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Project Action Form

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					                                                                                                                                         PREVENTIVE ACTION
To be completed by Initiator

Initiator Name :                                                                         Initiator Email :                                                  Date :

Identified Through (check one) :  Daily Operations  Management Review  Customer Feedback  Audit  Other (__________________)

Description of Problem Area :




Description of Possible Solution (if available) :




To be completed by Preventive Action Coordinator

Assigned to :                                                                            Priority :  High  Medium  Low                   PA # :          Date :

Solution approval signatures required from :

Comments :



To be completed by Assignee (Attach additional information as necessary)

Relevant background information collected ?  Yes                                                  Existing processes investigated and understood ?  Yes

Summary of Proposed Solution :




Documents Requiring Update :




Solution approval signatures :
To be completed by Preventive Action Coordinator

Documentation Updated ?  Yes                                              Has the solution been effective ?  Yes  No                          Date Closed :

Closing Comments : (If the solution has not been effective, reference the new preventative action form to readdress the problem area.)




     PA001 Version 2.0                                                           2006 Key Consulting Inc        www.consulting.ky                                   Page 1 of 1

				
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Description: Project Action Form document sample