Corrective Action Request
Order
Quality Manual
CAR (NMR) Number_______
To:
From:
Issue Date:
Effective Date:
Comments (Optional):
You are requested to review the discrepancies on the
attached NMR, check related parts for potential problems and
provide a written response on page 2 of this form within 10
working days of request date.
1. Use the Team Approach (List names and titles of all
personnel who participated in the problem resolution):
Response:
2. Problem Description (Provide a brief description of the
problem.):
Response:
3. Containment and Short Term Corrective Action (Identify
the number of parts involved and short term action taken, i.e.
50 pcs. in stock - 100% sorted - 3 pcs. scrapped, etc.):
Response:
4. Define and Verify Root Cause (Report the true root cause
- not to be confused with a symptom. Ask the question
"why" until a true root cause is established.):
Response:
5. Implement and Verify Permanent Corrective Action
(Identify the fix and report what was done to verify the
problem has been resolved, i.e. checked 50 pcs. and all were
found to be within specification. If you used statistical
tools, report Cp/Cpk):
Response:
6. Prevent Recurrence (Identify what prevention measures
have been incorporated to ensure the problem does not
re-occur.):
Response:
Order
Quality Manual
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