Title Page
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RCA #
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Corrective Action Preventive Action
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Complaint / non-conformity : notice & issue date
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By email
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By phone / chat
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By inspection
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Customer representative
COMPLAINT / NON-CONFORMITY
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SKU#, item code, item type
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Reference : PO/Batch/RPO#, item name-description & quantity
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Discrepancy / non-conformity description
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Defect classification of non-conformity
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Picture & video attachment
ROOT CAUSE ANALYSIS
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Fishbone diagram :
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As determined 4 factors in fishbone diagram, what is possible cause of non-conformity?
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Man power ?
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Material ?
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Machine ?
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Method ?
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5Why possible main/basic cause :
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As determined by the 5Why, what is the basic root cause of Man power non-conformity?
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Why-1?
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Why-2?
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Why-3?
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Why-4?
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Why-5?
CONTAINMENT & CORRECTIVE ACTION
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Where is the non-conformity found? How many quantity?
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Area where defect found :
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Where is the defect found in the process:
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What has been put in place to stop the non-conformity?
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Corrective Action
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Timeline (due date) / Status
PREVENTIVE ACTION
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Has one point lesson been written ? If No, What is the other solution?
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What is the solution?
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Timeline (due date) / Status
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Has the standard, procedure, work instruction been created, review or updated? If No, What is the other solution?
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What is the solution?
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Timeline (due date) / Status
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Have trained, socialization the new or updated standard, SOP, WI? If No, What is the other solution?
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What is the solution?
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Timeline (due date) / Status
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Confirm the team has been involved.
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Team / Timeline (due date) / Status
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Have the results and improvements been communicated to all affected persons?
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Who hasn't been communicated with?
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Timeline (due date) / Status
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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
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Verified QC Supervisor:
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QA Manager : PRANOWO I.
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Production Manager Unit-1 : M. KARTONO
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Production Manager Unit-2 : AMBANG DJENDRA
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PPIC Manager : M. AGUS
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General Manager : AGUS SANTOSO LAUW
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This report is valid without being signed.