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DISCLAIMERSTATEMENTThisauditwasconductedbasedonasampleoftheavailableinformation.NOTE:Thecompletenessofthisformmaybesupplementedbytheuseofattachmentstoprovidefurtherdetailedinformation.Whenattachmentsareprovidedtherespectiveboxontheformshoulddescribetheinformationinsummaryformatandthenrefertotherespectiveattachment.Itisnotpermissibletosimplysayseeattached.AllinformationisenteredintotheOASISdatabaseinaccordancewith9104/
1.9101Form4-AnnexACauseCodes1CBName:NONCONFORMITYREPORTNCR2■na3Organization:5AuditReportNumber:6NCRNumber:4Site/OIN:7IssueDate:SECTION1-NONCONFORMITYDETAILS8AQMSStandard/Revision9100□Rev:_9110□Rev:_9120□Rev:_9Applicable9100/9110/9120Requirement/Clause:10Process/Area/Department:11ClassificationMa/Mi:12StatementofNonconformity:13ObjectiveEvidence:14ContainmentRequired:□Yes□No15ContainmentDueDate:16Auditor:^OrganizationRepresentative:SECTION2-ORGANIZATIONSPLANNEDACTIONS18ResponseDueDate:19ContainmentAction⑸^OrganizationRepresentative:Date:21AuditorAcceptance:Date:及Corrections:23PlannedCompletionDate:24ActualCompletionDate:25RootCauses:26CauseCode:27CorrectiveActions:28PlannedCompletionDate:29ActualCompletionDate:30OrganizationRepresentative:Date:31AuditorAcceptance:Date:SECTION3-AUDITORVERIFICATIONANDNCRCLOSURE32Details:33Auditors:34AuditTeamLeader:Date:Date:FORM4:NONCONFORMITYREPORTNCRINSTRUCTIONSItem#Description1EnterthenameoftheCertificationBodyCBconductingtheaudit.2UsetheIAQGlogoasdefaultorentertheCBlogooptional.3Enterthenameoforganizationaudited.4EnterthenameofthesiteandtheOnlineAerospaceSupplierInformationSystemOASISIdentificationNumberOINoftheorganizationaudited.5Entertheassociatedauditreportnumber.6EntertheuniqueNCRnumber.7EnterthedatetheNCRwasissuedtotheorganization.8SelecttheAerospaceQualityManagementSystemAQMSstandardi.e.910091109120usedfortheauditcriteriaandentertherevisionlevel.9Entertherequirement/clausetowhichthenonconformitywaswritten.10Entertheprocessareaand/ordepartmentaudited.11Enterthenonconformityclassification[i.e.MajorMaMinorMi]accordingtothe9101clause
3.3and
3.4definitions.12Enteradetaileddescriptionofthenonconformingsituation.Ensurethereiscommonunderstandingofthenonconformitybytheauditorandorganization.13Entertheapplicableauditevidenceobservedconditionsetc[e.g.theidentificationofnonconformingdocumentstheidentificationofmeasuringandtestequipmenttheidentificationoftheshoporderthatwasnotprocessedinconformancewiththeapplicableproceduresanyapplicableProcessEffectivenessAssessmentReportPEARnumbers].14AuditorindicatesYesorNowhetherimmediatecontainmentactionisrequiredsee9101clause
5.
5.
3.15Auditorentersanapplicableduedateforgainingaresponsefromtheorganizationrelatingtocontainmentsee9101clause
5.
5.
3.ThisboxcanbeleftblankifNoisselectedinbox
14.16Enterthenameoftheauditorwhoidentifiedandrecordedthenonconformity.17Enterthenameoftheorganizationrepresentativee.g.QualityManagerprocessowneracknowledgingreceiptoftheNCR.18Auditorentersanapplicableduedateforgainingaresponsefromtheorganizationrelatingtocorrectionrootcausecorrectiveactionandplannedcompletiondatessee9101clause
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2.19Whenthenatureofthenonconformityneedsimmediatecontainmentactionstheorganizationistodescribetheimmediateactionsfixnowtakentocontainthenonconformingsituation/conditionsandtocontrolanyidentifiednonconformingproducts.ThisboxcanbeleftblankifHNoMisselectedinbox
14.20Enterthenameoftheorganizationsrepresentativewhotakesresponsibilityforthecontainmentactionanddate.Thisboxcanbeleftblankif4No^isselectedinbox
14.21Enterthenameoftheauditorwhoacceptedtheorganizationscontainmentactionresponseanddate.ThisboxcanbeleftblankifNoisselectedinbox
14.22Theorganizationistodescribetheactionstakentocorrecttheidentifiednonconformityandre-establishconformance.23Organizationtoentertheplannedcompletiondateforthecorrections.24Organizationtoentertheactualcompletiondateforthecorrections.25Organizationtoenteradetaileddescriptionoftherootcausesofthenonconformityi.e.describehow/whythenonconformityoccurred.Inmostcasesdocumentingisolatedcaseorlackofinstruction*isnotappropriateastherearesystemcausesinotherdomainse.g.insufficientsupportingormanagementprocesses.26OrganizationtoentertheassociatedcausecodefromtheIAQGlistingasshowninForm4AnnexA.27Organizationtodescribetheactionstobetakentopreventtherecurrenceofthenonconformity.28Organizationtoentertheplannedcompletiondatefortheimplementationofthecorrectiveactions.29Organizationtoentertheactualcompletiondatefortheimplementationofthecorrectiveactions.30Enterthenameoftheorganizationsrepresentativewhotakesresponsibilityforcorrectionrootcauseandcorrectiveactionandassociateddates.31Enterthenameoftheauditorwhoacceptedtheorganizationscorrectionrootcauseandcorrectiveactionresponseandassociateddate.32Provideasummaryoftheverificationactivitiesperformedbytheauditortoconfirmcorrectiveactionimplementationandeffectivenessofactionstakentopreventrecurrence.33EnterauditornamesanddatewhoacknowledgedclosureoftheNCR.34EnterAuditTeamLeadernameanddatethatapprovedclosureoftheNCR.RasourcosManagamontMathodsHumanFactorsCodeTitleDefinitionCodeTitleDefinitionCodemeDefinitionCodeTitleDefinitionRE1InadequatepeoplecapaWiffy.AppropriateeXcat»oaxnngXe«perencewasrvotsdequateydetennned.ooaerpetentpoc0ewerenocavaiaWeMG1Lackottraningpro*18koeItontiliedtfanngandcxxnpeiefxyrequiremeniswererotadequatelydeooyedandOf©uslainedtomeettheongoingneedsoftheorgartzaoai.ME1LackcperatKjnAlplannngarxlcontrolTheorganizaoonnotadequacydeptoypl8MMandconlroiactivitiestoensurethatoperationaltaskswereoorducted»nacoxciancewtihrequirements.HF1Lackolattenhonorconoentraoon.AsUtoofbcjmgunfocusodorunnwrestedsthetaskR£2inadequateoperatinginfrastructure.OporatnginfrastructuresuchauOinos.»n»ymat»ontec^no/ogy.buildinqs.transpodabonwasno!adcc^jatotosupportcperat»onairequrementsUnclearrolesandresponstohlies.AixbccrtosrosponsbiiticscrOuikeslackeddantyorwereno!fullyunde糊cd.Asaresultopefalioruiltasksandrohtodauthonbcsiapprovalswereifrprop«r»yassigned.ME2InadeqjatedocumentalinfonnattonDocumerfledirrformabonddnotdearlydescribetherequirementsfortheprocess.xoOjciorservice.HF2Pressureandstress.Agia如o/beingovertoadedorpressurisedbyurgentandchangingxccrrflctingcfemangAlackcttmeorresoura*iopedectnthetask.RE3inadequateopecaUngenvironment.Opcfaongemuonment由enwEssuchasleffvecature.humidity.•»9h!ng.noiseandcleanfnesswareno!adoqualc90suppedcperat»onairequirements.ZG3InadeqjateorgamzabonalgovernanceTheorganuagnddno!dderminearmplcmcntsurtaencarrangemenlstoensurecontinuedapplicationandMeclNjnesso!theQMSanditsprocesses.ME3Inadequateconfiroio!documortodinrofmationDoojrr^ntedmfonnatKjnwasroadequawbmairwained.refinedorrodeavailabletoccmcnstraicelectiveconlrol.HF3Distraction.Aslatecaused火beingcisturbedorskJe-trackedbyOiherpe*opieorbyan/otherdisruptionnthewortd8o.RHinatfequaiepto^sionolcqupmonl.Equpmen!wasno!capableofmootingandsustanngo53o词requrenwnu.orwasnotWeqjatecontrolledoravailable.MG4Inadequateconimun»ca!icn.Keyirrformaonwasnotadequacycommunicaledwithintheorgarvzaoonwchinnlim^ramematmakestheifdormaconrelevamarrfallowslorfeedbackasrequired.ME4InadequatewnficahonorvanaaionoiprocessproductOfservice.Venftcaion.vaidatkjnaclMtieswerenotcooductejdnaccordancewrththeslavesrequirements.HF4Faogue.Aslatecausedbybeingphysicaland.ormentally”edasareeulofworkplaceCfgonoaiias■orWaad.worionghou悼personalBfluaoonsetc。
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