Corrective Action by QA
 
 
 
Ext. by (Days)
 
 
 
Closed by
 
 
 
Closed Date
 
 
 
Updated by
 
 
 
Updated Date
 
 
 
Closing Comments
 
 
 
   
Follow Up Action Reqd.
 
 
 
Follow-up Action
 
 
 
Follow-up Action Date
 
 
 
Follow-up Verification Comments