PmPal Incident Management
← Home
Edit 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
Notes and description of non-conformity
B – To Be Completed By The Investigator
1. Interim Correction / Containment Actions
Immediate fix. Action: closing list
2. Analysis of Causes
Why 1?
Why 2?
Why 3?
Why 4?
Why 5?
3. Proposed Actions to Address the Root Cause(s)
what to do to avoid repeating the non-conformity; Due date for the training, to complete the closing list!
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
additional comments if Escalation Control was required
CAR Closed By (print name)
Date
Escalation Control (Second Stage CAR#)
Issued To
Save Changes