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Corrective Action Request (CAR)
Part 1 – Classification
1- Product 2-Customer
Nonconformity Complaint 3- System Audit 4- Data Analysis
Issued To: Department: CAR No.:
CC: Subcontractor: Audit Ref No.:
Part 2
Category Document &
Details of Nonconformity
Major - Minor Clause Ref.
Root Cause of the Non-Conformity
1- Deficiency in System 7- Deficiency in Tools /
4- Deficiency in Communication
Implementation Equipment
2- Deficiency in 5- Deficiency in Required 8- Deficiency in Operating
Documentation Competency Environment
3- Deficiency in Required 9- Deficiency in Training &
6- Deficiency in Materials
Human Resource Motivation
Issued by QA Manager Auditee Re-assessment Required
Name & Signature: Name & Signature: Yes - No
Date: Date: Date:
Part 3
Target
Proposed Remedial Action {Attach separate sheet if required} Action By Status
Date
Corrective Measures {Attach separate sheet if required}
Note: Once the Corrective & Preventive Actions Are Completed, Initial the Status Column & Notify the QA Team
for Re-Assessment
Part 4 Proposed Corrective / Preventative Action Accepted: Yes - No
Department Manager Suppliers / Subcontractors QA Manager
Name & Signature Name & Signature Name & Signature
Date Date Date: