Supplier Name, Evaluator/Department, Issue ID:, Method to verify completion, Supplier representative name, Position, Auditor Name:, Position
DATE
Date Issued:, Date of Incident, Follow-up date:, Date:, Date:
MULTIPLE CHOICE
Area Affected:
LONG TEXT
Description of non-conformance:, Primary cause identified, Contributing factors:, What are the actions needed?, Responsible Person, Target Date Completion, Resources Needed, Evaluator’s notes:
SIGNATURE
Signature & Signature
SINGLE CHOICE
6. Final Status
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