F-439 Non Conformance - Corrective Action Report PDF

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Company: _________________________________________

NON CONFORMANCE / CORRECTIVE ACTION REPORT


CUSTOMER :

PROCESS

NCR NO.

LOCATION

DEPARTMENT :

DESPOSITION CODE :

VENDOR / SUPPLIER :

MINOR

MAJOR

PURCHASE ORDER NO.

HSE & QUALITY SYSTEM COMPLIANCE :

CUSTOMER COMPLAINT : YES

NO

DESCRIPTION OF NON-CONFORMANCE :

DATE : ...

REPORTED BY :

SIGN :

POSITION : .

CORRECTIVE ACTION OR DISPOSITION :


( Action must include cause, analysis, corrective action taken and action to pervent reoccurrence )

IMPLEMENTATION DATE :
SIGN : .

POSITION :

DATE : ..

PROPOSED ACTION TO BE AGREED OR REJECTED BY DIVISION MANAGER / HSEQ MANAGER:


Proposed Action : Accepted

Rejected

If Rejected Reason for Rejection and alternate Action Required :

SIGN : ...

POSITION : .

DATE :

CLOSED OUT. DIVISION MANAGER :

SIGN :

DATE : .

CLOSED OUT. HSE & QUALITY MANAGER :

SIGN :

DATE : .

To be filled in by Quality Department.

Disposition Code : ARework / Repair BAccept / Use-as-is CScrap D-Return to vendor E Regrade F-Customer Concession required.

Ignore if not applicable.

Rev. 1
F 439
01-07-2003

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