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Corrective Action Request Verification Form

The document is a corrective action request form used to track corrective actions. It requests information on evidence that verifies the implementation and effectiveness of corrective actions, including what was verified, evidence, status, and who performed the verification. It also determines if the corrective action requires updates to risks and opportunities or quality management system documents. The form is filled out by the issuer or verifier of the corrective action request and approved by the internal quality auditor or management representative.

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Alleah Lucia
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152 views1 page

Corrective Action Request Verification Form

The document is a corrective action request form used to track corrective actions. It requests information on evidence that verifies the implementation and effectiveness of corrective actions, including what was verified, evidence, status, and who performed the verification. It also determines if the corrective action requires updates to risks and opportunities or quality management system documents. The form is filled out by the issuer or verifier of the corrective action request and approved by the internal quality auditor or management representative.

Uploaded by

Alleah Lucia
Copyright
© © All Rights Reserved
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 ACTION REQUEST FORM

CAR #: _______________
III. Verification of Effectiveness of Corrective Action (To be filled-out by Issuer of CAR/Verifier)
List evidence/data that verifies implementation of correction, dealing with consequences, corrective action and its effectiveness:

Date Verify What Evidence Status Who verifies

Requires updating of Risks & Opportunities? With changes in QMS?


[ ] Yes [ ] No [ ] Yes [ ] No
Ref. No. & Date: Doc. Code & Date:

Prepared & Recommended By (Issuer of CAR/Verifier): [ ] Accept [ ] Reject Date:

Approved By (IQA Lead Auditor/Management Representative): [ ] Accept [ ] Reject Date:

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