2017/41081/SU1

ISO 9001:2008

Optional Corrective Action Form

.

The form has been developed to assist the client in responding to a

Concern raised by the Audit Team. The form may assist in
determining the reason for the Concern and how to prevent the
Concern from reoccurring.
.
Concern Reference Number from Report 03

Question Detail Answer

What was the Concern?
Calibration of test instrument analysis needs to be improves
for ensuring teaching performances effectiveness. (i.e. Ms.
Fransiska – Bahasa Inggris Class XI; Mr. Rekho –
Pemograman Dasar Class X; Ms. Elsy Novarita – Produksi
Acara Class XI; Ms. Ordi Wardani – Dasar Kecantikan Kulit
Class X) [clause 7.6]

Who is the person responsible to ---

ensure closure of the Concern?
What was the immediate action to ---
prevent the Concern from continuing?
After investigation, what was the ---
reason(s) for the Concern?
What is the action to be taken to ---
prevent the Concern from reoccurring
again?

.
Planned Date of Implementation of Corrective ---
Action
Client Signature or name of Person Responsible ---

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Name of URS Person Accepting Corrective ---
Action Plan
Date of acceptance if Completing at Client's Site ---

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