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Thai Meidensha Co., Ltd.

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Complaint by : Issue Date : No.
1. Description :

Issued By : Accepted By : Approved By :

2. Interim Action : Implementation Date :

3. Root Cause(s) :

4. Permanent Action(s) : Implementation Date :

5. Verification (attach Results) :

Close re-implement
6. Action(s) to Prevent Recurrenec : Implementation Date :
( Mistake Proofing required Yes No )
( Does corrective action impact need for other similar activities or any document ? )

7. Reported by : Report Date : Approval by : Close Date :

F-TMD23-02 R01 E 16/04/2009

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