Please complete the following contact information about yourself by rrboy

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									                                     Corrective and Preventive Action Response
                                                    QAM-F006



Control No.:                   Date:                   Name:

Department/Location:

Phone No.:


DESCRIPTION OF INVESTIGATION: Please describe how the problem identified in the
Corrective and Preventive Action Request was investigated, such as steps, persons contacted,
documents consulted, etc.




FINDINGS OF FACT:
Please describe the findings of fact that resulted from the investigation of the issues identified in
the Corrective and Preventive Action Request that led to identification of the root cause of the
problem.




STATEMENT OF ROOT CAUSE:
Please state the root cause of the process issue identified in the Corrective and Preventive Action
Request.




CORRECTIVE AND PREVENTIVE ACTIONS:
Please describe how the actions that have been identified will correct the issue identified in the
Corrective and Preventive Action Request.




1/15/08                                  QAM-F006                                         Page 1 of 2
                                   Corrective and Preventive Action Response
                                                  QAM-F006


IMPLEMENTATION PLAN:
Please describe the implementation plan and schedule that have been identified to correct or
improve the process identified in the Corrective and Preventive Action Request:




ATTACHMENTS:
Please list any attachments that accompany this response.


SUBMIT CORRECTIVE and PREVENTIVE ACTION RESPONSE TO:

Mike Halbirt, Lead Auditor, Salem-Keizer School District
Lancaster Professional Center
2450 Lancaster Drive NE, Salem, Oregon 97301
Phone 503-399-3001 FAX 503-375-7815
Halbirt_mike@salkeiz.k12.or.us




1/15/08                                QAM-F006                                       Page 2 of 2

								
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