Form No MPP/QC/R/11

Inhouse Corrective Action Report Rev No 0

Date

Part Name Part Description

Problem Identified Operator Name

Shift Supervisor

SCAR Initiated Date Identification or Traciability

Machine No

1 ESTABLISH PROBLEM SOLVING TEAM

Team Leader : Champion :

Team Members :

2 PROBLEM DESCRIPTION (Attach Photographic details of failure, or Data etc)

3 CONTAINMENT ACTION / SHORT TERM ACTION

Stage Date Actions Planned / taken Implementation date Responsibility Remarks

4 ROOT CAUSE ANALYSIS (Attach -Cause & Effect)

WHY ~ WHY…... ANALYSIS

Root Cause Analysis Cause Action Resp. Target date

Probable Cause

1 WHY ?

2 WHY ?

3 WHY ?

4 WHY ?

5 WHY ?

4
5 PERMANENT CORRECTIVE ACTIONS / LONG TERM ACTION Process side and Detction Side (Attach Photographs of actions taken)
o
f
Date of
Corrective Actions Planned /
Identified Root Cause Error - Proofing Responsibility Implementatio 4
taken
n

6 IMPLEMENT PERMANENT CORRECTIVE ACTIONS (VERIFICATION)

Sr Corrective Actions Taken Target Actual Results of Action taken Date of Review Status

Action taken in Existing Stock

HORIZONTAL DEPLOYMENT/VERTICAL DEPLOYMENT (List other similar processes and parts with potential for the same defect)

Sr Part No. Corrective Actions Resp. Target Status

2
3

PREVENTATIVE ACTIONS TO AVOID RE-OCCURENCE - DOCUMENTS / SYSTEMS (Attach copies of all revised documents)

Planned
# QMS Document P if Yes Responsibility Actual Date Status
date
In-house
1 Quality Plan
Supplier

2 Setup Sheet

3 SOP

4 Drawing / Process Flow Diagram

5 PFMEA / DFMEA

6 Acceptance Standard

7 PM Checklist

8 Work Instruction/Calibration Plan 3

o
f
7 Corrective action effectiveness monitoring through next 3 settings:
4

Date Lot No Dispatch Qty Result Serial No Tracking Remarks

Complaint Status OPEN / CLOSE

PKF 022_R1
Probable Cause 1

1 WHY ?

2 WHY ?

3 WHY ?

4 WHY ?

5 WHY ?
 Cause And Effect Diagra

Management Man Method

Cause Cause

Cause Cause

Cause
Cause
Cause

Cause Cause Cause

Cause

Measurement Machine Material

Effect
(Y)

erial