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APPENDIX J
CORRECTIVE ACTION PLAN for
PROGRAM and INDIVIDUAL PERFORMANCE DEFICENCIES
Program Division
State Liaison
State Agency
State Agency Contact
Period of Performance
Start Date:
End Date:
Type of Performance Deficiency
Individual
(A separate form should be completed for each person receiving an overall needs improvement or unacceptable rating)
Program
(If a program deficiency occurs in more than 1 program, complete separate forms for each program)
Inspection Program Type
Human Food
Animal Food
1. Description of Deficiency
Egg
Medical Devices
(include the performance factor number from audit form)
Rev 02 (01/2022)
2. Corrective Action
(attach additional and supporting information as necessary)
3. Date Completed
| File Type | application/pdf |
| File Title | FMD-76 Appendix J |
| Subject | FMD-76, contract audit, corrective action plan, performance deficiencies |
| Author | FDA Office of Partnerships |
| File Modified | 2023-12-05 |
| File Created | 2022-01-07 |