Title Page
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What is this document?
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Conducted on
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Prepared by
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Record name
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Description of goods
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Location
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It will autofill this box.
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Do you know the project no?
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What is the project no.?
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What unit is this or is a part of?
NON CONFORMANCE MATERIAL LOG
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Do you know the Drawing or Part number?
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Record the drawing/part no.
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Do you know the supplier of this part?
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Record suppliers name.
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Is there a serial no?
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Record the serial no.
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Quantity of items being rejected
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Non-conformance reason or reasons
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Please take a photo of issue if possible. If multiple items - photo of one item is sufficient.
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In your opinion what is the reason for non-conformance?
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Have you attached a red reject label to the defective part
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Please provide a brief reason why not. e.g. repaired in house, scrapped, etc
RESOLUTION
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Has the issue/s been resolved?
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Describe how it was resolved.
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Take photo of resolved item.
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Is there any Preventative Action required?<br>i.e. What can stop this happening again.
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What is the preventative action required?
SIGN OFF
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Signature only No name required to be entered.