Investigation and Corrective Action Request

Revision: a

FIELD NAME: FIELD VALUE:
Investigation and Corrective Action Request
ICAR No:		Part No:
Supplier:		Part No Rev:		PO No:
Program Name:		Process Affected:		RFS Number:
Raw Material:		Heat No:		Material PO No:
Supplier Responsible Authority:		Supplier Team Members:
Problem:
Estimate Contain/Control By:			Actual Date Controlled:
Supplies in Transit:		Supplies In-Process:		Finished Supplies:
Supplier RFS Started:	Yes No	RFS No:		Qty Quarantined:
Pending Orders Evaluated:	Yes No	Evaluation Details:
Until permanent corrective action is implemented, the situation will be controlled by:
Root Cause:			How Root Cause was Verified:
Corrective Action:
How Corrective Action was Verified. Record source of objective evidence (training records, revised procedures, etc):
Similar Parts Affected:			Effective Date of Corrective Action:
Company Approval:			Company Approval Date:

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