TRUCKERS CORRECTIVE AND PREVENTIVE ACTION REPORT

REREPORT
This section to be accomplished by FLC only CAPA Reference No: [ ]
Trucker Code Trucker Name JTS Trucking Services
Type of Issue (please select one) Complete Description of the Issue to be Addressed/Resolved:
[ ] Policy Violation
[] Safety-Related Road incident happened on February 9, 2019 involving your unit Plate no.
[ ] Personnel-Related RMN126 driven by Mr. Jerson Pelandas at Lanao del Norte area resulting to
[ ] Service/Performance-Related property damage and damage goods.
[ ] Customer Complaint/Feedback
[ ] Others
Issued by: printed name/signature/date Recommended Action if Issue is Unresolved/Not Addressed Satisfactorily:
JEAN U. CASAS 8/8/2019

The section below to be accomplished by the Trucker:

Prepared by: printed name/signature/date Definition of Terms:
Jonah Fernandez Corrective Action –action to eliminate the cause(s) of a detected nonconformity or other undesirable
situation (e.g. unacceptable performance)
Preventive Action - action to eliminate the cause(s) of a potential nonconformity or other undesirable
potential situation
Root Cause Analysis / What caused (or is causing) the issue? Type of Action
Due to counter flowing of other vehicle to prevent collision he tried to stay away [ ] Preventive
[ ] Corrective
[ ] Both

Corrective/Preventive Actions Start Date End Date Who Takes Action

Vehicle driving safety training / sound the horn in the blind Feb. 11, Feb. 22, Jonah Fernandez
spot curve and high beam the headlight 2019 2019

What are the expected results after completing the CAPA? Please specify both the qualitative and quantitative results (before and
after), especially if it involves any of the performance measures.

CAPA approved/committed by: (printed name/signature/date)

CAPA received by FLC: (printed name/signature/date)

This section to be accomplished by FLC after the review at the end of the CAPA period: Date [ ]
CAPA reviewed by: Printed name/signature/date
This CAPA is considered: Remarks:
[ ] Closed after CAPA
[ ] Open – CAPA period extended
[ ] Supplemental CAPA needed

FAST-TPL-SP-006/F-02 Ver01