CAR Control No:

Issue Date:
CORRECTIVE ACTION REQUEST Issuance Status: New
Re-issue
Requesting Dept./Section: Responsible Dept. / Section / Committee: Date Limit for Reply:

Source of Non-Conformance:
Customer In-Process Outgoing Audit
Type of Non-Conformance:
Major Minor Observation
PROBLEM / NON-CONFORMANCE:

NOTE: Add paper if space provided below for corrective action is not enough.

Prepared By: Received By: Approved By:

CAUSE ANALYSIS (POSSIBLE CAUSE/ROOT CAUSE):

CORRECTION DONE (as necessary):

CORRECTIVE ACTION:

Implementation Date: Responsible / Person In-Charge:

IMPLEMENTATION VERIFICATION:

Date Verified: Verified By: Acknowledged By:

VERIFICATION OF EFFECTIVENESS RESULT:

Date Verified: Verified By: Acknowledged By:

CAR STATUS AFTER VERIFICATION:

CLOSED RE-ISSUE FOR FOLLOW-UP

Reviewed & Approved By: / Date: Comments:
Others
KIMS-017-0
 PAR Control No:
Issue Date:
PREVENTIVE ACTION REQUEST Issuance Status: New
Re-issue
Requesting Dept./Section: Responsible Dept. / Section / Committee: Date Limit for Reply:

Source of Potential Non-Conformance:

Customer In-Process Outgoing Audit
Type of Potential Non-Conformance:
Major Minor Observation
POTENTIAL PROBLEM / NON-CONFORMANCE:

NOTE: Add paper if space provided below for corrective action is not enough.

Prepared By: Received By: Approved By:

CAUSE ANALYSIS (POSSIBLE CAUSE/ROOT CAUSE):

PREVENTION DONE (as necessary):

PREVENTIVE ACTION:

Implementation Date: Responsible / Person In-Charge:

IMPLEMENTATION VERIFICATION:

Date Verified: Verified By: Acknowledged By:

VERIFICATION OF EFFECTIVENESS RESULT:

Date Verified: Verified By: Acknowledged By:

PAR STATUS AFTER VERIFICATION:

CLOSED RE-ISSUE FOR FOLLOW-UP

Reviewed & Approved By: / Date: Comments:
Others
KIMS-018-0