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Non Conformance, Corrective and Preventive Action Request form
The fields marked * are mandatory
Email*
Name*
Position*
Department
Organisation*
NC Title*
Description*
MAV Serial No*
Quantity impacted*
Project Name*
NC Source*
Select NC source
Supplier QA
Assembly Incoming QC
Assembly During Production QC
Assembly Outbound QC
Transport
Deployment ITP
Internal Stakeholder
Customer feedback
O&M
Other
Related to*
Select NC related to
Supplier
5B Adelaide
Assembly Partner - ADG
Deployment
Internal Process
Product & Development
Industrialization
O&M
Other
Impact of NC*
Causes delay to the project
Work on site has stopped due to the NC
Impacts safety
Other:
PO Number
Delivery Location
What is the associated risk to user- customer/ final product/ incident/ safety of personnel due to NCP?*
CRITICAL; impacting $ > 5000 amount/ Safety of personnel; %loss / damage toequipment/ Critical steps in process/qualification/ Cause all site work to stop orcause a delay on site works greater than 2 days
MAJOR; Breakdown of process/ production downtime impacting $ > 1000 amount/Cause a delay on site works between 4h and 2 days
MINOR: Can be addressed later by setting the NCP aside and carrying on withprocess/ Cause a delay on site works less than 4h
OBSERVATION/OI/R: Repeated NC scenarios- should be documented and appropriate CAPA addressed to the relevant party/s
Immediate Corrective Action - Taken after liaison with line Mgr/ ProductionMgr/ Site Mgr or delegate (Tick the appropriate box). Ensure appropriateapprovals in place prior to making the decisions*
"ACCEPT AS IS" condition; Ensure CAPA is assigned; customer approval received;cannot be used if "Critical" or "Major" risk identified
"REPAIR"; Ensure where applicable customer approval is received in advance; Checkitem/ process step for compliance prior to using it
"REWORK"; Ensure customer approval is received where applicable for reworked item,SOP, Process step, specifications, drawings etc
SCRAP
RETURN to Vendor/ Supplier/5B; SEND SECTION 2 of 3 TO VENDOR/SUPPLIER forCAPA request
Put "ON-HOLD" / place in Quarantine
OTHERs -Process related (Check against spec/ SOP /Qualifications not in place/documented process not in place etc- if process NC )
Other:
Attach Photos/ video as evidence if any
Submit form