RCA CA PA FORM
This form can be used for Root Cause Analysis, Corrective action, Preventive action of the OVR an Feedback from OP and IP
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Type *
Select one
Year *
Unique Number *
eg. ####  four digit number like 0001, 0010, 0101, 1245, 9999 etc
Date and time of RCA/CA/PA *
MM
/
DD
/
YYYY
Time
:
Type of action *
Domain
Details of Action *
All the details of the above action should be narrated here
Action Noted by (Name+ID) *
Name of the person
Action Noted by (Department) *
Name of the Department
Submit
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