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Supplier Corrective Action Request Template

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Supplier Corrective Action Request Template

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

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

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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.