RFO/CO:_____________________ CORRECTIVE ACTION AND PREVENTIVE ACTION PLAN Name of Establishment: Address: Inspector/s: Inspection dates: Prepared by : Date prepared (dd/mm/yyyy): (Name & Designation of establishment’s authorized representative) Note: Establishment to fill columns 1 to 5. Response Completion or Deficiency Corrective Action /Preventive Inspector(‘s) Description of deficiency Evidence of compliance accepted proposed completion number Actions (CAPA) Comment(s) (2) (4) date dd/mm/yyyy (Yes / No) (1) (3) (6) (5) (7) CRITICAL MAJOR OTHERS
RFO/CO:_____________________ CORRECTIVE ACTION AND PREVENTIVE ACTION PLAN Name of Establishment: Address: Inspector/s: Inspection dates: Prepared by : (Name & Designation of establishment’s authorized representative) Date prepared (dd/mm/yyyy): Note: Establishment to fill columns 1 to 5. Deficiency number (1) Description of deficiency (2) Corrective Action /Preventive Actions (CAPA) (3) Evidence of compliance (4) Completion or proposed completion date dd/mm/yyyy (5) Inspector(‘s) Comment(s) (6) Response accepted (Yes / No) (7) CRITICAL MAJOR OTHERS
CAPA%20PLAN%202018.docx