Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

PRODUCT INFORMATION

  • Product name

  • Batch Code

  • Production Date

  • Use by/ best before date

  • Quantities produced

  • Quantities requested by the customer/ restaurants

  • Dispatched Date

CUSTOMER INFORMATION

  • Name of customer or Restaurant

  • Address of customer or Restaurant

  • Number of cases or quantity affected

  • Quantities accepted by customer/restaurant

  • Quantities returned

REASON FOR RETURN

  • Date return/withdraw/ recall was initiated

  • Reason for Return

  • Please include a brief explanation of the issue or reason for return

  • Condition of the returned product

QUALITY ASSURANCE/QUALITY CONTROL

  • Date and time when the product was returned

  • Delivery Temperature

  • Product Quality

  • Return/ Withdraw/ Recall necessary?

  • lndicate what action was taken after the return?

  • Recommendation and Follow Up Actions if required

  • Name

  • 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.