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Corrective/Preventive Action Report

Name

CRAR No. (Todays date stylized as MMDDYY-x only if there are multiple entries)-x is department and numerogical order

Customer / Supplier

Work / Sales Order No.

Date Issued

LocationInternal - Name Department of Non-Conformity / External - Name Company Where Non-Conformity Occured

Nonconformity

Immediate Correction (what did you do to resolve the nonconforming situation)

Root Cause (how/why did this happen?)

Corrective Action(s)

Risk Prevention / Mitigation (What changes are enacted to prevent a future nonconforminity)

Effectiveness

Department / Line Manager

Date of Signature

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Contact Us:
1322 Industrial Park Drive
Clarksdale, MS 38614
P.O. Box 1869

1-800-542-2278
Fax: 662-627-1640