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Non-Conformance Report Template

This non-conformance report documents a customer complaint or issue with a non-conforming item. It records the date, customer, work order number, description of the issue, item/part number, apparent cause, planned corrective actions, approvals, and verification that the actions have been completed to resolve the issue.

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JJMSPM
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© Attribution Non-Commercial (BY-NC)
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9K views2 pages

Non-Conformance Report Template

This non-conformance report documents a customer complaint or issue with a non-conforming item. It records the date, customer, work order number, description of the issue, item/part number, apparent cause, planned corrective actions, approvals, and verification that the actions have been completed to resolve the issue.

Uploaded by

JJMSPM
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Non-conformance / Customer Complaint Report

Customer(s): Date: Manufacturing Work Order Number:


(Obtain From QA Manager or leave blank)

Description of Non-conformance or Customer Complaint:

Complete f applicable -

Name or Description of non-conforming item:

!art Number:

"teps to !re#ent nad#ertent $se of t%e tem or !rocess:

Correcti#e/!re#enti#e &ction
&pparent Cause:

!lanned Correcti#e/!re#enti#e &ction(s): Comments: No Correcti#e &ction '

D "!O" ( ON Ot"er

(if applicable):

Use-as-is

Repair

Rework

Return to Ven or

!crap

!erson(s) Responsible for t%e Correcti#e/!re#enti#e &ction(s) and/or Disposition No Name(s) Date '

&ppro#al of Correcti#e/!re#enti#e &ction ################################ ####### Signature Date

Closing t%e Nonconformance


!lanned Correcti#e/!re#enti#e &ction )as *een Completed No Name(s) Date ' ndependent +erification )as *een Completed ################################# ###### QA Manager Non-conformance Report Reference number 1.0

Date

Distribution:

Non-conformance Report Reference number 1.0

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