# Corrective Action Report (CAR)

**CAR number:** ____________  **Date raised:** ____________
**Raised by:** ____________________  **Assigned to:** ____________________
**Source:** ☐ Internal audit ☐ External audit ☐ Customer complaint ☐ Incident ☐ Inspection ☐ Other: ____________
**Severity:** ☐ Major ☐ Minor ☐ Observation

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## 1. Description of the nonconformity

State what happened, where, when and which requirement or clause was not met. Attach evidence references.

____________________________________________________________________
____________________________________________________________________

**Requirement / clause breached:** ____________________

## 2. Immediate containment

What was done to stop the problem continuing and to address any affected output already delivered?

____________________________________________________________________

**Containment completed by:** ____________  **Date:** ____________

## 3. Root cause analysis

Method used: ☐ 5 Whys ☐ Fishbone ☐ Fault tree ☐ Other: ____________

| Why | Answer |
|---|---|
| 1 | |
| 2 | |
| 3 | |
| 4 | |
| 5 | |

**Root cause statement:** ____________________________________________

## 4. Systemic corrective action

Actions that prevent recurrence — process, training, system or control changes. Documentation-only fixes are rarely sufficient.

| # | Action | Owner | Due date | Completed |
|---|---|---|---|---|
| 1 | | | | |
| 2 | | | | |
| 3 | | | | |

## 5. Extent of condition

Could the same cause affect other projects, sites, products or teams? ☐ Yes ☐ No
If yes, describe the review performed and its outcome: ____________________

## 6. Verification of effectiveness

**Verification method:** ☐ Re-audit ☐ Data/trend review ☐ Sampling ☐ Observation
**Verification due date:** ____________
**Result:** ☐ Effective ☐ Not effective (raise new CAR: ____________)
**Verified by:** ____________________  **Date:** ____________

## 7. Closure

**Closed by:** ____________________  **Position:** ____________________
**Signature:** ____________________  **Date closed:** ____________

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