Corrective Corrective Corrective Corrective & Preventive Preventive Preventive Preventive Action Request Request Request Request Form (Capa) Page 2

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(受控编号)
Responsible By:
Target Date of Completion:
Part
Part
Part
Part F: F: F: F: Effectiveness
Effectiveness
Effectiveness
Effectiveness Verification
Verification
Verification
Verification
Verified By
Verify Date
Approved By
Approval Date
Performance/results verification for closure meet
objective?
YES
NO
CAPA
CAPA
Classification:
Classification:
CAPA
CAPA Classification:
Classification:
Workflow improved
Training provided
Resources enhanced
Documents revised/added
Others, please list here. ___________________________
CCIC
CCIC
CCIC
CCIC Shenzhen
Shenzhen
Shenzhen
Shenzhen Office,
Office,
Office,
Office, 9/F Anlian Building, No.4018 Jintian Road, Futian District, Shenzhen, China Tel: 0755-88286188
Fax: 0755-88286111
-
DO NOT DISCLOSE THIS DOCUMENT OUTSIDE YOUR ORGANISATION WITHOUT CCIC PRIOR WRITTEN CONSENT".

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