Supplier Corrective Action Response Form

General Information
Supplier
Part Name & Number
PO/Lot Number
Problem Description
Photo Evidence
Action Response
. Containment action completed within 48 hours of SCAR (Supplier Corrective Action Report) issuance
- Yes
- No
- N/A
Actual completion date of containment action
Photo evidence
Person responsible for containment action
Primary root cause(s) for reject occurrence
What was done to prevent recurrence and/or defect
Implementation date of permanent corrective action
Photo evidence
. Person responsible for permanent corrective action
. How will the effectivity of the corrective action be measured
Additional comments or observations

General Information