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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Title Page
Conducted on
Prepared by
Protocol Title
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
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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