CPSC Monthly Progress Report for Corrective Action Plans (CAP)
Case Number: __________
NOTE: Email or Fax completed form by the FIRST of EACH MONTH to Judy Smith, Recall Coordinator, at:
jsmith@cpsc.gov or 301-504-0359. If you have questions, contact your Compliance Officer.
Updated 10/2015
Reporting Dates: ___________ to ___________
Compliance Officer: ____________________________
Recalling Firm: _________________________
Product: _________________
I) PRODUCTS CORRECTED BY FIRM AS APPLICABLE UNDER CAP
Location of Products Total Products Corrections Total Cumulative
Affected by Recall
this Reporting Period Corrections for Recall
With Manufacturer: ______________ ______________ ______________
With Distributor: ______________ ______________ ______________
With Retailers: ______________ ______________ ______________
With Consumers: ______________ ______________ ______________
TOTAL: ______________ ______________ ______________
II) INCIDENT UPDATE
Total Incidents Reported this Period Total Incidents Reported this Period
that Occurred Before the Recall that Occurred After the Recall
Incidents ______________ ______________
Injuries ______________ ______________
Death ______________ ______________
III) Notifications Made by Firm and Consumer Response as Applicable under CAP
How many consumers did you notify this reporting period by:
Phone: #______________
Email: #______________
Regular Mail: #______________
How many consumers contacted your Firm this reporting period about the recall as a result of any notification?
Phone: #______________
Email: #______________
Regular Mail: #______________
Registration Cards: #______________
Is the recall currently posted on your homepage? __________, If no, explain: __________________________________________
How many website hits did your Firm have this reporting period for this recall? #______________
As applicable under your CAP, how many times in this reporting period did your Firm post the recall notice on the following?
Facebook: #_____________ # of shares: ______________ # of Likes: ___________________
Twitter: #_____________ # of Re-Tweets: ______________ # of Twitter Followers: _________
Other: #_____________ Explain: ________________________________________________________
Ad Placements: #_____________ Explain: ________________________________________________________
Recalling companies are encouraged to monitor on line re-sale, auction, and wholesale websites. If monitored, did you find the
recalled product on any sites ☐Yes / ☐No – Describe action taken:_________________________________________________
