Corrective Action Request Info Source One) System CAR Number: Nonconformance Date Internal Audit Nonconformance Submitted: Repeat Product Submitted by: Nonconformance Customer Department: Complaint Situation Requiring Root Cause Analysis: Forward to the General Manager who will assign the proper person to research the root cause. Assigned to: _______________________ Root Cause: Determined By: _____________________ Action Necessary to remove the root cause to prevent re-occurrence: Determined By: _____________________ Implement the Action Date Implemented: _____________________ Close Out: After sufficient time has passed, Signature: Review the Effectiveness of the Action Taken Final Approval by Date: the General Manager
Corrective Action Request Info Source One) CAR Number: System Nonconformance Date Submitted: Internal Audit Nonconformance Submitted by: Repeat Product Nonconformance Department: Customer Complaint Situation Requiring Root Cause Analysis: Forward to the General Manager who will assign the proper person to research the root cause. Assigned to: _______________________ Root Cause: Determined By: _____________________ Action Necessary to remove the root cause to prevent re-occurrence: Determined By: _____________________ Implement the Action Date Implemented: _____________________ Close Out: After sufficient time has passed, Review the Effectiveness of the Action Taken Final Approval by the General Manager Signature: Date: