+---------------+---+---------+------------------+-----------------------+
| # Findi       |   |         |                  |                       |
| ng Report --  |   |         |                  |                       |
| IMS Form 1005 |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| ## **Date:    |   | **Ini   |                  |                       |
| **   /  /     |   | tiator: |                  |                       |
|               |   | **      |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Fi          |   |         |                  |                       |
| nding:**      |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Suggested   |   |         |                  |                       |
| A             |   |         |                  |                       |
| ction:**      |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **ISO Element |   |         |                  |                       |
| and/or        |   |         |                  |                       |
| Associated    |   |         |                  |                       |
| IMS           |   |         |                  |                       |
| Proc          |   |         |                  |                       |
| edure:**      |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Received by |   |         | **Accepted**     |                       |
| IMS           |   |         |                  |                       |
| Repr          |   |         | **Rejected**     |                       |
| esentative:** |   |         |                  |                       |
|               |   |         | **Reason for     |                       |
| **            |   |         | R                |                       |
| Date\_\_\_\_\ |   |         | ejection:     ** |                       |
| _\_\_\_\_\_** |   |         |                  |                       |
|               |   |         |                  |                       |
| **Init        |   |         |                  |                       |
| ials\_\_\_\_\ |   |         |                  |                       |
| _\_\_\_\_\_** |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Received by |   |         |                  |                       |
| CAR/PAR       |   |         |                  |                       |
| Manager:      |   |         |                  |                       |
| Date\_\_\_\   |   |         |                  |                       |
| _\_\_\_\_\_\_ |   |         |                  |                       |
| Init          |   |         |                  |                       |
| ials\_\_\_\_\ |   |         |                  |                       |
| _\_\_\_\_\_** |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **This shaded | * |         |                  | **Nonconformity       |
| section to be | * |         |                  | Type:**               |
| completed by  | N |         |                  |                       |
| the CAR/PAR   | o |         |                  | **Major**             |
| Manager.**    | n |         |                  |                       |
|               | c |         |                  | **Minor**             |
|               | o |         |                  |                       |
|               | n |         |                  | **Observation**       |
|               | f |         |                  |                       |
|               | o |         |                  |                       |
|               | r |         |                  |                       |
|               | m |         |                  |                       |
|               | i |         |                  |                       |
|               | t |         |                  |                       |
|               | y |         |                  |                       |
|               | N |         |                  |                       |
|               | u |         |                  |                       |
|               | m |         |                  |                       |
|               | b |         |                  |                       |
|               | e |         |                  |                       |
|               | r |         |                  |                       |
|               | : |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               | * |         |                  |                       |
|               | * |         |                  |                       |
|               |   |         |                  |                       |
|               | * |         |                  |                       |
|               | * |         |                  |                       |
|               | C |         |                  |                       |
|               | A |         |                  |                       |
|               | R |         |                  |                       |
|               | N |         |                  |                       |
|               | u |         |                  |                       |
|               | m |         |                  |                       |
|               | b |         |                  |                       |
|               | e |         |                  |                       |
|               | r |         |                  |                       |
|               | : |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               | * |         |                  |                       |
|               | * |         |                  |                       |
|               |   |         |                  |                       |
|               | * |         |                  |                       |
|               | * |         |                  |                       |
|               | P |         |                  |                       |
|               | A |         |                  |                       |
|               | R |         |                  |                       |
|               | N |         |                  |                       |
|               | u |         |                  |                       |
|               | m |         |                  |                       |
|               | b |         |                  |                       |
|               | e |         |                  |                       |
|               | r |         |                  |                       |
|               | : |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               |   |         |                  |                       |
|               | * |         |                  |                       |
|               | * |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Received by |   |         |                  |                       |
| Assignee:     |   |         |                  |                       |
| Date\_\_\_\   |   |         |                  |                       |
| _\_\_\_\_\_\_ |   |         |                  |                       |
| Init          |   |         |                  |                       |
| ials\_\_\_\_\ |   |         |                  |                       |
| _\_\_\_\_\_** |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Root        |   |         |                  |                       |
| Cause:**      |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Action      |   |         |                  |                       |
| Taken:**      |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Objective   |   |         |                  |                       |
| Evi           |   |         |                  |                       |
| dence:**      |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Completed   |   |         |                  |                       |
| by Assignee:  |   |         |                  |                       |
| Date\_\_\_\   |   |         |                  |                       |
| _\_\_\_\_\_\_ |   |         |                  |                       |
| Init          |   |         |                  |                       |
| ials\_\_\_\_\ |   |         |                  |                       |
| _\_\_\_\_\_** |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Verified by |   |         |                  |                       |
| IMS           |   |         |                  |                       |
| Re            |   |         |                  |                       |
| presentative: |   |         |                  |                       |
| Date\_\_\_\   |   |         |                  |                       |
| _\_\_\_\_\_\_ |   |         |                  |                       |
| Init          |   |         |                  |                       |
| ials\_\_\_\_\ |   |         |                  |                       |
| _\_\_\_\_\_** |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+
| **Closed by   |   |         |                  |                       |
| CAR/PAR       |   |         |                  |                       |
| Manager:      |   |         |                  |                       |
| Date\_\_\_\   |   |         |                  |                       |
| _\_\_\_\_\_\_ |   |         |                  |                       |
| Init          |   |         |                  |                       |
| ials\_\_\_\_\ |   |         |                  |                       |
| _\_\_\_\_\_** |   |         |                  |                       |
+---------------+---+---------+------------------+-----------------------+

**Instructions for Completing Finding Report (IMS Form 1005)**

This form is the backup form for logging Corrective and Preventive
Action Requests (CARs/PARs) when Trackwise is not available.

**STEP 1. INITIATOR:**

Provide the following information:

> • Date - date you are completing the form
>
> • Initiator - your name
>
> • Finding - describe your finding specifically enough that a course of
> action can be determined
>
> • Suggested Action - a suggested course of action for correcting the
> finding (this is optional)
>
> • ISO Element and/or Associated IMS Procedure - what area of IMS is
> affected by your finding
>
> • Forward to the IMS Representative as part of the audit
> report/directly to the CAR/PAR Manager if this form is being used as a
> backup to the Trackwise system.

**STEP 2. IMS REPRESENTATIVE:**

Received from Initiator; complete the following and forward to CAR/PAR
Manager:

> • Date & Initial - indicate date received and provide initials

**STEP 3. CAR/PAR MANAGER:**

Transfer data into the CAR/PAR Trackwise system, using the procedure in
IVV 14, *Corrective and Preventive Action*.