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Revision of CPA Form from Mon, 26/11/2012 - 1:21am

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CPA Form

ISO Document Type: 
Format/Record (FM)
Code: 
CPA-4-023 -- CPA-4-023

SECTION A          REPORTING    

 

Reporting Personnel: _______________                                   

 

Department: ______________________

 

Category of Request                     System nonconformance                        Customer Complaints

                               

                                                              Product non conformance                       Suggestions / Other

                                                        

                                                        Process non conformance                                       

                                                   

 

Problem:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________

                

                  Accepted                              Rejected          Management Representative ________

 

Assigned for Analysis to ___________________          Date __________________

SECTION B          ANALYSIS   

 

Root Causes : __________________________________________________________________

 

Corrective (Immediate) Action: ___________________________________________________

 

Preventive Action: ______________________________________________________________

 

Completed Analysis                                                        Date __________________

SECTION C          IMPLEMENTATION  

 

Assigned for Implementation to __________________      Target Date ___________________

 

Action Completed / Comments ___________________________________________________

 

Confirmed by MR ___________________________                                   Date _____________

 

 

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