PROBLEM REPORT
Number
Date raised
Source
Internal
Audit
Customer
Supplier
Previous Report
Department
Sales
Purchasing
Production
Inspection
Despatch
Problem Type
Production Fault
Delivery Time
Delivery Condition
Other
Section A - Problem
Raised by:

Description of Problem
Section B - Remedy
Proposed Remedial Action
Responsibility for Remedy
Purchase Manager
Production Manager
Administration Manager
Correction Status
Accept with Concession
Repair with Concession
Rework to Specification
Scrap & Replace
Not Applicable
Action Check
Accept
Reject
Further Action
Target completion date
Section C - Improvement
Proposed Improvement Action
Responsibility for Improvement
Purchase Manager
Production Manager
Administration Manager
Quality Manager
Proposed Improvements
Provide Training
Revise Procedure(s)
Re-engineer Production
Other (please specify):
Action Check
Accept
Reject
Further Action

Target completion date
Section D - Close-Out
Closure Comment
Closure Date:
Accept
Reject

Signature


This survey was created byKeyPoint