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Investigation and Corrective Action Request

Revision: orig
Investigation and Corrective Action Request
ICAR No: Part No:
Supplier: Part No Rev: PO No:
Program Name: Process Affected: RFS Number:
Raw Material: Heat No: Material PO No:
Supplier Responsible Authority: Supplier Team Members:
Estimate Contain/Control By: Actual Date Controlled:
Supplies in Transit: Supplies In-Process: Finished Supplies:
Supplier RFS Started: Yes  No  RFS No: Qty Quarantined:
Pending Orders Evaluated: Yes  No  Evaluation Details:
Until permanent corrective action is implemented, the situation will be controlled by:
Root Cause: How Root Cause was Verified:
Corrective Action:
How Corrective Action was Verified.

Record source of objective evidence (training records, revised procedures, etc):
Similar Parts Affected: Effective Date of Corrective Action:
Company Approval:   Company Approval Date: