pages
    This document appears to be a template for a Corrective Action Request (CAR) form. It prompts the user to provide information such as their full name, the abbreviated name of the CAR form ("CAR" in this example), and the name of the CAR Administrator ("John Smith"). It also guides the user to classify the type of request, identify the process and source involved, determine the priority level, and describe the issue in detail. Space is provided for assigning ownership of the issue and due dates, analyzing the root cause, developing an action plan, and later verifying the effectiveness of the actions taken.

    Original Description:

    Car Form

    Original Title

    Form - CAR Form

    Copyright

    © © All Rights Reserved

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    XLSX, PDF, TXT or read online from Scribd

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    This document appears to be a template for a Corrective Action Request (CAR) form. It prompts the user to provide information such as their full name, the abbreviated name of the CAR form ("CAR" in this example), and the name of the CAR Administrator ("John Smith"). It also guides the user to classify the type of request, identify the process and source involved, determine the priority level, and describe the issue in detail. Space is provided for assigning ownership of the issue and due dates, analyzing the root cause, developing an action plan, and later verifying the effectiveness of the actions taken.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    22 views4 pages

    List Your Processes Here: Enter Full Name of CAR Form Here Enter Abbreviated Name of Your CAR Form Here

    Uploaded by

    ganrash
    This document appears to be a template for a Corrective Action Request (CAR) form. It prompts the user to provide information such as their full name, the abbreviated name of the CAR form ("CAR" in this example), and the name of the CAR Administrator ("John Smith"). It also guides the user to classify the type of request, identify the process and source involved, determine the priority level, and describe the issue in detail. Space is provided for assigning ownership of the issue and due dates, analyzing the root cause, developing an action plan, and later verifying the effectiveness of the actions taken.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    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
    Type Corrective Action (existing issue) Preventive Action (potential issue) Name: Ganesh Iyer
    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 Process 3

    Process Process 4 Process 5 Process 6


    Check one Process 7 Process 8 Process 9
    Process 10 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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