Corrective Action Request

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CORRECTIVE ACTION REQUEST
Source:
Title: ( Title of Procedure)
CAR NO.:
Internal Audit
Legal Non-compliance
Non-conforming Service
Others:___________________________
Requesting Department /Parties:
Reason for Re-issue:
No Reply
Re-corrective Action
Responsible Department:
Time Limit for Reply:
3 days from the date of receipt of the CAR
Description of the Nonconformance:
Request Date
Prepared by
Approved by
Investigate the cause of the Nonconformity:
Correction / Immediate Action:
Completion Date
Corrective Action:
Completion Date
Responsible Division/Department
Signature
Follow up result of the Correction and Corrective Action
Note: Within 2 weeks from the date of issuance of the CAR
Verified by:
Date of Verification:
Approved by:
Verification of Effectiveness of the action taken:
Note: After 2 months of implementation
Verified by:
Date of Verification:
Approved by:
Received by: (For Filing)
Date Received:
ISO-007-0

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