• SCAR Document No.

  • Scar Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Nasatka Personnel

  • Nasatka Authorized Signature

  • Nasatka Authorized Signature

  • Onsite personnel

  • Onsite Personnel Signature

  • Onsite Personnel Signature

Audit Disclosure

Inspection indicates that your Company has shipped product which does not comply with the Purchase Order/Drawing. Because Nasatka Security schedule may have been jeopardized and an unwarranted cost has resulted, your Company is required to reply with the containment actions, root cause and corrective action(s) taken to preclude similar occurrences by completing sections below, and returning this form to: Nasatka Security 7702-b Old Alexandria Ferry Road Clinton Maryland 20735 Attn: Inspection Department - QA/QC

Supplier Corrective Action Request (SCAR) requests for corrective action must have a final response within 7 days that is signed by responsible personnel. Failure to respond may jeopardize continuation of business. Discrepancies requiring written response are noted on the accompanying Inspection Report.


Enter all information and take pictures.

  • Enter Date and Time

  • Enter Part Number or Model Number

  • Enter Part Name

  • Enter Serial Number


  • Enter Description of Discrepancy:

  • Take Pictures of Discrepancy

  • Take Pictures of Discrepancy

  • Take Pictures of Discrepancy

  • Take Pictures of Discrepancy

  • Enter Disposition (Time/Man hours/Cost/Materials/etc.)


Supplier to complete the items below and return by the due date indicated above.

  • Cause of Discrepancy

  • Corrective Action Taken to Eliminate Recurrence of Discrepancy

  • Supplier Signature

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