Lumiform Mobile audits & inspections
Get App Get App

Supplier Corrective Action Request Form

Supplier corrective action request forms are a helpful tool to implement an easy workflow at the request of your suppliers. They help you document the supplier’s response to your offer and ensure that any corrective action is carried out in a timely and proper manner.

Downloaded 251 times
Supplier Corrective Action Request (SCAR) Form
General Information
Part Name & Number
PO/Lot Number
Problem Description
Photo Evidence
Action Response
Containment action completed within 48 hours of SCAR issuance
Actual completion date of containment action
Photo evidence
Person responsible for containment action
Primary root cause(s) for reject occurrence
What was done to prevent recurrence and/or defect?
Implementation date of permanent corrective action
Photo evidence
Person responsible for permanent corrective action
How will the effectivity of the corrective action be measured?
Additional comments
Quality Manager Name & Signature
Share this template:

This post is also available in: Deutsch Español

Utilize a supplier corrective action request form with Lumiform

Supplier corrective action request forms are a great way to improve relationships with your supplier and eliminate undesirable effects. Corrective action may apply to an entire contract if the results from materials and services deviate from the desired yield.

This template for supplier corrective action form documents the supplier’s response to your offer. The form should be filled out accurately and completely so that all issues can be properly addressed. It is important that both you and your supplier understand each other’s expectations in order to prevent any misunderstandings or disputes down the road.

Lumiform’s provided supplier corrective action form includes fields for information such as the name of the supplier, product or service being corrected, date/time when the issue was detected, who made the original error, detailed description of the problem area (if applicable), and intended outcome of corrective action. The supplier corrective action request form can be easily customized to meet your specific needs, so you can quickly implement a system that ensures quality control across all stages of production.

Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
This site is registered on as a development site. Switch to a production site key to remove this banner.