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Corrective Action Request · Pro

Supplier Non-Conformance Corrective Action Request Form

Streamline supplier quality management by documenting non-conformances, assigning corrective actions, and tracking root cause analysis in one form.

Use This Template Free Preview

Matcha theme

formbuilder.ai/f/supplier-non-conformance-corrective-action-request-root-cause-analysis-form

Supplier Non-Conformance Corrective Action Request & Root Cause Analysis Form

CAR Reference Number

· · ·

Date Non-Conformance Identified

· · ·

Reported By

· · ·

Submit

The Supplier Non-Conformance Corrective Action Request & Root Cause Analysis Form is a comprehensive quality management tool designed to help procurement, quality assurance, and supply chain teams formally document and address supplier non-conformances. It captures critical details such as CAR reference numbers, affected part numbers, purchase order references, severity levels, and supporting evidence attachments to ensure complete traceability from issue identification to resolution.

This form is ideal for manufacturers, OEMs, contractors, and any organization that relies on suppliers to meet defined quality standards. By standardizing the non-conformance reporting process, teams can enforce accountability, assign containment action owners, and set clear deadlines—reducing the risk of recurring quality failures and supply chain disruptions.

Using this template eliminates the inefficiency of manual spreadsheets and email chains, replacing them with a structured digital workflow. Quality managers can quickly identify trends, escalate critical issues by severity, and maintain an auditable record of all corrective actions—supporting ISO 9001 compliance and continuous improvement initiatives across the supply chain.

4 Pages

42 Questions

~14min To complete

Free No credit card needed

Field types Long Text ×9 Date ×8 Dropdown ×6 Short Text ×5 Full Name ×4 File Upload ×2 Signature ×2 Email Phone number Priority Selection Yes / No termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Non-Conformance Details 14 questions

Non-Conformance Identification

1 CAR Reference Number * Short Text

2 Date Non-Conformance Identified * Date

3 Reported By * Full Name

4 Reporter Email * Email

5 Reporter Phone Phone

Supplier Information

6 Supplier Name * Short Text

7 Supplier Code / ID * Short Text

8 Purchase Order / Contract Number * Short Text

9 Part Number / Product Description * Short Text

10 Quantity Affected * number

11 Non-Conformance Category * Dropdown

12 Severity Level * Priority Selection

13 Detailed Description of Non-Conformance * Long Text

14 Attach Supporting Evidence (photos, inspection reports, etc.) File Upload

Page 2 Containment & Immediate Actions 9 questions

Immediate Containment Actions

1 Describe Immediate Containment Actions Taken * Long Text

2 Containment Action Owner * Full Name

3 Containment Action Date * Date

4 Disposition of Non-Conforming Material * Dropdown

5 Impact Assessment (production, delivery schedule, cost, customer) * Long Text

6 Has the Customer Been Notified? * Yes / No

Supplier Acknowledgment

7 Date Supplier Notified * Date

8 Supplier Response Status * Dropdown

9 Supplier Response Due Date * Date

Page 3 Root Cause Analysis 9 questions

Root Cause Investigation

1 Root Cause Analysis Method Used * Dropdown

2 Root Cause Analysis Details (describe the full investigation process and findings) * Long Text

3 Identified Root Cause(s) * Long Text

4 Attach Root Cause Analysis Documentation File Upload

Corrective Action Plan

5 Proposed Corrective Actions to Eliminate Root Cause * Long Text

6 Corrective Action Owner * Full Name

7 Target Completion Date for Corrective Actions * Date

8 Preventive Actions to Avoid Recurrence * Long Text

9 Target Completion Date for Preventive Actions * Date

Page 4 Verification & Closure 10 questions

Effectiveness Verification

1 Describe How Corrective Action Effectiveness Will Be Verified * Long Text

2 Verification Review Date * Date

3 Verification Reviewer Name * Full Name

4 Verification Outcome * Dropdown

5 Verification Notes / Comments Long Text

CAR Closure Authorization

6 Final CAR Status * Dropdown

7 Closure Date Date

8 Quality Manager Signature * Signature

9 Supplier Representative Signature * Signature

10 I confirm that all information provided in this Corrective Action Request is accurate and complete, and that the proposed corrective and preventive actions have been reviewed and agreed upon by all responsible parties. * termsandconditions

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.