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