HTML Preview Corrective Action Sample page number 1.
Site ID: Audit Date:
Facility Representative: Rep Phone:
Auditor: Auditor Phone:
CORRECTIVE ACTION REPORT
Facility Representative Signature: Date:
Nonconformance Information
Description of
nonconformance:
Corrective Action Information
Root cause:
(describe why the
non-conformance
occurred)
Corrective Action
to be taken:
(describe how the
root cause of the non-
conformance will be
addressed; include
expected date of
completion.)