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Corrective action request form

Corrective action request form

Handle operational problems systematically with this form. Document issues, assign responsibilities, and monitor progress to prevent recurring problems.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
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or Download template as PDF
Corrective action request form

Handle operational problems systematically with this form. Document issues, assign responsibilities, and monitor progress to prevent recurring problems.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

A corrective action request form is a formal document used to identify, document, and address quality issues in your processes or products. This template helps you track non-conformities from discovery through resolution, ensuring proper root cause analysis and preventing recurrence.

When your quality team identifies a critical defect in received materials, this form provides a structured approach to notify suppliers, document the issue with photo evidence, assign corrective actions with clear deadlines, and verify implementation effectiveness. According to Gateway Group, organizations implementing formal corrective action processes see up to 60% reduction in recurring quality issues and significant improvements in supplier performance through systematic problem resolution.

Related categories

  • Quality management templates
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Preview of the template
Page 1
Issue Details
Date of Issue Occurrence
Location of Issue
Department/Area Affected
Detected By
Issue Description
Impact Assessment
Impact on Operations
Health & Safety Implications
Financial Impact
Regulatory/Compliance Concerns
Corrective Action Plan
Root Cause Analysis
Corrective Actions
Responsible Person(s)
Target Completion Date
Verification & Closure
Effectiveness of Corrective Actions
Closure Date
Closed By

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Corrective actions: A step-by-step guide (with an example plan)Quality assurance and quality control: Key differences explainedQuality management systems (QMS) explainedA3 lean explained: A guide to efficient problem-solving 
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Frequently asked questions

What’s the difference between corrective and preventive actions in this template?

Corrective actions address existing non-conformities that have already occurred—they’re reactive and focus on fixing identified problems. Preventive actions address potential issues before they happen—they’re proactive and focus on eliminating causes of possible future non-conformities. This template primarily addresses corrective actions but includes sections for identifying systemic improvements that can prevent similar issues across other processes or products.

Who should be responsible for approving completed corrective action requests?

Approval should come from someone with authority and expertise related to the affected area, typically a quality manager, department head, or designated management representative. For significant issues, consider a multi-level approval process involving both the area supervisor and quality department. The approver reviews the request, confirms that the team identified the root causes, implemented the corrective actions as planned, and verified their effectiveness with objective evidence before closing it.

How can I use this template to improve supplier quality performance?

Document supplier non-conformities with specific details and supporting evidence. Communicate expectations clearly by specifying required corrective actions and timeframes. Also, request the supplier’s root cause analysis and action plan using this form and follow up systematically on implementation and effectiveness. Track supplier performance metrics over time to identify trends. Use the documented history during supplier evaluations and reviews to drive continuous improvement in your supply chain.

What common mistakes should I avoid when implementing a corrective action system?

Avoid rushing through root cause analysis, focusing only on immediate fixes, assigning vague actions without clear ownership, setting unrealistic deadlines, failing to verify effectiveness, and closing requests prematurely. Don’t treat the process as just paperwork—use it as a learning opportunity. Resist blaming individuals rather than improving systems, and don’t forget to share lessons learned across departments to prevent similar issues elsewhere in your organization.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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