• Do you know the Drawing or Part number?

  • Record the drawing/part no.

  • Do you know the supplier of this part?

  • Record suppliers name.

  • Is there a serial no?

  • Record the serial no.

  • Quantity of items being rejected

  • Non-conformance reason or reasons

  • Please take a photo of issue if possible. If multiple items - photo of one item is sufficient.

  • In your opinion what is the reason for non-conformance?

  • Have you attached a red reject label to the defective part

  • Please provide a brief reason why not. e.g. repaired in house, scrapped, etc


  • Has the issue/s been resolved?

  • Describe how it was resolved.

  • Take photo of resolved item.

  • Is there any Preventative Action required?
    i.e. What can stop this happening again.

  • What is the preventative action required?


  • Signature only No name required to be entered.

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