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Rev. No.: 00 Issue No. : 01 Effective Date : 27.09.

2002
Format No. QC/FMT/PQC/005
CORRECTIVE ACTION REPORT ( CAR - 8 D )
Area / Line Package Date CAR #
Problem Reported by Reference (if any)
D1 : Team Approach

Team Leader : …………………………. Established Date :


…………………………………

Team Members :
…………………………………………………………………………………………….
D2 : Describe the problem in quantifiable terms :

D3 : Escape route / reason i.e. how problem escaped / not detected :

D4 : Implement and verify interim containment action :

D5 : Define and verify root causes :

D6 : Verify corrective actions :

D7 : Implement permanent corrective actions Planned


date : ……….
Actual date
: ……….

D8 : Prevent Recurrence : Planned


date : ……….
Actual date
: ……….

1. Issued to 2. Area 3. Issued by 4. Affected 5. QC 6. 7. 8.


Head Area Head

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