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Corrective Action and Preventive Action Plan: RFO/CO

This document is a corrective and preventive action plan (CAPA) from a food establishment to the Philippines Food and Drug Administration (FDA) following an inspection. It lists deficiencies found by inspectors organized by critical, major, and other. For each deficiency, the establishment provides a description, corrective actions, evidence of compliance, proposed completion dates, and space for inspector comments accepting the response. The final pages include an area for FDA remarks, recommendation, and sign off from inspectors and supervisors.

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Jose Gualberto
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1K views3 pages

Corrective Action and Preventive Action Plan: RFO/CO

This document is a corrective and preventive action plan (CAPA) from a food establishment to the Philippines Food and Drug Administration (FDA) following an inspection. It lists deficiencies found by inspectors organized by critical, major, and other. For each deficiency, the establishment provides a description, corrective actions, evidence of compliance, proposed completion dates, and space for inspector comments accepting the response. The final pages include an area for FDA remarks, recommendation, and sign off from inspectors and supervisors.

Uploaded by

Jose Gualberto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Health
FOOD AND DRUG ADMINISTRATION
Filinvest Corporate City
Alabang, City of Muntinlupa

RFO/CO:_____________________

CORRECTIVE ACTION AND PREVENTIVE ACTION PLAN


Name of Establishment: Address:

Inspector/s: Inspection dates:

Prepared by : Date prepared (dd/mm/yyyy):


(Name & Designation of establishment’s authorized representative)

Note: Establishment to fill columns 1 to 5.


Completion or Response
Deficiency Corrective Action /Preventive Inspector(‘s)
Description of deficiency Evidence of compliance proposed completion accepted
number Actions (CAPA) date dd/mm/yyyy
Comment(s)
(2) (4) (Yes / No)
(1) (3) (5) (6)
(7)
CRITICAL

MAJOR

OTHERS

Date Effective: 15 January 2018 Rev 00


Form No. QWP-FROO-06 ANNEX 28
Corrective Action and Preventive Action Plan Page 1 of 3
Republic of the Philippines
Department of Health
FOOD AND DRUG ADMINISTRATION
Filinvest Corporate City
Alabang, City of Muntinlupa

Completion or Response
Deficiency Corrective Action /Preventive Inspector(‘s)
Description of deficiency Evidence of compliance proposed completion accepted
number Actions (CAPA) Comment(s)
(2) (4) date dd/mm/yyyy (Yes / No)
(1) (3) (5) (6)
(7)

For FDA use only:


Remarks

Date Effective: 15 January 2018 Rev 00


Form No. QWP-FROO-06 ANNEX 28
Corrective Action and Preventive Action Plan Page 2 of 3
Republic of the Philippines
Department of Health
FOOD AND DRUG ADMINISTRATION
Filinvest Corporate City
Alabang, City of Muntinlupa

Recommendation(to FDA office):

Reviewed by: Name /Designation and Signature of FDRO(s) Date:

Date:
Noted by: Name and Signature Team Leader/Supervisor

Date Effective: 15 January 2018 Rev 00


Form No. QWP-FROO-06 ANNEX 28
Corrective Action and Preventive Action Plan Page 3 of 3

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