CAPA Report · editor

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Document number
—
Revision
A
Effective date
—
Owner
—
Draft
Problem statement
CAPA no.
Source (NCR / audit / complaint / trend)
Date opened
Owner
Affected product / process

Describe the nonconformity or potential nonconformity: what, where, when, how detected, and extent.

Immediate containment

Actions taken to contain the effect (quarantine, sort, stop-ship, customer notification) and their status.

Root cause analysis

Determine the true root cause using a structured method (5-Why, Ishikawa / fishbone, fault tree). State the root cause and the escape point (why it was not detected).

  1. Why? …
  2. Why? …
  3. Why? …
  4. Why? …
  5. Root cause: …
Corrective action
ActionOwnerDue dateStatus
[Corrective action][Owner][Date][Open / Closed]
Preventive action

Actions to prevent recurrence across similar products / processes (systemic fixes, controls, documentation updates).

Effectiveness verification

Objective evidence that the corrective action was implemented and is effective, with the verification method and date.

Verification date
Verified by
Closure & approval
Prepared by
Date
Approved / closed by
Date
Controlled structureISO 9001 §10.2 / 21 CFR 820.100

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