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