PmPal Incident Management
← Home
New Corrective Action Request
A – To Be Completed By The Initiator
Date
Initiator
CAR Number
Source of Corrective Action Request
Customer
Supplier
Product
Process
EA Finding
IA Finding
Requirement Reference
Description of the Deficiency
B – To Be Completed By The Investigator
1. Interim Correction / Containment Actions
2. Analysis of Causes
Why 1?
Why 2?
Why 3?
Why 4?
Why 5?
3. Proposed Actions to Address the Root Cause(s)
Due
C – To Be Completed By The Reviewer / Approver
Review Risk Assessment
Review Similar Processes
Review Similar Products
Approver Initials
D – To Be Completed By The Implementer
Evidence attached showing actions were implemented as approved (YES)
Evidence attached showing implemented actions were effective (YES)
E – To Be Completed By The Verifier
Were actions implemented as planned and on-time?
-- select --
YES
NO
Comments
Validation of effectiveness (deficiency resolved permanently?)
-- select --
YES
NO
Comments
CAR Closed By (print name)
Date
Escalation Control (Second Stage CAR#)
Issued To
Submit Corrective Action Request