Corrective and Preventive Action Request (CAR)
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Salesman
Basic CAR Information
CAR Number:
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CAR Issuer:
Audit #:
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Issue Date:
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CAR Representative:
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Product Name:
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Division:
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Product Cost:
Lot Number:
Lot Size:
Lot Disposition
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Defective Qty:
Finding and Failure Mode
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Problem Description
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Failure Mode:
Preliminary Study and Action Plan
Preliminary Root Cause:
Corrective and Preventive Action Plan:
Root Cause Analysis and Corrective Action
Who is responsible for the problem?
When did the problem occur?
Where did the problem occur?
How did the problem occur?
Why did the problem occur?
Real Root Cause
Corrective Action:
Action Date:
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Preventive Action
Action Date:
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Action Review and Verification
Action Review and Comment
Reviewer
Action Close Date
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