Supplier Corrective Action - Response Form

1. 1. Supplier

2. 2. Part Name & Number

3. 3. PO/Lot Number

4. 4. Problem Description

5. 5. Photo Evidence

1. 1. Containment action completed within 48 hours of SCAR (Supplier Corrective Action Report) issuance?

2. 2. Actual completion date of containment action

3. 3. Photo evidence

4. 4. Person responsible for containment action

5. 5. Primary root cause(s) for reject occurrence

6. 6. What was done to prevent recurrence and/or defect?

7. 7. Implementation date of permanent corrective action

8. 8. Photo evidence

9. 9. Person responsible for permanent corrective action

10. 10. How will the effectivity of the corrective action be measured?

11. 11. Additional comments or observations