CORRECTIVE/PREVENTIVE ACTION REPORT

CPAR No. : ____________

PROCESS:

DEPARTMENT/SECTION:

DETAILS OF NON-CONFORMANCE/AREA FOR IMPROVEMENT:

REFERENCES:
Reported by:
INVESTIGATION RESULTS/ROOT CAUSE ANALYSIS:

Date:

( ANSWER 4 WHYS)
1.
2.
3.
4.
Conducted by:
Prepared by:
Approved by:
CORRECTIVE/PREVENTIVE ACTIONS:

Date:
Date:
Date:
RESPONSIBILITY

Target Date for evaluation of effectiveness:

Prepared by:
Approved by:
REMARKS:

CPAR Form
Rev. ____ year 2015

Date:
Date:
date of closure: _____

TIMEFRAME