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Corrective Action Log Form 109

Egba Split-Clamps Limited uses a Corrective/Preventive Action Log to track issues, potential issues, root causes, and corrective actions. The log includes fields to track the action request number, initiator, date initiated, problem description, root cause analysis, actions taken, and results.
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0% found this document useful (0 votes)
81 views2 pages

Corrective Action Log Form 109

Egba Split-Clamps Limited uses a Corrective/Preventive Action Log to track issues, potential issues, root causes, and corrective actions. The log includes fields to track the action request number, initiator, date initiated, problem description, root cause analysis, actions taken, and results.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Egba Split-Clamps Limited

Form 109: Corrective/Preventive Action Log (Action Request Log)


AR No.

Initiator

Date
Initiated

Form 109, Rev. 0, 12th Nov, 2012

Description of Problem (Nonconformance / Potential


Nonconformance)

Page 1 of 1

Root Cause

Action Taken

Date
Closed/Result

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