| PART / ORDER LINK: | |||
| View Part: | Example Customer\Example Part | ||
| View Order: | This CA is not linked to an order, if it needs to be you need create the CA from the orders. | ||
| Action Request | |||
| Date: | |||
| AR Source: | Internal Customer Supplier (Name:) | ||
| Action type: | Root Cause and Corrective Action (CAR) Correction Only (CO) | ||
| RESULTING FROM | |||
| Risk Assessment
Customer Complaint Negative Performance Trend
Audit Finding
Internal Audit
External Audit Customer Audit (Name:)
Classification:
Deselected
Major
Minor
OFI Deselected |
Management Review Action Item
Product Nonconformance (Complete Disposition Section) Other (FOD, Calibration, etc) : |
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| Issued By: | Issue Date: | ||
| Issued To: | Response Due By: | ||
| DETAILS: (Utilize this section as applicable)
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| Customer: | |||
| Return #: | RMA #: | ||
| Qty Shipped: | External Qty Rejected: | ||
| Internal Qty Rejected: | |||
| Description: | |||
| Part #: | Revision: | ||
| Return PO: | Return Line #: | ||
| CONDITION: (CAR &CO) (Detailed description of why a corrective action request has been initiated.)
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| Risk Rating of Reported Condition:
High (significant impact of product, process, quality / delivery schedules, customer, and other areas)
Medium (slight impact possible for product, process, quality / delivery schedules, customer, and other areas) Low (very small potential for impact to product, process, quality / delivery schedules, customer, and other areas) |
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| STATUS (Current Status of the Action Request / Enter Name & Date upon closure.)
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| Status:
Open
Pending Closed |
Comments: |
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| Authorized Name: | Date: | ||