Non-Conforming Material Re-Work Form v8.3.2 – 1/04/03 Rev 2

Todays Date:*
MM slash DD slash YYYY
Initiating Employee Name*
First Last
Contract Name:*
Contract Number:*
Select*
Select Material Type:*
Select Second Material Type (If applicable):
Material Size:
Length Width Quantity
Component:
Length Width Quantity
Total Time Spent (HRS)*
Complaint:*
Cause:*
Solution*
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Supervisor Approval
- Yes
- No
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Signature Here:__________________________
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Non-Conforming Material Re-Work Form v8.3.2 – 1/04/03 Rev 2

Length	Width	Quantity

Length	Width	Quantity