R-05 Capa Form

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AMIT ENTERPRISES

CORRECTIVE ACTION & PREVENTIVE ACTION

REF. REPORT NO: DEPARTMENT PAGE NO._______OF_______

CAUSE OF NON CONFORMITY: Date:


NON CONFORMITY DETAILS :

CORRECTIVE / PREVENTIVE ACTIONS


Sl. Details of Proposed Corrective Actions Target
Follow up Remarks
No. (To be completed by auditee responsible) Date
Corrective Action

Preventive Action

Supervisor’s Signature : Management’s Authorised Signatory & Date :

Name : Name :
Record No: AE/HSM/R-05 Rev. No./Date: 00/09.11.2016 Issue No./Date: 01/09.11.2016

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