Nonconforming Material Report Form
Use this form to report materials that do not meet required specifications. Please provide detailed and accurate information for review and resolution.
Date of Report
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Material Name
*
Material ID or Part Number
*
Batch or Lot Number
Supplier Name
Type of Nonconformance
*
Please Select
Dimensional Deviation
Surface Defect
Incorrect Material
Missing Documentation
Packaging Issue
Other
Description of Nonconformance
*
Severity of Nonconformance
*
Critical
Major
Minor
Suggested Disposition
*
Please Select
Use As Is
Return to Supplier
Rework
Scrap
Other
Reported By (Name and Department)
*
Submit Report
Should be Empty: