CAPA Quality Inspection Form
Document and track corrective and preventive actions to ensure quality compliance.
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspection Location
*
Inspector Name
*
First Name
Last Name
Department/Area Inspected
*
Description of Non-Conformance or Issue Observed
*
Severity of Issue
*
Critical
Major
Minor
Root Cause Analysis
*
Corrective Action(s) to be Taken
*
Preventive Action(s) to be Taken
*
Responsible Person(s) for Action(s)
*
Target Completion Date for Actions
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Upload Supporting Evidence (e.g., photos, reports, documents)
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of
Verification of Action Effectiveness
*
Effective
Not Effective
Additional Comments or Observations
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