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Corrective & Preventive Action Report (Capa) : Compliant. No

This document is a corrective and preventive action report form used to document issues, non-compliances, and their resolution. It includes sections to describe the non-compliance details, analysis conducted to determine the root causes, corrective actions taken to resolve the issue, preventive actions to prevent recurrence, and verification that the actions were effective in addressing the problem and closing out the report. Responsible parties and target dates are recorded for tracking purposes.

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Raajha Munibathiran
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37K views1 page

Corrective & Preventive Action Report (Capa) : Compliant. No

This document is a corrective and preventive action report form used to document issues, non-compliances, and their resolution. It includes sections to describe the non-compliance details, analysis conducted to determine the root causes, corrective actions taken to resolve the issue, preventive actions to prevent recurrence, and verification that the actions were effective in addressing the problem and closing out the report. Responsible parties and target dates are recorded for tracking purposes.

Uploaded by

Raajha Munibathiran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
  • Corrective Action: Section for describing corrective actions required to address identified issues and their respective responsibilities.
  • Preventive Action: Section dedicated to listing preventive actions to avert future occurrences of similar issues.
  • CAPA Verification & Sign-off: Verification section for documenting the closure and effectiveness of actions taken, including sign-off.
  • Corrective & Preventive Action Report (CAPA): A form template for reporting and managing corrective and preventive actions within an organization, including sections for detailing actions and verifications.
  • General Information: Captures basic details such as issuance number, authority, date, and target due date for actions.

COMPLIANT. NO.

Logo CORRECTIVE & PREVENTIVE ACTION REPORT(CAPA)


DATE

Raised by Received by Mode of Receipt:

Location/Process/Reference Guidence doc ref.

Occurrence First Time Second time Repeated

Details of Compliant: (Attach samples or Photos if available)

Raised by & Date: Process Head Approval & Date:


Analysis Team Details:

Correction /Immediate action taken

Target Date for Action: Responsibility: Status:


Root Cause(s) :
Why 1:
Ans:
Why 2:
Ans:
Why 3:
Ans:
Why 4:
Ans:
Why 5:
Ans:

Corrective Action:
Responsibility Target Date

Preventive Action :
Responsibility Target Date

CAPA Verification & Effectiveness CAPA STATUS

Closed

Name & Sign Date: Not Closed


Doc No: Rev :00; Date:

Logo CORRECTIVE & PREVENTIVE ACTION REPORT(CAPA) COMPLIANT. NO. DATE Raised by Received by Mode of Receipt: Location/Process

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