Corrective and Preventive Action (CAPA) Form
CAPA ID
Date
Reported By
Department
Issue Description
Describe the Problem / Nonconformance
Impact / Risk
Root Cause Analysis
Root Cause
Actions
Immediate Correction(s)
Corrective Action(s)
Preventive Action(s)
Responsible Person
Target Completion Date
Verification and Closure
Effectiveness Check
Closed By
Closure Date