QUALITY ASSURANCE
DEPARTMENT
Problem
Date CAF Number
Requestor/
Recipient
Originator
CORRECTIVE ACTION FORM
Identified Through:
Daily Operation Customer Feedback
Operations Review Others: _________________
Criticality of CA:
Major (must be closed within 7 working days*) Any nonconformity which has a significant effect on product quality, safety and efficacy.
Minor (must be closed within 30 working days*) Any nonconformity which may result in failure or reduce the usability of the product for the
intended purpose.
Improvement (can or cannot be considered as compliance) Any nonconformity which can be a tool for improvements of the product and/or
system.
NOTE: *Duration of CLOSURE of MAJOR & MINOR CAs will depend on the nature of compliance.
I. Nonconformity Statement/Problem Description: (To be completed by the Originator)
Reported by/Date: Approved by/Date:
II. Correction: (Immediate Action) (To be completed by the Recipient)
Timeline
Action Plan Responsibility Resources
Start End
Potential Risk:
Performed by/Date: Approved by/Date:
III. Root Causes (To be completed by the Recipient)
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IV. Corrective Action (To be completed by the Recipient)
Timeline
Action Plan Responsibility Resources
Start End
Performed by/Date: Approved by/Date:
V. Corrective Action Verification (please attach evidence of action taken)
VI. Corrective Action Status
Open/Closed Date of Verification:
Checked by Verified by QA/Date: Approved for Closing/Date:
Originator/date:
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