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D0 Symptom(s):
Verification / Validation:
Verification / Validation:
Verification:
Verification:
Validation:
D7a Systemic Prevent Recommendations: (include details of similar products/processes reviewed) Responsibility:
D7b Review & update following Documents/ System: Responsibility & Doc #’s: Due Date: Actual Completion
Date:
1. Manufacturing/ Inspection Work Instructions
2. Control Plans
3. Design/ Process FMEA
4. Gauges
5. PPAP
6. Engineering Change Approval
7. Manufacturing/ Inspection forms
D8 Team and Individual Recognition: Date Authorised and Closed By:
Closed:
Issue C Page 1 of 2
Concern & Corrective Actions Report Guide & Checklist
D Section Check Note
Title The problem as described by the originator.
D0 Symptoms The effect of defect or shortcoming.
* Problem Description Identify who, what, why, where, when, how many &
how often.
D3 Interim Corrective action (ICA) Are actions to isolate the effects of the problem in place
are until permanent action defined?
* (Note: Validate that the action taken works)
D4 Root Cause Is what caused the problem (root cause) and the reason
for not detecting it identified (escape point)? Brainstorm
* the possible causes of the problem (attach)
Root cause verification Is it possible to turn on/off the root cause?
Can use Cause & Effect & 5 Why analysis
D5 Choose the permanent corrective Is a permanent solution to address & correct root
action (PCA) cause of problem implemented?
* Can use Decision Making Form.
D6 PCA Implementation & Verification Is the implemented PCA verified to be effective in
eliminating the problem for good? Detect any
undesirable side effects.
D7 Preventive action Is the reason for occurrence of root cause identified
and preventive actions are in place to avoid recurrence?
Issue C Page 2 of 2