CorrectiveActionReportCreatedby:Date:Page1of3CAR#DateOpenedLastUpdatedCustomerContactContact#CustomerP/NPartDescriptionPO/Invoice#QuantityRec’dQuantityDefectiveDateReceivedTeamMembersProblemDescriptionInterimContainmentAction(s)1.1.Allinvolvedpersonsneedtobeinformed,andtakecontainments.Results:CompletedByDate2.Materialinprocess(WIP)wascheckedforthisproblem.Results:CompletedByDate3.Materialinstockwascheckedforthisproblem.Results:CompletedByDateCorrectiveActionReportCreatedby:Date:Page2of3RootCauseAnalysisNote:Use5WhyorIshikawaMethodfortheRootCauseAnalysisRootCauseHypothesisbyFiveWhyAnalysis5WhyPROBLEMRootCause#QuestionAnswer123455WhyNON-DETECTIONRootCause#QuestionAnswer12345Conclusion:RootCauseHypothesisbyIshikawaAnalysisConclusion:OperatorProblemDescription:MachineMaterialMethodEnvironmentInspectionCorrectiveActionReportCreatedby:Date:Page3of3CorrectiveActionCompletedByDatePreventiveAction(Considertheimpacttoothersimilarprocesses)CompletedByDateDocumentation/StandardizationWorkInstructionYesNoPFMEAYesNoControlPlanYesNoOtherYesNoVerificationofEffectivenessVerificationMethods/NotesDateVerifiedEffective:VerifiedEffectiveBy:SummaryDateClosed:ClosedBy:Signature:Date: