CAPA CAPA PART A: Handling and Reporting of Quality Issues To be completed by Sir Lancellot Quality Leader and the Manager, or Team Member who identified the non-conformance, potential non-conformance or received an external client complaint. SLC Reference Number Client Name Client Reference Number Date Reported SLC Location/Agent Name and Location Concise Description of the Non-Conformance, Potential Non-Conformance or External Complaint Individual who Identified and Reported the Quality Issue Entered in SOFTWARE Notes? Yes No PART B: Investigation, Root Cause Analysis, Corrective and/or Preventive Actions. To be completed by the Quality Manager, or Team Member involved Initial Remedial Action YES, How did we mitigate or correct the issue? NO, Why? If yes, please describe the initial remedial action: If no, why? Details of Investigation Root Cause Number 1 Root Cause Number 2 Root Cause Number 3 Corrective Action Steps taken to prevent the future reoccurrence of an existing non-conformance Action By: Due Date Completion Date Preventive Action Steps taken to prevent a potential future non-conformance from actually ever occurring Action By: Due Date Completion Date SLC Team Member reviewing and approving the proposed Corrective and/or Preventive Actions Name: Job Title Date SLC Manager reviewing and submitting the proposed Corrective and/or Preventive Actions Name: Job Title Date PART C: Problem Identification and Evaluation To be completed by the Sir Lancellot Quality Leader Responsible Department Incident Date CAPA Open Date CAPA Log Reference Number Issue Category Minor (7 working days) Major (5 working days) Critical (2 working days) CAPA Closed Date QA Name: Submit If you are human, leave this field blank.
