Corrective ActionPlanning整改計劃
· Corrective Action Plan (CAP) is a document prepared toensure that the non-compliances reported are corrected.
整改計劃是為確保不合規項被整改的文件。
· An effective CAP will include improvements made in theexisting practice/procedure to prevent suchoccurrences from
repeating.
有效的整改計劃包括在現有的體系/操作上改善以防止違規的重復發生。
e.g., Aisles/Emergency Exit Path blocked withWork in Progress (WIP)
如：走廊 /緊急出口通道工作時間被堵塞
NO:
“The materials were removed and the aislecleared. ”雜物已清，走廊已打掃
YES:
“Root cause of materials blocking the aisleis a regular occurrence resulting from production in the area with no temporarystore. Areas near sewing section will be created to store materials in advance oflabeling and packing. All workers in the
sewing section will be informed of the newstorage area and will be directed to place items in the specified location
uponcompletion……..’’
造成出口堵塞的根本原因是車間沒有臨時的儲藏空間導致雜物堵塞走廊；實施整改后，針車課附近將設立儲藏空間，并通知員工把物料堆放在指定位置。
Elements of a CAP整改計劃的要素
· Root cause on why the non-compliance occurred
導致不合規的根源
· How the same would be addressed
同類問題怎樣整改?
· Who is responsible and accountable
誰負責?
· Monitoring mechanism
監督機制
· Written plan – non-compliance, legal/standardsrequirement, plan,timeline, responsibility, review mechanism
書寫計劃 -不合規項目，法律/標準的要求，計劃，時間表，責任人，檢查機制
Root Cause Analysis(RCA)根源分析
· Ask ‘WHY’ several times: Normally 5 whys lead to RCA,but not defined. The attempt is to ask why until aconvincing
answer is received.
多問幾次“為什么”?通常5個為什么可以察覺但不能確定事故原因；可以嘗試多問幾個為什么直到獲得令人信服的答案。
· The reason might not be only with the observation, thecause may be elsewhere, e.g., OT hours related to latearrival of
raw material,delayed approvals, change in style, etc.
根源并非只是表面看到的，也許還有別的原由，例如加班有時是因為原材料來遲，批準推遲，款式更改等導致。
· Fish bone is a tool commonly used because this gives abroader picture.
魚骨圖通常用來做根源分析，它能比較全面的展示事故原因。