Biomedical Engineering Reference
In-Depth Information
47.6
attachment forms
abc Pharmaceutical comPany
LEVEL 3
Attachments No.: QAS-
Issued on:
Revision No.:
Attachment I
Incidence Citation Report and
Corrective Action Request
ICR No.:
CITATION
Written by:
Designation:
Initial:
Through (department head):
Date:
Nature of citation:
CRITICAL
MAJOR
MINOR
Description of event:
Recommendations:
Corrective action request (CAR) to be completed by: Date:
Signature QAD:
Corrective action implementation report: CAR completed:
YES
NO
Remarks or explanation:
Signature of department head:
QAIs:
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