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c       p

 p
1. Related rejection tag No.:p p

2. Date of rejection:p p

3. Issue reported by:p p

4. Part or model No.:p p

5. Part or model description:p p

6. Alert Key Contact:p p

7. Source supplier/dept. name:p p

8. Qty rejected or issues found:p p

9. Defect description: p p

This alert should be posted at the work station where the defect occurred to best communicate the noted concern.p
I have been notified of this p
defect and will assist in the
inspection and
improvement process to
prevent reoccurrence of this
issue.p
Names of work station operators:p Check to acknowledge Operator Initials &
Datep
p p
p p
p p
p p
p p
p p
Supervisor Notes/Comments:p
p 
p  p p pp
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     p

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