Title Page
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Department
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Product Name
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Conducted on
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Prepared by
Product Information
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Name of Customer or Staff involved
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Batch Number
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Production or Delivery Date If required
Quantity Information
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Total Net Weight of All Pallet/ Basket/ Trolley/ Container Involved
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Reason for Rejection
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Reason for rejection
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Additional Comments Must include Photos
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Reason for Rejection
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What Route Cause and Corrective Action done at the time
Rejection sign off
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Has a red label been applied
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Has product or raw material rejected been separated and quarantined ?
Technical and Compliance Team Only
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Action Taken
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Additional Information
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Quantity Sent as Good Cause- CSR if required
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Quantity Disposed if required
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Signature