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Corrective and Preventive Action Request Form: Pt. Akura Bina Citra

1) An internal quality audit at PT. AKURA BINA CITRA found that calibration certificates were unavailable for some gauges and equipment. 2) The gauge room controller failed to properly distribute copies of calibration certificates. 3) Corrective actions include sending available calibration certificates and inducting the gauge room controller to always update the distribution of certificate copies. Preventive actions aim to prevent recurrence by using soft copies of certificates.

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458 views1 page

Corrective and Preventive Action Request Form: Pt. Akura Bina Citra

1) An internal quality audit at PT. AKURA BINA CITRA found that calibration certificates were unavailable for some gauges and equipment. 2) The gauge room controller failed to properly distribute copies of calibration certificates. 3) Corrective actions include sending available calibration certificates and inducting the gauge room controller to always update the distribution of certificate copies. Preventive actions aim to prevent recurrence by using soft copies of certificates.

Uploaded by

AndreasSembiring
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
  • Corrective and Preventive Action Request Form: This form outlines the process for requesting corrective and preventive actions, detailing fields for problem description, root cause, proposed actions, and review process.

PT.

AKURA BINA CITRA


CORRECTIVE AND PREVENTIVE ACTION REQUEST FORM
CPAR No. #016/2018 SPK No. # Internal Quality Audit
Date Issued: Requested Company/ by: Issued to (company or title): Target of Response Time:
November 10, 2018 QHSE FS December 10, 2018

Affected Department /
FS
Person In Charge
No copy of calibration certificate were available.
Problem Description
Ex.: Light meter SO1-ABC-05, Profile Gage S03-ABC-031
v Service System Part / Equipment
Internal Audit:
Customer Complaint:
Contract / Work Order No:
Reference Detail
Purchase Order No.:
(Fill where applicable)
Inspection Report No.:
Part/Equipment No.:
Other:
Reference Standard /
Procedure
Gauge Room Controller did not update the distribution of copies of calibration
Cause of Problem
certificate
Action Needed Corrective Action Preventive Action
Completion Date:
Sending copy of available calibration certificate
Corrective / Preventive
Action Evidence Document:
(Use other paper if it is not
sufficient)

Completion Date:
Action to prevent
recurrence / occurrence Induction to Gauge Room Controller for always update
of problem Evidence Document:
distribution of copies of certificate (using soft copy)
(Use other paper if it is not
sufficient)

Proposed by, Reviewed and Approved by, Closing Out Verified by,

Name: Asep Sudrajat Name: Andi Setyo Budianto Name: Andi Setyo Budianto
Position: Deputy Position: QHSE Manager Position: QHSE Manager
Date: December 09, 2018 Date: December 12, 2018 Date:

Management of Change : Yes No Effective Date :

Verified by
Reviewing the
effectiveness of corrective Date Verification
/ preventive action
Remarks Effective / Not Effective / Repetitive

Additional Notes
Form No.: 6.4 Rev. No.: 01 Date Issued : 05/01/2015

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