SB 742-1
Sample CARs
CORRECTIVE ACTION REQUEST
CAR NO.
AUDIT NO.
COMPANY/PROCESS/DEPARTMENT AUDITED
ADDRESS
DATE OF AUDIT
AUDIT CRITERIA:
AREA
AUDITOR
COMPANY/DEPARTMENT
AUDITED
PROCESS REPRESENTATIVE
NON-CONFORMANCE
SIGNATURE ____________________
SIGNATURE ____________________
(COMPANY/DEPARTMENT/ACTIVITY REPRESENTATIVE)
AUDITOR
CORRECTIVE ACTION
DATE FOR COMPLETION OF CORRECTIVE ACTION
____________________
SIGNATURE ____________________
DATE
____________________
(COMPANY/DEPARTMENT/ACTIVITY REPRESENTATIVE)
ACTION TAKEN TO PREVENT RECURRENCE OF NON-CONFORMANCE
DATE FOR COMPLETION OF ACTION TO PREVENT RECURRENCE
____________________
SIGNATURE ____________________
DATE____________________
(COMPANY/DEPARTMENT/ACTIVITY REPRESENTATIVE)
FOLLOW-UP AND CLOSE OUT
PROPOSED FOLLOW-UP DATE
____________________
FOLLOW-UP DETAILS
CAR CLOSE OUT DATE ____________________
SIGNATURE ____________________
AUDITOR
Carform
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