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Corrective Action Form-qs-141A

This document is a corrective action report template for Vallabh Metal Inc. It outlines an 8-step process for addressing issues raised by customers or internally. The report requires documenting the problem, containing any immediate impacts, analyzing the root cause through asking "why" five times, detailing corrective actions to address the root cause, verifying the corrective actions worked, and getting sign-off from relevant managers. The goal is to resolve problems and prevent reoccurrence through a systematic process.

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GAURAV SHARMA
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0% found this document useful (0 votes)
275 views1 page

Corrective Action Form-qs-141A

This document is a corrective action report template for Vallabh Metal Inc. It outlines an 8-step process for addressing issues raised by customers or internally. The report requires documenting the problem, containing any immediate impacts, analyzing the root cause through asking "why" five times, detailing corrective actions to address the root cause, verifying the corrective actions worked, and getting sign-off from relevant managers. The goal is to resolve problems and prevent reoccurrence through a systematic process.

Uploaded by

GAURAV SHARMA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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VALLABH METAL INC

Corrective Action Report MPM C.A.R. #

Cust. Complaint #
(If Space Is Limited Use An Additional Sheet Of Paper And Staple It To This Corrective Action)
1 Type: Customer  Supplier  Internal  Customer/Supplier:
Part/Mat'l #: External Contact Name
Quantity: External Contact Phone:
Initiated By: Forward To: (for step 2)
Initiation Date: Due Date: Pending Due Date:
Respond To Customer? Yes  No By Date: Plant Visit Required? Yes  No 
Describe The Problem: Can the problem affect other products or processes?

Is it a systemic problem that can re-occur?

Responses are required by Team Champion! See


Steering Committee for actiom
2 Team Champion: Position/Group &
(Team Roster & Tracking Sheet Required) Phone:
3 What Did You Do To Contain The Problem? If the problem affects other product/process or is systemic, how were they
contained?

(Purge System As Warranted)


4 Root Cause (s):

Ask Why 5 Times. Personnel Failure Not Acceptable!


5 What Actions Corrected The Root Cause?

List actual actions taken, not actions that will be taken in the future! If additional time is required see Q.A. to place C/A in pending status.
6 List Data That Verifies Corrective Action: Was FMEA Revise? Yes  No 
(required only when C/A is for product or process)

Evidence Required
7 Department Manager: Accept  Reject  Signature: Date:

Quality Assurance Supervisor/Analyst: Accept  Reject  Signature: Date:

Quality AssuranceManager: Accept  Reject  Signature: Date:

8 Congratulate Team! Note: Quality Assurance Manager returns C/A to Q.A. Analyst for re-issue or close C/A.

DOC NO –VMI/QMS/CAR/01

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