Car
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Corrective Action Form CAF # Originator:
Date Opened: Date Due:
Issued To: Type of Corrective Action:
Date Closed:
Internal Internal Audit Corrective
Found During: Corrective Action Function
Supplier Production Preventive
3rd Party Inspection Re-occurring
Customer Other Other
Problem Description: (For Specific Supplier Information See Below)
Quality Impact
High – 3 days
Supplier Corrective Action Information Part Number Qty Received
Medium – 7 days Part Description
Qty Nonconforming
Disposition
Low – 15 days Spec / Drawing
Lot Number
PO Number
Plant Containment (MDR/Hold tag)
Containment: (Immediate Response for RGA#) Supplier or Customer Complaint section only a) Check parts in production (Include Sampling Plan): b) Check parts in inventory (Include Sampling Plan): c) Follow up on parts in transit: -
Returned Goods Authorization (Product to be Returned) Completed By: Root Cause:
RGA#
Date: To Be Completed By Owner / Supplier:
Completed By:
Date:
Corrective Action: Short term & date to be completed: Long term & date to be completed: Completed By:
Date:
Corrective Action Acceptance ACCEPT
REJECT
If Rejected, give explanation: Completed By:
Date:
Follow Up Corrective Action Verification: After subsequent shipment of product, is the corrective action effective? Comments: Completed By: Date Closed:
YES
NO
Date Opened: Date Due:
Issued To: Type of Corrective Action:
Date Closed:
Internal Internal Audit Corrective
Found During: Corrective Action Function
Supplier Production Preventive
3rd Party Inspection Re-occurring
Customer Other Other
Problem Description: (For Specific Supplier Information See Below)
Quality Impact
High – 3 days
Supplier Corrective Action Information Part Number Qty Received
Medium – 7 days Part Description
Qty Nonconforming
Disposition
Low – 15 days Spec / Drawing
Lot Number
PO Number
Plant Containment (MDR/Hold tag)
Containment: (Immediate Response for RGA#) Supplier or Customer Complaint section only a) Check parts in production (Include Sampling Plan): b) Check parts in inventory (Include Sampling Plan): c) Follow up on parts in transit: -
Returned Goods Authorization (Product to be Returned) Completed By: Root Cause:
RGA#
Date: To Be Completed By Owner / Supplier:
Completed By:
Date:
Corrective Action: Short term & date to be completed: Long term & date to be completed: Completed By:
Date:
Corrective Action Acceptance ACCEPT
REJECT
If Rejected, give explanation: Completed By:
Date:
Follow Up Corrective Action Verification: After subsequent shipment of product, is the corrective action effective? Comments: Completed By: Date Closed:
YES
NO
