Customer: Ref. Rek No. : Part No. : Supplied Qty : Problem Reported by : 01. Problem Description : Supplier : Date : Time: Version : Defective Qty : Theoretical Deadline :
Implemented by : Implemented on : Verification of effectiveness of implemented action(s) : 03. Root Cause(s) of the problem occurred :
Implemented on :
Issue: 01 Page: 1 of 1