Title Page
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Site conducted by
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Branch
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Branch
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Branch
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Warehouse name
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Conducted on (date)
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Prepared by (name of team member)
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Shipment Number
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Sending site
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Type of Non Conformance (Please select all that apply)
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Please select all that apply
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Issues identified
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Overall stock alignment to wood
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SSCC label issue
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Type of pallet issue
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Slip sheet damage
- Yes
- No
- N/A
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Damage to container
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How many pallets are affected?
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What is the product number?
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Type of Inventory discrepancy
- Over supply
- Short supply
- Lot ID variance
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Item number
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Lot ID
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Best before date
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Quantity ordered
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Quantity received
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Please enter SSCC number for pallet with variance if applicable
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Item number
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Lot ID received
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Best before date
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Quantity
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Item number
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Lot ID
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Best before date
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Quantity ordered
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Quantity received
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Please enter SSCC number for pallet variance if applicable
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Please add supporting photos / documents
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Do you require a formal reply from Simplot?
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Simplot Only Use - Commentary back to site (Root cause, corrective actions, general comments). This will be completed upon review and investigation and returned back to site.
