Corrective Action Report <<Client Logo>>

Department: CAR Date: CAR No:

(Dept/S.No.)
Details of the Nonconformity/ Deviation/ Opportunity for Improvement
Origin (Please tick which ever is applicable):

Feedback from Employees/ Feedback from Visitors/ Performance Trend/ Rejection/ Rework/ Policy or
Procedure Deviation/ Trend in Audit Results/ New Idea
Others:

Description:

Is Correction Immediate Correction Taken (if applicable):

Applicable:

YES | NO
Signature and Date:
(Tick Applicable)
Root Cause Analysis and Root Cause Identified:

Proposed Corrective Action(s):

Proposed Completion Date: Name & Sign:

Actual Actions Implemented:

Date: Name, Signature with date

Effectiveness of CA (Mention the results after implementation in terms of reduction in risk value or
improvement in awareness levels, adaption of fool proofing, etc):

Date: Name, Signature with date

Corrective Action Report <<Client Logo>>

Department: CAR Date: CAR No:

(Dept/S.No.)
Improving the Risk Assessment Process (Moving towards Zero Defect Culture)
Is this Nonconformity identified as a Potential Failure during Risk
Assessment? YES | NO (Tick Applicable)
RAR Ref No:
IF NO:
Update the Risk Assessment Report by including the nonconformity Revised Version of RA:
details along with correction action. Date of Revision:
IF YES:
Is the root cause of identified NC or deviation different from that
YES | NO (Tick Applicable)
identified in the in Risk Assessment?
RAR Ref No:
IF YES (Root cause identified is different):
Update the Risk Assessment Report by including the new root cause Revised Version of RA:
details along with correction action. Date of Revision:
IF NO (Root Cause identified is same):

Is Correction Immediate Correction Taken (if applicable):

Applicable:

Signature and Date: