Nonconformance Report template



Nonconformance Report

|IDENTIFICATION |

|1. Originator Name: LOREN MORSE |3. Date: AUGUST 13TH 2008 |

|2. Contractor/Supplier: Sample Manufacturing Inc |4. NC No: Sample-DLT-0026 |

|5. PO Number 712 | |

|6. Part description: COVER, SW Sm 4Q |8. Qty: 26 |

|7. Part ID: DLT-0026 |9 Dwg No: DLT-0026 |

|10. Found during what activity: |

|( Incoming inspection |( Other |

|( In-process inspection | |

|Final inspection | |

|11. Description of nonconformance (use continuation page if necessary) |

|ITEM DETAIL “THIS SIDE TO BE POLISHED SMOOTH” ROUGH TRANSITION LINES AFFECTING APPEARANCE ON HI VIZ PART. |

|12. Action taken to prevent misuse (use continuation page if necessary) |

| |

|DISPOSITION |

|13 |( Use-as-is |( Return to supplier |Responsible Manager |

| |( Repair |( Reject |Name: JASON MISKO |

| |( Rework | |Date: AUGUST 13TH 2008 |

|14. Approval of USE-AS-IS disposition |Project Engineer |Project Management |

|( Non-critical NC |Name: LOREN MORSE |Name: HUNG TRAN |

|( Critical NC |Date: AUGUST 13TH 2008 |Date: AUGUST 13TH 2008 |

|15. Approval of repair, rework, return to supplier, rejection disposition |

|Project Engineer |Name: Loren Morse |Date: 24 May 2002 |

|CORRECTIVE/PREVENTIVE ACTION |

|16. Description of proposed action (use continuation page if necessary) |

|PART TO BE STRIPPED, POLISHED IN HOUSE, AND REANODIZED. VENDOR TO BE ADVISED ON NECESSARY IMPROVEMENTS. |

|17. Approval of corrective/preventive action |

|Project Engineer |Name: Loren Morse |Date: August 13TH 08 |

|CLOSING THE NONCONFORMANCE |

|18. Planned disposition has been completed and corrective/preventive action has been initiated |

|Responsible Manager |Name: Loren Morse |Date: August 13TH 08 |

| |

(2010 Cambridge Machine Works, Inc.

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