EL CLAIM REPORT

• ITEM NUMBER / CISLO DILU

• ITEM NAME / NAZEV DILU

• CLAIM REPORT NUMBER / CISLO REKLAMACNIHO PROTOKOLU

• PROJECT / PROJEKT

• WHICH ORDER IS AFFECTED (NUMBER OF ORDER MO, CO)? KTERA OBJEDNAVKA JE ZASAZENA? (CISLO MO, CO)

• CREATED BY / VYTVORIL

• CREATED ON / VYTVORENO DNE

  Date

• WHERE WAS THE PROBLEM FOUND / KDE BYLA NESHODA NALEZENA

  Select ASSEMBLY / MONTAZ P&P WAREHOUSE / SKLAD QC RECEIPT / PRIJEM EXPEDITION / EXPEDICE Testing zone / Testovaci zony

  • ASSEMBLY / MONTAZ
  • P&P
  • WAREHOUSE / SKLAD
  • QC
  • RECEIPT / PRIJEM
  • EXPEDITION / EXPEDICE
  • Testing zone / Testovaci zony

PROBLEM DESCRIPTION (finder of defect fill this category) / POPIS PROBLEMU (vyplni nalezce problemu)

• DEFECT CODE / KOD VADY

  Select

• DEFECT DESCRIPTION - Detailed defect description / POPIS VADY - Detailni popis vady

• PHOTO / FOTKA

  Media

• POSSIBLE GUILTY RESPONSIBLE / MOZNY VINIK

  Select Assembly Warehouse Supplier Production manager Quality Logistic Nelze určit

  • Assembly
  • Warehouse
  • Supplier
  • Production manager
  • Quality
  • Logistic
  • Nelze určit

• SUPPLIER NAME / NAZEV DODAVATELE

• ORDER NUMBER (PO) / CISLO OBJEDNAVKY (PO)

• AMOUNT NOK PCS / POCET NOK KUSU

• TIME TO CHECK (min.) / CAS NA KONTROLU (min.)

• COMMENT / KOMENTAR

REPAIR (RESPONSIBLE PERSON FOR REPAIR FILL THIS CATEGORY) / OPRAVA (VYPLNÍ TEN KDO ZODPOVÍDÁ ZA OPRAVU)

• WAS THE DEFECT REPAIRED INTERNALLY ? / BYLA OPRAVA PROVEDENA INTERNE?

  Yes

  No

  N/A

• WHO IS RESPONSIBLE FOR REPAIRING ? / KDO JE ZODPOVĚDNÝ ZA OPRAVU?

  MCG

  ASSEMBLY

• PHOTO BEFORE REPAIR / FOTO PRED OPRAVOU

  Media

• PHOTO AFTER REPAIR / FOTO PO OPRAVĚ

  Media

• TIME FOR REPAIR (MINUTES) / CAS NA OPRAVU (V MINUTACH)

• USED REPLACEMENT MATERIALS / MATERIALY POUZITE K OPRAVE

PROBLEM SOLVING (THIS CATEGORY ALWAYS FILL QE ) / RESENI PROBLEMU (TUTO SEKCI VZDY VYPLNUJE QE)

• IS A PROBLEM IN QE SOLUTION? / JE PROBLEM V RESENI QE?

  Yes

  No

  N/A

• AMOUNT OF THIS PCS ON STOCK / CELKOVY POCET KUSU TOHOTO ITEMU NA SKLADE

• AMOUNT OK PCS / POCET OK KUSU

• AMOUNT NOK PCS / POCET NOK KUSU

• PROBLEM SOLVING TYPE / ZPUSOB RESENI PROBLEMU

  Select

• PROBLEM CAUSE / PRICINA PROBLEMU

IMMEDIATE ACTION / OKAMZITE OPATRENI

• IMMEDIATE ACTION NAME/ NAZEV OKAMZITEHO OPATRENI

• IMMEDIATE ACTION DESCRIPTION / POPIS OKAMZITEHO OPATRENI

• RESPONSIBLE FOR IMMEDIATE ACTION / ZODPOVEDNY ZA OKAMZITE OPATRENI

• DUE DATE FOR IMPLEMENT IMMEDIATE ACTION / TERMIN PRO ZAVEDENI OKAMZITEHO OPATRENI

  Date

• IMMEDIATE ACTION DONE DATE / OKAMZITE OPATRENI BYLO PROVEDENO DNE

  Date
PREVENTIVE ACTION / PREVENTIVNI OPATRENI

• PREVENTIVE ACTION NAME / NAZEV PREVENTIVNIHO OPATRENI

• PREVENTIVE ACTION DESCRIPTION / POPIS PREVENTIVNIHO OPATRENI

• RESPONSIBLE FOR PREVENTIVE ACTION / ZODPOVEDNY ZA PREVENTIVNI OPATRENI

• DUE DATE FOR IMPLEMENT PREVENTIVE ACTION / TERMIN PRO ZAVEDENI PREVENTIVNIHO OPATRENI

  Date

• PREVENTIVE ACTION DONE DATE / PREVENTIVNI OPATRENI BYLO ZAVEDENO DNE

  Date

• RESPONSIBLE / VINIK

  Select

• IS RESPONSIBLE TRANSPORT COMPANY OR EYELEVEL? / JE VINIKEM DOPRAVCE NEBO EYELEVEL?

  TRANSPORT COMPANY

  EYELEVEL

• DO WE KNOW RESPONSIBLE PERSON? / ZNÁME KONKRETNIHO VINIKA?

  YES

  NO

• NAME OF RESPONSIBLE PERSON / JMENO VINIKA

• NAME OF TRANSPORT COMPANY / JMENO DOPRAVNI SPOLECNOSTI

• SUPPLIER NAME / NAZEV DODAVATELE

• SUPPLIER NUMBER / CISLO DODAVATELE

• DO WE KNOW RESPONSIBLE PERSON? / ZNAME KONKRETNIHO VINIKA?

  YES

  NO

• NAME OF PM / JMENO PM

• DO WE KNOW RESPONSIBLE PERSON? / ZNAME KONKRETNIHO VINIKA?

  YES

  NO

• NAME OF RESPONSIBLE PERSON / JMENO VINIKA

• IS THE PROBLEM CONNECTED WITH INSURED EVENT? / JE S PROBLEMEM SPOJENA POJISTNA UDALOST?

  Yes

  No

  N/A

• INSURED EVENT NUMBER / CISLO POJISTNE UDALOSTI

• INSURED EVENT NOTES / POZNAMKY K POJISTNE UDALOSTI

• PHOTO OF INSURED EVENT FORM / FOTO FORMULARE SKODNE UDALOSTI

  Media

PAYMENTS / POPLATKY

• DO WE REQUIRE ADMINISTRATIVE FEE / JE UCTOVAN ADMINISTRATIVNI POPLATEK ?

  Yes

  No

  N/A

• AMOUNT OF THE CHARGE / VYSE POPLATKU (CZK)

• ARE THERE ANY ADDITIONAL COSTS FOR TRANSPORT? / VZNIKLY VICENAKLADY ZA DOPRAVU?

  Yes

  No

  N/A

• AMOUNT OF THE CHARGE / VYSE POPLATKU

• ARE THERE ANY PENALTIES? / JSOU S PROBLEME SPOJENY PENALIZACE?

  Yes

  No

  N/A

• AMOUNT OF CHARGE / VYSE PENALIZACE

• ARE THERE ANY ADDITIONAL COSTS FOR ADDITIONAL WORK? / VZNIKLY VICENAKLADY ZA VICEPRACE

  Yes

  No

  N/A

• LIST OF ADDITIONAL COSTS / SEZNAM VICENAKLADŮ

• AMOUNT OF THE CHARGE / VYSE VICENAKLADU

SUMMARY (THIS CATEGORY ALWAYS FILL QE ) / SOUHRN (TUTO SEKCI VZDY VYPLNUJE QE)

• WAS A PROBLEM IN QE SOLUTION? / BYL PROBLÉM V ŘEŠENÍ QE?

  Yes

  No

  N/A

• AMOUNT OF ALL ADDITIONAL COSTS / CELKOVA VYSE VSECH VICENAKLADU

• DO WE INVOICED ADDITIONAL COSTS? / BYLY VICENAKLADY FAKTUROVANY?

  YES

  NO

  N/A

  YES - IN INSURANCE EVENT

• AMOUNT OF CHARGE / V JAKE VYSI?

• AMOUNT OF CHARGE / V JAKE VYSI?

• INVOICE NUMBER / CISLO FAKTURY

• FINAL NOTE / FINALNI POZNAMKA

• PROBLEM CLOSED ON / PROBLEM UZAVREN DNE

  Date