Total Quality Associates
CORRECTIVE ACTION REQUEST (CAR) FORM
This form has been provided by TQA. Internal auditors are encouraged to use his form, to document any
major or minor non-conformances with their internal procedures and/or external standards. Internal
Auditor to complete Section A. The area Manager should complete Sections B and C with signature and
date. The area Manager should approve the Corrective Action Plan in Section D and Close the
Corrective Action in Section E.
Group/Organization Name:
Date:
CAR #:
Internal Auditor:
Major: Minor:
A. Describe the Major or Minor Non-Conformance
Internal Auditor Signature:__________________
Date:___________________
B.
Identify the Corrective Action by the Group Organization, Manager or Member:
C.
Estimated Completion Date:____________ Person Responsible:______________
D. Identify the Root Cause of the Non-Conformance:
E.
Identify Preventive Action to ensure that the Non-Conformance does not recur.
Completion Date:_________ Person Responsible:_________________________
D. Corrective Action Plan Approved: (Comments)
Group Manager Signature:____________________ Date:_______________
E. Corrective Action Closed: (Comments)
Group Manager Signature:____________________ Date:_______________
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