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AQF-QMS-WH-FRM-01-Material Discrepancy Report Format

The document is a discrepant material report form used to report issues with received parts or materials. It collects information about the part, vendor, issue detected, proposed resolutions, and requests for corrective actions from the vendor to prevent future issues.

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41 views

AQF-QMS-WH-FRM-01-Material Discrepancy Report Format

The document is a discrepant material report form used to report issues with received parts or materials. It collects information about the part, vendor, issue detected, proposed resolutions, and requests for corrective actions from the vendor to prevent future issues.

Uploaded by

مدير قسم الجودة
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DMR#

Hold Tag#:
Vendor/LCM Date Received:
Date inspected:
Address

Description:
LCM Part #:
Quantity:

Vendor fax: PO #:
Sample attached: Initiator:
❑
Yes ❑ No❑
Detected at: Incoming In-process ❑ Customer return ❑

PROBLEM
Specification Description of Discrepancy Qty. Insp. Qty. Rej.

Remarks:

DISPOSTION OF MATERIAL
Use as is ❑Use with deviation ❑ Sort ❑ Rework ❑Return ❑ Scrap ❑

Expense of:LCM ❑ Vendor ❑

Remarks:

Does this corrective action need to be implemented to other similar products? Yes ❑ No ❑
Authorized by: _ Title: Date: / /

PURCHASING
Contact Date / / Caution ❑Return/Debit ❑ Scrap/Debit ❑

CORRECTIVE ACTION REQUIRED: Yes ❑ No ❑


If corrective action is required, return to Quality Assurance Manager by
Remarks:

Authorized by: _ Title: Date: / /


DISCREPANT MATERIAL REPORT CONT.

CORRECTIVE ACTION REQUEST


(Instructions on page 3)

1. Problem Description:

2. Interim Action / Containment:

3. Root Cause:

4. Verification / Corrective Action:

5. Control (Similar Products and Updated Documents)

6. Prevention

Signature: Date: / /

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