Request For Action IQA SC
Request For Action IQA SC
Request For Action IQA SC
Signature over Printed Name/ Signature over Printed Name/ Signature over Printed Name/
Date signed Date signed Date signed
This section to be accomplished by the Auditee once the RFA has been accepted.
ROOT CAUSE ANALYSIS:
NIA-QPR-Form10 Rev.02
MANPOWER MACHINE MATERIALS METHOD ENVIRONMENT
(i.e. competency, availability (i.e. availability and suitability of (i.e. availability and suitability of (i.e. efficiency, effectiveness, (i.e. suitability of human,
health and or behavior of equipment including hardware raw materials, indirect availability, suitability including physical, social and
personnel, employee or and software, parts, accessories, materials) approval of procedures, policies) psychological factors)
outsourced service provider) transportation resources,
information and communication
technology, infrastructure)
AGREED ACTION/S:
Immediate Correction/s: (Band-aid solution or short-term action/s to be taken immediately to eliminate detected NCs/OFIs) Target Implementation
Date: (When will you take
action?
Corrective Action/s: (Long-term action/s that will address all root causes of NCs/OFIs. This will ensure the non-recurrence or Target Implementation
non-occurrence of NCs/OFIs) Date: (When will you take
action?
Signature over Printed Name / Date signed Signature over Printed Name / Date signed
NOTE: *Please accomplish the RFA completely within ten (10) working days upon receipt.
NIA-QPR-Form10 Rev.02
NIA-QPR-Form10 Rev.02