|
Company Name
|
Quality Assurance Department
|
|
Recall Action Plan
|
Form No.
|
|
Revision
No.:
Issue
Date:
|
Product:
___________________ B. No.: _________________ B. Size:___________
Mfg. Date: ___________ Exp. Date:
_________ Qty Packed (Units):_________
Prod. Manager: ____________________ QA
Manager: __________________
Complaint Received On: _________ From:
__________ By: _____________
Nature of Complaint: £Quality £Safety £Labeling £Compliance Issue £Other (Pl.
Specify)__________________________________________________
Immediate
Action:
Stock Available in Store:
___________________ As on: ________________
Further Distribution Status:
_______________________________________
Distribution Record:____________________________________________
Inventory Control Mgr: _______________
QA Mgr: ___________________
Recall and
Reconciliation:
|
S.#
|
Agent / Distributor Name
|
Contact Person & No
|
Contacted on and By
|
Qty Delivered
|
Qty Returned / Date
|
Qty
Diff /Sold
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
|
Remarks:
____________________________________________________________
_________________ ________________
Inventory Control Mgr QA Incharge
Review and Disposal:
Batch Documents Review:
__________________________________________
Tests and Analysis:
________________________________________________
Other Investigation
Details:_________________________________________
Final Disposal Decision:
____________________________________________
Recall Action Initiated on:
__________________ Closed On: ______________
_____________ ____________ ______________
Q.C. Manager QA Incharge Plant Manager