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Corrective Action Report (CAR) : Form1001 CAR-KMR - e Page 1 of 1 Revision: 6 Reference: Organizational Instruction 8.5.01

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C o r r e c t i v e A c t i o n R e p o r t (CAR)

Reference document No.: (non-confirming material report, customer complaint ) CAR No.:

Subject: (part no., fixture no., process) Responsible:

0. Reported Defect: Code:


Qty. of concerned defective parts: Total qty. of defective parts:

1. Team:

2. Problem description: Recurrence? Yes  No 

3. Immediate actions intiated: Responsible. Date* % Effective


3.1. Urgent actions (at customer/supplier/internal location):

3.2. Is it possible other parts are affected (Y/N)? (If yes, state Pos. No. and action taken)

* Date and marks on parts/factory packaging/shipping packaging

4. Determined root causes of the problem:


4.1. Definition of the root problem and the exact root causes:

4.2. Where the defect should have been found? 4.3. Why wasn’t it found?

5 . Final corrective action for each defect and root cause Responsible Date* % Effective
5.1. One final corrective action per cause

6. Verification of corrective actions: Responsible Date* % Effective


6.1. Has the action’s effectiveness been proven (Y/N)? How?

6.2. Are the actions applicable for similar parts, processes, machines? Which ones?

7. Actions taken to avoid recurrences of the defect: Responsible Date* % Effective


7.1. Preventive actions taken on process, machine, tool, to avoid a recurrence:

7.2. Can steps be applied to other products, processes? If yes, which part numbers?:

7.3. Benefit of actions taken and/or impact on quality system?

8. Update of documents Responsible

8.1. Where quality documents updated and checked? YES  NO 


FMEA  Control plan  Instructions (W I, …)  Drawing 
8.2. Did the supplier-complaint department get a copy of the documents?

Issued by: Date

Distribution: Remarks:
Name

Form1001 CAR-KMR_e
Page 1 of 1
Revision: 6
Reference: Organizational instruction 8.5.01

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