Document Title: Effective Date:

NORTH CENTRAL ELEMENTARY SCHOOL February 14, 2019

CORRECTIVE ACTION REPORT
Doc. No.: Doc. Type: Revision No.:
NCES-004-MATHD-005 FORM 00 Page 1 of 3

Type of Finding(s) (tick where appropriate) Recipient Initiator CAR No.

7S External Audit ________ School School Issuance Date
Internal Quality Customer Feedback Department Department Response
Audit Others ____________ Date
Management Tel. No. Tel. No. New Re-issue
Review Email Add Email Add Elevated
√ OCCURRENCE 1ST 2ND RECURRING
(1) Corrective Action Team:
Team Leader -
Members - ------

(2) Details of Problem/finding: (Include Data, Photo and other information) Major Minor OFI
(Problem can answer the Who, What, When, Where, How, How much/many)

Approved by: __________________

(3) Containment Action Plan: (Response in 24hrs to isolate the Who (Name) When (D//M/Y) Status
problem)
 Document Title: Effective Date:
NORTH CENTRAL ELEMENTARY SCHOOL February 14, 2019
CORRECTIVE ACTION REPORT
Doc. No.: Doc. Type: Revision No.:
NCES-004-MATHD-005 FORM 00 Page 1 of 3

(4) Root Cause Analysis: (Conduct 5WHY analysis if not answered the 3WHY analysis and include reason for escape)

WHY 1:

Answer:

WHY 2:

Answer:

WHY 3:

Answer:

WHY 4:

Answer:

WHY 5:

Answer:
 Document Title: Effective Date:
NORTH CENTRAL ELEMENTARY SCHOOL February 14, 2019
CORRECTIVE ACTION REPORT
Doc. No.: Doc. Type: Revision No.:
NCES-004-MATHD-005 FORM 00 Page 1 of 3

(5) Corrective Action Plan: (Response in 3 days to eliminate the Who (Name) When (D//M/Y) Status
cause
of NC)

Is there any document needed to change or generate? Yes No

Document No./Title _________________________________

(7) Return Date: (By recipient) Review & Approval: (School Head, Master Teacher and Concerned Process owner)
Accomplished by: _____process _____process ___process _____process _____process
____________________________

(8) Receipt Date: (By Initiator)

Reviewed by: _________________________ Approved Disapproved

Comments:

(9) Verification of Action Plans: (To be filled-up by Initiator)

Verification Date Details of Verification Action Status Verified By
 Document Title: Effective Date:
NORTH CENTRAL ELEMENTARY SCHOOL February 14, 2019
CORRECTIVE ACTION REPORT
Doc. No.: Doc. Type: Revision No.:
NCES-004-MATHD-005 FORM 00 Page 1 of 3

(10) Effectiveness of Action Plans: (To be filled-up by Initiator 3 months after the closure of finding/problem)

Verification Date Details of Verification Action Status Verified By