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Supplier Corrective Action Report Form

General Information

Supplier Name & ID Number

Supplier Representative Name & Email Address

Part Name & Number

Quantity Rejected

Description of the Problem

Investigation for Root Cause

Did you go to the place where the work is performed and review the process (gemba)?

Did you review work instructions and procedures?

Did you talk to employees involved with this process?

Is the requirement adequately defined and documented?

Have any changes been implemented around the time of this defect for process(es) related to this defect?

Is tooling & fixtures, process sequencing, and storage/handling of material complete?

Direct Cause

What is the root cause for the technical problem that caused the nonconformity?

Detection Cause

How did the non-conformance escape the process? Why did the quality system fail to detect the non-conformance?

Systemic Cause

How did the product development/production/support processes contribute to the problem?

Has the root cause identified a fundamental breakdown or failure of a process?

Has the element of the process that caused the root cause been corrected?

Permanent Corrective Actions & Recurrence Prevention
Corrective Action

Activity Type

Detailed Description of Corrective Action

Name & Title of Person Responsible

Expected Completion Date
Objective Evidence after Completion
Completion

Additional Comments

Quality Manager Name & Signature

Supplier Corrective Action Report Form Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 40

Use this comprehensive supplier corrective action report form to accurately investigate on the root cause of the nonconformity, including the direct cause, detection cause, and systemic cause. This supplier corrective action report form also contains a permanent corrective actions and recurrence prevention section, where quality managers can detail unlimited corrective actions, identify expected completion date, and provide objective evidence after completion.

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Supplier Corrective Action Report Form

General Information

Supplier Name & ID Number

Supplier Representative Name & Email Address

Part Name & Number

Quantity Rejected

Description of the Problem

Investigation for Root Cause

Did you go to the place where the work is performed and review the process (gemba)?

Did you review work instructions and procedures?

Did you talk to employees involved with this process?

Is the requirement adequately defined and documented?

Have any changes been implemented around the time of this defect for process(es) related to this defect?

Is tooling & fixtures, process sequencing, and storage/handling of material complete?

Direct Cause

What is the root cause for the technical problem that caused the nonconformity?

Detection Cause

How did the non-conformance escape the process? Why did the quality system fail to detect the non-conformance?

Systemic Cause

How did the product development/production/support processes contribute to the problem?

Has the root cause identified a fundamental breakdown or failure of a process?

Has the element of the process that caused the root cause been corrected?

Permanent Corrective Actions & Recurrence Prevention
Corrective Action

Activity Type

Detailed Description of Corrective Action

Name & Title of Person Responsible

Expected Completion Date
Objective Evidence after Completion
Completion

Additional Comments

Quality Manager Name & Signature