Corrective Actions and Preventative Actions
To establish a systematic process for identifying, implementing, and monitoring corrective and preventative actions after a complaint or incident, using Root Cause Analysis (RCA) for both immediate and long-term solutions.
Define the Issue
- Summary: Clearly summarize the problem that prompted the CAPA.
- TBC: Documentation: Link this summary to the RCA findings documented in HubSpot, ensuring continuity and easy traceability for team members.
- Objective: Provide context for CAPA actions by briefly explaining the nature and impact of the issue.
Corrective Actions (CA)
- Goal: To address and resolve the immediate problem to satisfy the client and rectify any present issues.
- Action Steps:
- Develop Immediate Actions: Based on the RCA, determine the specific steps necessary to resolve the current issue. These should address the root cause and any associated issues that may have arisen.
- Assign Responsibility: Designate a responsible team member for each corrective action.
- Set Deadlines: Define a clear timeline for implementing each corrective action, especially if client deadlines are involved.
- Communicate Actions to Client: Prepare a client-friendly summary of the corrective actions being implemented, focusing on transparency and accountability.
Preventative Actions (PA)
- Goal: To implement changes to prevent similar issues from arising in future projects.
- Action Steps:
- Identify Process Improvements: Based on RCA insights, pinpoint any workflow or procedural gaps that could lead to recurrence.
- Define Preventative Measures: These could include additional training, adjustments to standard operating procedures, tool upgrades, or workflow enhancements.
- Assign Responsibility and Timeline: Allocate specific team members for each preventative action and establish realistic timelines.
- TBC: Documentation and Communication: Record these preventative actions in HubSpot under the complaint ticket for visibility. Inform relevant stakeholders about process changes to ensure adherence.