Title Page

  • SITE

  • Created Date

  • PURCHASE ORDER (PO) - note: only one PO # per NCR

  • PO LINE #

  • SUPPLIER NAME

  • Prepared by

  • Document No.

DETAILS

PRODUCT DETAILS

  • IFS PART NUMBER

  • SUPPLIER PART NUMBER

  • PART DESCRIPTION

CLASSIFICATIONS

  • DEFECT PART NUMBER

  • SERIAL or LOT NUMBER (where applicable)

  • MAIN DEFECT CODE

  • Additional Information

  • DEFECT COMMENTS

  • MAIN CAUSE CODE

  • Additional Information

  • IMAGES OF DAMAGE - Dimensions (depth, width, length, location, etc) of the damage.

FINDINGS & ACTIONS

DETAILED DESCRIPTION OF FINDING

  • The description should be concise and include all of the following information in every case:
    Description of the defect or problem
    Measured size (when applicable)
    Measured depth (when applicable)
    Measured location of the defect (when applicable)
    note: This measurement should be from an existing datum on the drawing which should be noted along with the grid location on the drawing

  • DETAILED DESCRIPTION OF FINDING State the requirement and the non-conformance. State the correction performed (if any).

ROOT CAUSE ANALYSIS (Only for Concession Request)

  • This section of the form is critical to determine the real reason why the non-conformance was caused.
    Provide a 5-Why (AT A MINIMUM) for Concession Requests. Why did this non-conformance occur?
    Continuing to ask why until the real root cause is determined will help reduce future occurrences of this problem.
    This explanation should be detailed and address the root cause of the non-conformance; not the symptoms.

  • 1st Why? (Why the problem has occurred)
    Answer:
    2nd Why? (Why did the 1st answer occur)
    Answer:
    3rd Why? (Why did the 2nd answer occur)
    Answer:
    4th Why? (Why did the 3rd answer occur)
    Answer:
    5th Why? (Why did the 4th answer occur)
    Answer:
    Why?
    Answer:

    More than 5 Whys may be required to determine the true root cause. Continue until you are certain of the true root cause.

  • ROOT CAUSE ANALYSIS: Required before formal submission. If not valid, provide objective evidence to say otherwise.

PROPOSED SOLUTION

  • This should include a detailed description of the process to be followed to correct and eliminate the problem

  • PROPOSED SOLUTION: Explain how to correct the problem with the part.

CORRECTIVE ACTION:

  • Address the plan to reduce and eliminate the non-conformance in the future.
    This explanation should compliment the above Root Cause Analysis section.

  • CORRECTIVE ACTION: Explain the plan to prevent recurrence. Note: Supplier shall put in place processes to prevent the recurrence of the identified source of the defect.

SIGN OFF

  • Report Prepared By:

  • Approved by Branch Manager:

  • Submit NCR Form to pamprocurement@pindan.com.au

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.