Att_5_-_FACAR_Sample.doc

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Attached to
Lightweight Plate Solicitation
Solicitation number
M67854-19-R-1500
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This document is a corrective action report template for suppliers to a federal agency. The template outlines the process for suppliers to document problems affecting parts supplied to government customers, including describing issues, containment actions, root cause analysis, corrective actions taken, and verification that improvements are effective. Suppliers must complete the template to close out corrective action reports, with sections requiring details on the affected parts and processes, containment at the customer and supplier facilities, root cause determination through why's analysis, corrective actions and verification testing implemented, and ongoing monitoring of improvements.

Attachment 05 - FACAR Sample

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8D - Corrective Actions Report Status: Open Closed

Recurrent failure?
Yes:
NO:

Supplier:

Contact:

Phone number:

Address:

Fax:

Affected Part Number:

Part Name :

CAR number:

CAR Date:

1 Problem Description

Specific description of the problem:

How many parts have the problem?

When were the parts found?

Where were the parts found?

How were the parts found?

2 Problem Solution Team

Name
Position
Phone number
E-mail address

3 Containment Actions

At Customer Facility

Action:
Date :
Responsible :
Verification : (Date and result)

Material at Customer facility disposition:

FORMCHECKBOX

Scrap

FORMCHECKBOX

Vendor return

No. RMA:______________

FORMCHECKBOX

Other (explain):

Material in Transit:

Action:
Date :
Responsible :
Verification : (Date and result)

At Supplier’s facility / Other locations:

Action:
Date :
Responsible :
Verification : (Date and result)

Total number of parts sorted:

Total number of defective parts:

Percentage Defective:

What is the identification mark to signify certification?

Other locations :

Action:
Date :
Responsible :
Verification : (Date and result)

Total number of parts sorted:

Total number of defective parts:

Percentage Defective:

What is the identification mark to signify certification?

Containment Actions Clean Date:

4 Root Cause

5 Why’s Analysis

Why did the failure happen?

1st Cause
2nd Cause
3rd Cause

1. Why?

2. Why?

3. Why?

4. Why?

5. Why?

Why was the failure not detected?

1st Cause
2nd Cause
3rd Cause

1. Why?

2. Why?

3. Why?

4. Why?

5. Why?

Root cause verification

Explain in detail what tests where taken to assure that the root cause was found:

5 Corrective Actions / Verification of the Actions

Applicable to occurrence of failure

Actions
Date
Responsible
How was it proven that the actions taken eliminate the failure?
Date
Responsible

Applicable to non detection of failure

Actions
Date
Responsible
How was it proven that the actions taken detect the failure?
Date
Responsible

Poke-Yokes implemented because of this failure

Yes (description of the operation)
No (Why not?)

6 Standardization and Control

Document
Date
What changed?

FMEA

Control Plan

Flow Process diagram

Visual Aid

Operation Standards

Preventive Maintenance Plans

Others

7 Verification of Effectiveness of Preventive Actions

Can the verified effective improvements from this corrective action be implemented to similar parts or processes?

Action
Date
Responsible

i

Actions or Controls for others causes that can produce the same failure

Action
Date
Responsible

i

Describe the Methods used

Date
Status of Corrective Actions
Produced Quantity
Defects
Date
Actions for failure detection
Shipped Quantity
Defects

8 Congratulate Team

Date
Team Member
Team Member Congratulated / Team Member Comments

Initial Response Date:� Revision Date:�

PAGE

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