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Corrective Action Form Template

Streamline Your Issue Resolution with Our Effective Template

Facing persistent issues in your processes can be frustrating and overwhelming. Our Corrective Action Form Template helps you systematically address and resolve these non-conformances effectively. This template is designed for organizations seeking to improve compliance, enhance team communication, and maintain high-quality standards. By using this straightforward form, you can clearly document actions taken, assign responsibilities, and track progress, ensuring that your corrective measures are both actionable and transparent. Discover how easy it is to implement this solution for lasting improvements in your organization.

Record ID or nonconformance number
Date of report
Reporter full name
Reporter email
Department or team
Role or job title
Issue type
Safety
Quality
Process
Environmental
Security
Compliance
Customer complaint
Equipment
Other
Please Specify:
Severity assessment
Negligible
Low
Medium
High
Critical
Date of occurrence
Location of occurrence
Affected process, product, or service
Describe the issue or nonconformance
Was any customer impacted?
Yes
No
Was the issue contained?
Yes
No
Describe immediate containment or correction actions
Date containment was completed
Disposition of affected items
Quarantine
Scrap
Rework
Return to supplier
Use as is
Other
Please Specify:
Analysis methods used
5 Whys
Fishbone diagram
Fault tree analysis
Pareto analysis
Process mapping
Other
Please Specify:
Root cause statement
Contributing factors
Primary root cause category
Please Specify:
Is a corrective action required?
Yes
No
Corrective action description
Corrective action owner
Corrective action due date
Preventive action description
Is a preventive action required?
Yes
No
Verification method
Inspection
Test
Audit
Review of records
Customer feedback
Other
Please Specify:
Verification result
Pass
Fail
Pending
Effectiveness review date
Effectiveness outcome
Effective
Partially effective
Not effective
Not yet evaluated
Closure notes
Residual risk after actions
Low
Medium
High
Prepared by (full name)
Prepared by date
Approver name (Supervisor/QA)
Approval date
I confirm the information provided is accurate to the best of my knowledge
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration related to corrective action form template for FormCreatorAI article

When to use this form

Use this form when repeated performance gaps, policy violations, safety incidents, or customer-impacting defects need a documented plan to fix and prevent. Managers, HR, and team leads benefit from a clear record of the issue, impact, root cause, owners, and due dates. Typical cases include missed deadlines, recurring quality escapes, safety near-misses, or an outage that hurt SLAs. If the problem started as a software defect, you can attach evidence from the Bug report form. For incidents tied to an availability disruption, reference the Google outage technical analysis request form to align on timelines and contributing factors. The result is a fair, consistent process that guides improvement and reduces repeat issues.

Must Ask Corrective Action Questions

  1. What happened, where, and when?

    Specific details anchor the event so you can verify facts, sequence, and scope. Clear context prevents vague claims and speeds validation with logs, badges, or witnesses.

  2. Who was affected and how did the issue impact safety, customers, or compliance?

    Quantifying impact (people, orders, SLA, cost) sets priority and urgency. It also guides which policies apply and whether escalation is required.

  3. What is the likely root cause, and what evidence supports it?

    A cause backed by data leads to effective actions, not guesswork. If you need structure, pair this with the A3 Problem solving form to map causes and countermeasures.

  4. What specific steps will you take to fix and prevent recurrence?

    Concrete, testable steps with acceptance criteria make follow-up straightforward. They help you focus on behavior, systems, and training rather than blame.

  5. Who owns each action, and by what date will you review results?

    Clear ownership and review dates create accountability and momentum. A set cadence (for example, 7, 30, and 90 days) ensures you confirm the fix worked.

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