Title Page

  • Department

  • Product Name

  • Conducted on

  • Prepared by

Product Information

  • Name of Customer or Staff involved

  • Batch Number

  • Production or Delivery Date If required

Quantity Information

  • Total Net Weight of All Pallet/ Basket/ Trolley/ Container Involved

  • Reason for Rejection

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Reason for rejection

  • Additional Comments Must include Photos

  • Reason for Rejection

  • What Route Cause and Corrective Action done at the time

Rejection sign off

  • Has a red label been applied

  • Has product or raw material rejected been separated and quarantined ?

Technical and Compliance Team Only

  • Action Taken

  • Additional Information

  • Quantity Sent as Good Cause- CSR if required

  • Quantity Disposed if required

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.