Republic of the Philippines

CIVIL AVIATION AUTHORITY OF THE PHILIPPINES

REQUEST FOR ACTION FORM

(RFA)
Section 1 – Details of Nonconformity (To be accomplished by the Auditor/ Initiator)
Date Requirement/ Reference: RFA Number:
Auditor/ Initiator: Nonconformity
(Non-fulfillment of a requirement)
Observation/ OFI
(Does not signify failure in the system but
may be enhanced)
Signature over Printed Name
Details: Office:
Others (pls. specify)
Internal Quality Audit Customer Feedback
Issued by: Issued to:

Signature over Printed Name Signature Over Printed Name

Description of the Nonconformity/ Observation: (include evidence)

Acknowledged by:
Section 2 – Necessary Action(s) (To be accomplished by the Auditee/ Process Owner)
Correction:

Target Completion Date:

Root Cause Analysis: Is there similar NCs in other areas:

Describe the necessary Corrective Actions:

Approved by: Target Completion Date:

Section 3 – Verification of Implementation and Effectiveness (To be accomplished by the Initiator)
Results of Action(s) Taken Remarks

Verified by: Verification Date

Acknowledged by: Next Verification Date:

Result of Action(s) Taken Remarks

Verified by: Verification Date

Acknowledged by: Next Verification Date:

CAAP-QMS-IQA-005 Page No: 1 of 1

Rev. No. / Rev. Date: 0 / August 2019
 Republic of the Philippines
CIVIL AVIATION AUTHORITY OF THE PHILIPPINES

CAAP-QMS-IQA-005 Page No: 1 of 1

Rev. No. / Rev. Date: 0 / August 2019