Corrective Action Form - DOC

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					Corrective Action Request Form

CORRECTIVE ACTION RESPONSE
Assignee:

Number: Initiation Date:

Phone: FROM: Part Name:

Fax: Standard/Spec/Dwg: Part Number: Reply Due Date: Criticality: Major Minor Internal Rejection Tag: or

Customer Report Number(s): Problem Identification:

Immediate Correction:

Root Cause:

Root Cause Correction:

ECD: Corrective Action Verification Plan:

Follow Up:

ECD:

Responsible for Action: QA verify plan: QA closure of actions:

Date Date Date


				
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