Supplier NCR

• Department

• Conducted on

  Date

• Prepared by

• Priority

  Low

  Medium

  High

Supplier Details

• Item code

• Supplier name

• PO number

• Batch number

• Quantity Effected

Issue Details

• What is the issue? (Insert media photo and short description of issue)

• Is it a Quality Issue?<br>(a defect, deficiency, or a significant variation in a product's expected appearance or performance)

  Yes

  No

• Are the goods damaged?<br>(Goods have been received damaged upon delivery or noticed upon inspection)

  Yes

  No

• Other (insert text describing the issue).

Effect on business

• Has our customer been effected? (Insert text of how customer has been effected).

  Yes

  No

• Has this caused any down-time? (Insert text of time lost in hours)

  Yes

  No

• Has this caused extra production hours? (Insert number of extra hours in production)

  Yes

  No

• Has this caused any other impact to the business?

Action taken

• Can the goods be used?

  Yes

  No

• Have the goods been quarantined?

  Yes

  No

• Is this a recurring issue?

  Yes

  No

Completion

• Upon completion - View & Export Report. Email directly to purchasingdepartment4@brettmartin.com