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Associated Marine Officers’ and Seamen’s

Union of the Philippines PTGWO – ITF


(An Affiliate of the International Transport
Workers Federation London, UK)
SEAMEN’S HOSPITAL
Cabildo corner San Jose Sts., Intramuros, Manila
Tel No. (+632) 5278116 to 20 * 5232692 Telefax (+632) 5273554
Email: shospadm@gmail.com

CORRECTIVE & PREVENTIVE ACTION REPORT

CPAR No. 2024-05


Reported by: Arlene E. Concio Responsible Person: Rephael Carmona
(Name & Signature)
Position QMR Position: Psychometrician
Department/ Section: QAD Department/ Section: Psychology Department
Date Endorsed: Date Received:

Non-conformity:
Since there is a need to replace the 16PF training is required before the purchase. The department should consider asking other branches for possible
purchases on behalf
Objective evidence:
Psychological Testing
Nature: Category: Requirement Details: (Clause, Chapter, Page)
Reference:
Corrective Minor
Preventive Major
Observation
ROOT CAUSE/S: CORRECTIVE/ PREVENTIVE ACTION/S:

Agreed Completion Date: Reviewed by: Robelyn Lumampao, RPsy, MBA


(Department Head)
Prepared by: Date Reviewed:
(Responsible Person)
Date Prepared: Approved by:
(Hospital Director) GEORGE C. PILE MD, DPBO
Implementation Date: Basis Reference: Date Approved:

VERIFICATION:
The Corrective/preventive action/s has/ have been reviewed and verified and found them to be:
Satisfactory Not Satisfactory, New CPAR Issued (No. _____) Additional Information Required
Comments:

Quality Management Representative: Arlene E. Concio Date:

SH - QAD 01
REV 02 – 07/11/12

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