Non-Conforming Parts Re-Work Form v8.3.1 – 1/04/03 Rev 1

Non-Conforming Parts Re-Work Form 8.3.1–08/16/01 Rev 2–6/03/24

Todays Date:*
MM slash DD slash YYYY
Initiating Employee Name*
First Last
Contract Name and Contract Number*
Contract Name Contract Number
Defective Part 1
Material/Part Information:*
Part Number Problem Description Vendor or Stock Supplied Material/Part Type Dimension Quantity
What was the solution?*
Add a second defective part?*
Defective Part 2
Material/Part Information:*
Part Number Problem Description Vendor or Stock Supplied Material/Part Type Dimension Quantity
What was the solution?*
Add a third defective part?*
Defective Part 3
Material/Part Information:*
Part Number Problem Description Vendor or Stock Supplied Material/Part Type Dimension Quantity
What was the solution?*
Add a fourth defective part?*
Defective Part 4
Material/Part Information:*
Part Number Problem Description Vendor or Stock Supplied Material/Part Type Dimension Quantity
What was the solution?*
Add a fifth defective part?*
Defective Part 5
Material/Part Information:*
Part Number Problem Description Vendor or Stock Supplied Material/Part Type Dimension Quantity
What was the solution?*
Add a sixth defective part?*
Defective Part 6
Material/Part Information:*
Part Number Problem Description Vendor or Stock Supplied Material/Part Type Dimension Quantity
What was the solution?*
Add a seventh defective part?*
Defective Part 7
Material/Part Information:*
Part Number Problem Description Vendor or Stock Supplied Material/Part Type Dimension Quantity
What was the solution?*
Describe the error in detail:*
Disposition*
- Use As Is
- Rework
- Scrap
- Sort
Comment*
Processed Date*
MM slash DD slash YYYY
Approved Date
MM slash DD slash YYYY
Hidden
Signature Here:__________________________
Hidden
Non-Conforming Parts Re-Work Form 8.3.1–08/16/01 Rev 2–6/03/24
CAPTCHA

Non-Conforming Parts Re-Work Form v8.3.1 – 1/04/03 Rev 1

Non-Conforming Parts Re-Work Form 8.3.1–08/16/01 Rev 2–6/03/24

Defective Part 1

Defective Part 2

Defective Part 3

Defective Part 4

Defective Part 5

Defective Part 6

Defective Part 7