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Inspection

CAPA Report Form

Principal Investigator

Deficiency identified

Add photo evidence of deficiency if applicable

Response to deficiency

Corrective Action Plan (Action taken to correct specific deficiency identified)

Preventative Action Plan: (Action taken to prevent the recurrence of this problem in the future)

Signature of responsible personnel

CAPA Report Template Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 67

A CAPA Report form is designed to help identify, address, and prevent the occurence of regulatory and organizational non-conformance. This can be used by compliance officers when formulating a corrective action to resolve the issue, and a preventive action to lower the risk of its recurrence.

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Inspection

CAPA Report Form

Principal Investigator

Deficiency identified

Add photo evidence of deficiency if applicable

Response to deficiency

Corrective Action Plan (Action taken to correct specific deficiency identified)

Preventative Action Plan: (Action taken to prevent the recurrence of this problem in the future)

Signature of responsible personnel