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CPAR Format

This document is a corrective/preventive action request form used to identify problems, find their root causes, and implement corrective and preventive actions. It collects information on who identified the problem, a description of the problem, the identified root cause, and the corrective and preventive actions taken. Management verifies that the actions were implemented to address the problem and prevent reoccurrence.

Uploaded by

Ahad Ali
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We take content rights seriously. If you suspect this is your content, claim it here.
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632 views1 page

CPAR Format

This document is a corrective/preventive action request form used to identify problems, find their root causes, and implement corrective and preventive actions. It collects information on who identified the problem, a description of the problem, the identified root cause, and the corrective and preventive actions taken. Management verifies that the actions were implemented to address the problem and prevent reoccurrence.

Uploaded by

Ahad Ali
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Corrective/ Preventive Action Request Form

CPA #
1. Problem Identification
Problem Identified By Date:
Name: Designation:
Problem Description:

2. Root Cause Identification


Root Cause Found:

3. Corrective Action Implementation

4. Preventive Action Implementation

Implementation Date: Verified By:

5. Follow up

Signature:
If not verified raise new CAR

_______________________
Management Representative Date____________________

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