Corrective Action Response Form

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Corrective Action Request Form

CORRECTIVE ACTION RESPONSE Number:


Assignee:
Initiation Date:

Phone: Fax:
FROM: Standard/Spec/Dwg: Reply Due
Date:

Part Name: Part Number: Criticality:


Major or
Minor
Customer Report Number(s): Internal Rejection
Tag:

Problem Identification:

Immediate Correction:

Root Cause:

Root Cause Correction:

ECD:

Corrective Action Verification Plan:

Follow Up:

ECD:

Responsible for Action: Date

QA verify plan: Date

QA closure of actions: Date

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