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    Formulario SAC

    Uploaded by

    Jose Antonio Medrano Garcia
    This document is a template for a Corrective Action Request (CAR) form. It includes fields to identify the type and source of the issue, assign priority levels, and describe the problem, containment actions, root cause analysis, corrective action plan, and verification of effectiveness. The form is submitted to the CAR Administrator for processing and assignment to an individual for resolution.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Formulario SAC

    Uploaded by

    Jose Antonio Medrano Garcia
    13 views4 pages
    This document is a template for a Corrective Action Request (CAR) form. It includes fields to identify the type and source of the issue, assign priority levels, and describe the problem, containment actions, root cause analysis, corrective action plan, and verification of effectiveness. The form is submitted to the CAR Administrator for processing and assignment to an individual for resolution.

    Copyright

    © © All Rights Reserved

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    This document is a template for a Corrective Action Request (CAR) form. It includes fields to identify the type and source of the issue, assign priority levels, and describe the problem, containment actions, root cause analysis, corrective action plan, and verification of effectiveness. The form is submitted to the CAR Administrator for processing and assignment to an individual for resolution.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    13 views4 pages

    Formulario SAC

    Uploaded by

    Jose Antonio Medrano Garcia
    This document is a template for a Corrective Action Request (CAR) form. It includes fields to identify the type and source of the issue, assign priority levels, and describe the problem, containment actions, root cause analysis, corrective action plan, and verification of effectiveness. The form is submitted to the CAR Administrator for processing and assignment to an individual for resolution.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    Enumere sus Enter full name of

    Procesos Aquí CAR form here


    Proceso 1
    Proceso 2 Enter abbreviated
    Proceso 3
    name of your CAR
    Proceso 4
    Proceso 5
    form here
    Proceso 6
    Proceso 7
    Proceso 8
    Proceso 9
    Proceso 10 Enter name or title of
    CAR Administrator
    here
    Solicitud de Acción Correctiva

    For example, "Corrective Action Request"

    For example, "CAR"

    For example, "John Smith"


    #
    Solicitud de Acción Correctiva () - Rev 0
    00
    00
    Type Corrective Action (existing issue) Preventive Action (potential issue) Name:
    Check one
    Opportunity for Improvement / Suggestion Date:

    Employee Feedback Customer Feedback ✘ Supplier / Subcontractor Feedback


    Source External Audit Internal Audit ✘ Management Review Action Item
    Check one Finding Finding
    Other:

    Proceso 1 Proceso 2 Proceso 3


    Proceso 4 Proceso 5 Proceso 6
    Proceso
    Elegir Uno Proceso 7 Proceso 8 Proceso 9
    Proceso 10 Other:

    Priority
    Check One Low Medium High Urgent / Critical

    Describe the issue or problem in detail.

    Stop here. Submit to

    Assigned to: Date Assigned: Respond by:


    To be completed by the Assignee.
    Containment / Immediate Corrections: (Required only for corrective action requests.)

    Root Cause of Problem: (Required for all corrective and preventive issues; optional for suggestions for improvement.)

    Action Plan: (Actions taken to eliminate root cause, resolve issue and prevent recurrence.)

    Date Action Completed: Name:


    Stop here. Return to

    Effectiveness verified by: Date:


    PASS FAIL: Returned for Further Processing
    Result: PASS FAIL: Returned for Further Processing

    Notes and
    justification:

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