Supplier Quality Non-Conformance Record
Record No.
Date
Reported By
Supplier Name
Supplier Code
Non-Conformance Details
Part Number
Part Description
Quantity
Purchase Order No.
Lot/Batch No.
Date Received
Date Inspected
Nature of Non-Conformance
Disposition
Scrap
Rework
Return to Supplier
Use As Is
Other
Quantity Affected
Supplier Investigation/Root Cause
Corrective Action
Approval
Prepared By
Approved By
Approval Date