Corrective & Preventive Action Request Form

QUALITY REGISTRAR SYSTEMS	Page 1 of {{total_pages}}
CORRECTIVE & PREVENTIVE ACTION REQUEST FORM	Form

COMPANY	{{company_name}}
AUDITEE NAME	{{auditee_name}}
AUDIT DATE	{{audit_date}}
AUDIT TYPE	{{#if is_initial}}☒{{else}}□{{/if}} Initial Audit {{#if is_surveillance}}☒ Surveillance (No. {{surveillance_number}}){{else}}□ Surveillance{{/if}} {{#if is_reassessment}}☒{{else}}□{{/if}} Re-Assessment {{#if is_other}}☒{{else}}□{{/if}} Other
STANDARDS	{{standards}}

{{#each entries}} {{/each}}

S#	TYPE OF FINDING (NCR, OBS)	NCR/OBS STATEMENT	CRITERIA'S CLAUSE	PROPOSED CORRECTIVE ACTION	Status
{{index}}.	{{nc_type}}	{{raw ncr_statement_html}}	{{raw criteria_clause_html}}	{{corrective_action}}	{{status}}

Auditor Signature:	{{auditor_name}}	Auditee Signature:	{{#if auditee_signature_img}}{{/if}} {{auditee_name_only}} {{#if company_stamp_img}}{{/if}}
Date:	{{audit_date}}	Date:	{{auditee_signed_date}}
Verification Comments of Auditor:	{{verification_comments}}		Signature:

{{#if document_hash}}

✓ Digitally signed by {{signed_by}} on {{auditee_signed_date}} · Document ID: {{document_hash}} · Authenticity verified

{{/if}}

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