Title Page

  • RCA #

  • Corrective Action Preventive Action

  • Complaint / non-conformity : notice & issue date

  • By email

  • By phone / chat

  • By inspection

  • Customer representative

COMPLAINT / NON-CONFORMITY

  • SKU#, item code, item type

  • Reference : PO/Batch/RPO#, item name-description & quantity

  • Discrepancy / non-conformity description

  • Defect classification of non-conformity

  • Picture & video attachment

ROOT CAUSE ANALYSIS

  • Fishbone diagram :

  • As determined 4 factors in fishbone diagram, what is possible cause of non-conformity?

  • Man power ?

  • Material ?

  • Machine ?

  • Method ?

  • 5Why possible main/basic cause :

  • As determined by the 5Why, what is the basic root cause of Man power non-conformity?

  • Why-1?

  • Why-2?

  • Why-3?

  • Why-4?

  • Why-5?

CONTAINMENT & CORRECTIVE ACTION

  • Where is the non-conformity found? How many quantity?

  • Area where defect found :

    Screenshot 2025-01-17 073819.png
  • Where is the defect found in the process:

  • What has been put in place to stop the non-conformity?

  • Corrective Action

  • Timeline (due date) / Status

PREVENTIVE ACTION

  • Has one point lesson been written ? If No, What is the other solution?

  • What is the solution?

  • Timeline (due date) / Status

  • Has the standard, procedure, work instruction been created, review or updated? If No, What is the other solution?

  • What is the solution?

  • Timeline (due date) / Status

  • Have trained, socialization the new or updated standard, SOP, WI? If No, What is the other solution?

  • What is the solution?

  • Timeline (due date) / Status

  • Confirm the team has been involved.

  • Team / Timeline (due date) / Status

  • Have the results and improvements been communicated to all affected persons?

  • Who hasn't been communicated with?

  • Timeline (due date) / Status

  • If the answer is YES and DONE to all of the above in this section, the RCA-CPA is ready to be closed.

COMPLETION & VALIDATION

  • Verified QC Supervisor:

  • QA Manager : PRANOWO I.

  • Production Manager Unit-1 : M. KARTONO

  • Production Manager Unit-2 : AMBANG DJENDRA

  • PPIC Manager : M. AGUS

  • General Manager : AGUS SANTOSO LAUW

  • This report is valid without being signed.

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