Nonconformity, Corrective Action And Preventive Action (Originated 2/5/2024)

• CAPA log number

• Prepared by

• Location
  Address

• Personnel

Product Information

• Shift

• Time of incident

  Date

• Production date

  Date

• Item code

• Flavor

• Customer

• Production Line

• Batch #(s)

• Case Count

• Lot code

• Prims Lot Code

• Pallet Tag #(s)

• Mixer

• Line Lead

• Packaging Lead

• Lead Mixer

• Supervisor

• QC Tech

Time/Product loss

• Downtime

• Scrapped Dough (in lbs)

• Management Reported to

• Incident type

  Select Foreign object Appearance Size/Weight Taste Packaging Illness Wrong Product Ingredient Issue Other

  • Foreign object
  • Appearance
  • Size/Weight
  • Taste
  • Packaging
  • Illness
  • Wrong Product
  • Ingredient Issue
  • Other

• Areas Involved

  Select Pre-weigh Mixing Production Packaging Warehouse Other

  • Pre-weigh
  • Mixing
  • Production
  • Packaging
  • Warehouse
  • Other

• Who are the stakeholders that are affected?

• When did this occur?

• Where specifically is this issue occuring?

• How much product was lost?

• What goal was not met?

• Desired State (Goal)

• Why?

• Why?

• Why?

• Why?

• Why?

• Measurements?

• Material?

• Man Power

• Mother Nature

• Method

• Machine

• Please include all information from above in a detailed summary

Immediate Actions

• What steps did you take to resolve the issue?

• What is your pro-longed correction for this issue?

Preventative Action

• How do you intend on preventing this issue from happening again?

Follow Up

• Has this problem been resolved completely?