HSSE 2007 F027 Rev.

Date of CAR issuance:

Non Confirmed Product / Service Contractor Complaint # Ref No.: ISO-45001

Source # Internal Audit # Management Review # CAR Date: 17/10/2023

External Audit # Other Dept.:

Section I: Description of Non conformity:

Signature:
Name:
Position:

Section II: Root Causes:

1
2
3
4
Section III: Study and Analysis of non-conformity and proposed Corrective Action:
1
2
3
4
Responsible department: Signature:
Name:
Estimated accomplish date: Position:
/

Section IIII: Review of Corrective Action Taken:

( ) effective QHSSE Manager Signature:

( ) completed ( ) non effective Name:
( ) need PAR ( ) need another CAR

Following up the Corrective Action taken:

( ) No change in documents
( ) Change of document(s) of:

QHSSE Manager Signature:

Name:

Corrective Action Request (CAR)