TESDA-QP-04-F01
Rev. No.01-07/23/15
CORRECTIVE/ PREVENTIVE ACTION REQUEST
(CPAR)
Issued to:
Date:
CPAR
No:
Initiator:
Process/Area:
Degree of
Criticality:
OFI
Major
NC
Source of OFI/NC/CA/PA:
Minor
NC
 Feedback from daily
operations
 Audit Findings
Details of Findings/s
Issued by:
Acknowledged by:/Date
(Name and Signature of Head Operating Unit)
(Name and Signature of Initiator)
Note: A, B, C, D, and/or E To be filled-up by Head of the Operating Unit and submit to the Initiator
within 15 calendar days upon receipt of CPAR.( Refer to 6.2-5)
A. Correction Action
B. Root Cause Analysis (with attached analysis)
C. Proposed Corrective Action
D. Potential Root Cause Analysis (with attached analysis)
E. Proposed Preventive Action
Name and Signature:
Date Accomplished:
Completion Date Agreed:
(Name and Signature of Head Operating Unit)
F. Review and Approval of Proposed Corrective/Preventive Action (To be filled-up by the Initiator
approved by the Head of Operating Unit within 5 calendar days upon receipt of CAPA). (Refer to
6.2-5)
The above non-conformance and CAPA has been reviewed. The following comments apply:
Name and Signature:
Approved by:
(Initiator)
(Name
Date:
and Signature, Head of Operating Unit)
G. Verification of Action Taken:
Results of Action(s) Taken:
Remarks:
(
(
(
(
H. Non-conformity Closed? Yes
) Additional information/documents required
) Verify at next audit
) Follow-up Audit on_____________
) Others, specify
No
Name and Signature:
Name and Signature:
(Initiator)
(Name and Signature, Head Operating Unit)
Date:
Date:
Document No.
QUALITY PROCEDURE
TESDA-QP-04
Rev. No.
Mandatory Procedures
Page
04
Control of Nonconforming Service/
Corrective and Preventive Action Procedure
Issued by
IQA Committee
16
Date
July 23, 2015
TESDA-QP-04-F02
Rev. No. 01-07/23/15
CORRECTIVE/PREVENTIVE ACTION REQUEST (CPAR) REGISTRY
CPAR
No./
Date
Office/
Institution
Process
OFI
Criticality
Major
NC
Minor
NC
Prepared by:
_______________________
Initiator/Process Owner
Date:
________________________
Findings
Root Cause/
Potential Root
Cause
Correction/
Corrective
Action
Preventive
Actions
Verification
of Actions
Date of
Verification
Closure
Yes/
Date
Approved by:
_______________________
Head Operating Unit
Date:
_______________________
No