This document appears to be an 8D report template used for problem solving. It includes sections for documenting details of who is affected by the problem, the problem statement, containment actions, root cause analysis, corrective actions, validation of corrective actions, and prevention of future recurrence. Checkboxes are included to indicate if additional documents like control plans, FMEAs, procedures, or work instructions are also part of the report.

1. Appendix
WHO IS EFFECTED BY THE PROBLEM? Date Notified: S.No.:
Organization Date Open:
Location: Initial Response:
Part No./Code Target Close Date:
Product Name: Revision Date(s):
Product Tool ID: Actual Close Date:
Champion:
Team Leader:
Team Members:
Target Date: Actual Date:
Target Date: Actual Date:
Target Date: Actual Date:
Check boxes that apply:
8D Report
1 TEAM MEMBER DETAILS 2 PROBLEM STATEMENT
8 TEAM AND INDIVIDUAL RECOGNITION: Recognize the collective efforts of the team.
HOW WILL YOU VALIDATE THE PCA?
HAS CORRECTIVE ACTION/IMPLEMENTATION BEEN REVIEWED AGAINST DOCUMENTS?:
7 SYSTEM PREVENTION ACTIONS TO PREVENT RECURRENCE: Mistake Proofing: How
are you going to ensure it can't happen again?
HOW DID YOU VERIFY THE EFFECTIVENESS OF THE PCA?:
HOW DID YOU VERIFY THE ROOT CAUSE(S)?
6 IMPLEMENT AND VALIDATE PERMANENT CORRECTIVE ACTION(S) (PCA):
HOW DID YOU VERIFY THE EFFECTIVENESS OF THE ICA?
4 DEFINE AND VERIFY ROOT CAUSE(S):
5 CHOOSE AND VERIFY PERMANENT CORRECTIVE ACTION(S) (PCA):
3 CHOOSE AND VERIFY INTERIM CONTAINMENT ACTION(S) (ICA):
Control Plan FMEA Flowchart Proc./Work Instr. Add to Internal Audit
INTERNAL or EXTERNAL