Title Page

RECEIVING & SHIPPING

  • IF THE PRODUCT IS INCORRECT OR THE DAMAGE TO THE PRODUCT REQUIRES A RMA OR PRODUCT REJECTION, PLEASE FILL OUT THE FOLLOWING SECTIONS (Rejection Incident Report).

  • Inspector Name and Signature

REJECTION INCIDENT REPORT

  • IF THE ABOVE PRODUCT IS INCORRECT OR THE DAMAGE TO THE PRODUCT REQUIRES A RMA OR PRODUCT REJECTION, PLEASE FILL OUT THE FOLLOWING SECTIONS AND DELIVER TO THE APPROPRIATE SUPERVISOR.

  • Incident
  • List products rejected & invoice #

  • Reason for rejection

RECALLS

  • What is the purpose of this Rejection Incident Report?

Recalled Materials/ Supplies (Initiated by a Supplier)

  • Name of Supplier Issuing Recall

  • List Materials & Lot #'s or Identifiers

  • Reason for Supplier Recall

  • List Quantity(s) of Recalled Product Received

  • List Quantity(s) of Recalled Product On-Hand

Rejected Product (Initiated by ZoMazz)

  • List Materials & Lot #'s or Idetifier

  • Reason for Rejection

  • List Quantity(s) of Product Affected

  • List Quantity(s) of Rejected Product On-Hand

Recalled Product (Initiated by ZoMazz)

  • List Products & Lot #'s or Identifiers

  • Reason for Product Recall

  • List Quantity(s) of Product Affected

  • List Quantity(s) of Recalled Product On-Hand

Disposition

  • Affected Product Quarantined

  • Enter Disposition Plan (where will product be placed, for how long?)

  • IN THE EVENT OF A PRODUCT RECALL OR REJECTION:
    Complete this form, in its entirety, to this point. The, notify the Recall Team or Customer Service and they will complete the rest of this form.

  • Name & Signature of Inspector releasing form to Customer Service

Communication of Recall or Rejection

  • Recall Team / Customer Service Notified

  • Affected Customers Notified

  • Press Release Issued

  • Person completing Rejection/ Recall Log Name & Signature

Signatures

  • Supervisor Name & Signature

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