Customer Name： Date of issue reported：  

Model Affected：   Planned date for CAR reply：  

D1） Team Formation （Team member name /position）：                               

D2） Define the Problem：                              

D3） Contain the Problem：

% Effective containment

Completion Date：

D4） Identify the Root Cause：

D5） Define and Verify Corrective Actions：

% Effective to resolve problem                         

D6） Implement Corrective Action：

Owner

Completion Date

D7） Prevent Recurrence （e.g. review and update spec., work flow, procedure, practice, etc.）：

Owner

Completion Date

D8） Congratulate the Team, Case Closure：

Action verification status （Effective, Satisfactory, Inadequate, Poor, None implemented）：

Date of verification

Other CAR number. Ref （as necessary）： Verified By

（Name /Position）

Improvement Action Verification Results：

Overall Issue Closure Status （i.e. “Closed” / “Need further improvement”  + specify follow-up actions required）