Quality Incident Record

Tuesday, November 13, 2018
Quality Incident Record
Quality Alert Number
QA2172
Date
Tuesday, November 13, 2018
Time
4:50 PM
Quality Tech WWID
1212
Investigator WWID
121211
Line
Item - Quality Incident Record Image-1 0
P2
Shift
Item - Quality Incident Record Image-1 1
2nd
Type of Alert
Item - Quality Incident Record Image-1 2
Internal
Item - Quality Incident Record Image-1 3
External
Part Number #
121212
Shop order #
OL-3333/33333/33
Equipment Involved
lorem
Disposition
Item - Quality Incident Record Image-1 4
Contain for further review
Quantity Scrapped
12__
Quantity Reworked
13__
Quantity Contained
11__
Short Problem Description
lorem ipsum
Why ? # 1
Porttitor lacus luctus accumsan tortor posuere ac.
Why ? # 2
lacus luctus accumsan tortor posuere ac.
Why ? # 3
Porttitor lacus luctus accumsan
Why ? # 4
lacus luctus accumsan
Why ? # 5
tortor posuere ac.
Material
Item - Quality Incident Record Image-1 5
Urethane
Item - Quality Incident Record Image-1 6
Hotmelt / Glue
Operator
Item - Quality Incident Record Image-1 7
Training
Item - Quality Incident Record Image-1 8
New Employee
Methods
Item - Quality Incident Record Image-1 9
No Blue Print
Item - Quality Incident Record Image-1 10
Inspection not completed
Environment
Item - Quality Incident Record Image-1 11
Too hot
Item - Quality Incident Record Image-1 12
Cluttered
Equipment
Item - Quality Incident Record Image-1 13
Pleater
Item - Quality Incident Record Image-1 14
Jigs/Molds
Root Cause ?
Velit scelerisque in dictum non consectetur a erat nam at. Urna molestie at elementum eu facilisis sed.
Additional Comments (if any) ?
Feugiat pretium nibh ipsum consequat nisl vel. A erat nam at lectus. Sollicitudin nibh sit amet commodo nulla.
Mfg Engineering Code
123445
Action Taken to avoid issue in the future
Feugiat pretium nibh ipsum consequat nisl vel. A erat nam at lectus. Sollicitudin nibh sit amet commodo nulla.
Action Status ?
Item - Quality Incident Record Image-1 15
Completed
Work Order (WO) #
12312
Supvervisor Code
123455
Employee Coached ?
Item - Quality Incident Record Image-1 16
Yes
Enter Trainer Name
Gerald K Wilfong
Enter Trainee Name
Robert W Murphy
Trainee Signature
Item - signature 17
About this template
Manage a stressful situation without the stress of paperwork. With Jotform’s Quality Incident Record PDF Template, quality assurance becomes easier than ever.


In a perfect world, you’d never have to fill out an incident report. Unfortunately, mistakes that compromise the quality of a product or service happen all the time. It’s crucial to address quality incidents as soon as they happen. But because they can happen within any industry, from healthcare and food safety to manufacturing and construction, it can be tough to find the right report form for your business and even tougher design one from scratch.
That’s why Jotform’s Quality Incident Record PDF Template is the best quality management tool for your organization. With our efficient PDF Editor, you can customize the record to include whatever categories and descriptions needed to create the most detailed report possible. With each incident record converted into secure PDFs, your company can quickly resolve the issue and get back to providing high-level quality service.

Categories
Details
477 Clone
Created by
Jotform
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