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Corrective Action Request Form

Corrective Action Request

Instructions:
1. Indicate the product name, lot/batch number, and date received.
2. Select the source of the need for corrective action to be taken.
3. Take/attach photos and create an action where you can specify the details of the corrective action and set the assignee, priority level, and due date.
4. Sign off with your digital signature to complete the corrective action request.

Reference product name

Lot/batch number

Date received
Source

Specify major/minor product nonconformity

Identify person

Test type

Product result

Specify

Take/attach relevant photos and create an action
Completion

Additional comments

Quality Manager Name & Signature

Corrective Action Request Form Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 47

A corrective action request form aims to formally notify a supplier about the nonconformity found in their products and ask for corrective actions to be taken. Quality managers in the manufacturing facility can send real-time corrective action notifications to the supplier using this mobile-ready corrective action request form.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

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Corrective Action Request Form

Corrective Action Request

Instructions:
1. Indicate the product name, lot/batch number, and date received.
2. Select the source of the need for corrective action to be taken.
3. Take/attach photos and create an action where you can specify the details of the corrective action and set the assignee, priority level, and due date.
4. Sign off with your digital signature to complete the corrective action request.

Reference product name

Lot/batch number

Date received
Source

Specify major/minor product nonconformity

Identify person

Test type

Product result

Specify

Take/attach relevant photos and create an action
Completion

Additional comments

Quality Manager Name & Signature