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Agency-Wide CAPA Log

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Agency-Wide CAPA Log

A one-page Corrective Action / Preventive Action attachment designed for inclusion in the printed Annual Program Evaluation packet presented to the Governing Body. Captures a point-in-time excerpt of the agency's ongoing CAPA record with columns for CAPA ID, date identified, source of finding (evaluation, CQI or QAPI audit, complaint, incident, survey citation, or Governing Body review), finding description, corrective action taken, responsible party, target and actual completion dates, status, effectiveness verification, and comments. Includes a status key (Open, In Progress, Completed, Verified Effective, Verified Not Effective) and a worked example row showing how a survey citation is documented through to verified resolution. Pairs with the CAPA Tracker Workbook. A branded, editable Word form ready to customize with your agency name.

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