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Radiation Physics Division RPD-G-08

CORRECTIVE ACTION FORM

CORRECTIVE ACTION PLAN FORM

SOURCE OF DETERMINATION OF NEED FOR CORRECTIVE ACTION:


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ROOT CAUSE OF PROBLEM DATE _______________________


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Investigator ____________________________________________________________

CORRECTIVE ACTION
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Group Leader Approval __________________________________________________

MONITORED RESULTS
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PROBLEM IS RECTIFIED
Investigator ________________________________ Date __________________
Group Leader ______________________________ Date __________________
Quality Manager ____________________________ Date __________________
Radiation Physics Division RPD-G-08
CORRECTIVE ACTION FORM

Division Chief _____________________________ Date __________________

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