NCR Form

Identify Process Applicable * Select a Process Applicable Supplier or Rec-Insp WIP (Production Order)

Part *

Problem *

Supplier *

Quantity Received *

Quantity Defective *

NCR number *

PO or Prod. No. *

Sales Order No. *

Quality Representative's Name *

Date *

Review by HBC Engineering * Select an option Repair Rework Scrap Use As Is

Does Customer require notification of NCR

Does the drawing require updating?

Engineering *

Date *

Message Content Hello All, I have completed the Engineering section. Regards

Purchasing's Preliminary Decision * Select a PrelDecision Defer for HBC Engineering Review Return to Supplier for either "rework" or "replacement Rework "In-House Scrap in House

Was a CAR raised?

Follow up required?

Car number

Expected date of follow up

Follow up type

Operations Manager *

Date *

RMA number

NCR Value

When replaced items expected to be returned *

Procurement *

Date *

Inspector's Name *

Date *