Plant QRQC Form
Plant QRQC Form
D6: QRQC Owner: Production Mgr. / Logistic Mgr. / Quality Who found the problem? Is there a safety risk? If yes, explain.
Mgr. etc.
Name/ Signature: Who created the problem?
D4
D8: Responsible Mgr: Plant / Quality Mgr. / Production Mgr etc. Where was the problem found? Where Problem Statement: (Used for initiating the root cause analysis.
Name/ Signature:
was the problem created? Shall define the following: Object (what is having the problem) & Defect
(what is wrong or abnormal / undesirable)
D5 to D8
How many? How Big? Provide OK and NOK parts at the beginning of the analysis.
Re-occurrence:
YES Need to warn other plants/R&D?
YES
D3 – Temporary Countermeasures
Effective New Risk Detected
Containment Actions Responsible ECD ACD Lot no. (Y/N) (Y/N) Comments/ Conclusions
Root Cause 1: Root Cause 2: Root Cause 3: Root Cause 1: Root Cause 2: Root Cause 3: Root Cause 1: Root Cause 2: Root Cause 3:
How were these root causes verified / validated? If you reject any of these root causes, How were these root causes verified / validated? If you reject any of these root causes, How were these root causes verified / validated? If you reject any of these root causes,
why? why? why?
What data / evidence supports this event as the root cause? (Attach it) What data / evidence supports this event as the root cause? (Attach it) What data / evidence supports this event as the root cause? (Attach it)
Example : Measurement, Sorting, Testing, etc. Example : Measurement, Sorting, Testing, etc. Example : Measurement, Sorting, Testing, etc.
D5 - Corrective Actions & D6 - Verify Results (Process, Machines, Standards, Hazard identification, risk assessment and determining controls)
Effective New Risk Detected
Permanent Corrective Actions Responsible ECD ACD Lot no. (Y/N) (Y/N) Verification Method Verified by: & Date
D7 – Prevent Recurrence
Who needs to be informed of the solution? How did you verify this will prevent recurrence? Was the corrective actions implemented on the similar products?
What did you change that will prevent recurrence of the root cause? Was the Master FMEA (DFMEA/PFMEA) updated? If yes, list document number, if Was the Master Control Plan, First piece inspection, operator instruction,
no explain why not? maintenance plan, etc., updated? If yes, list document number, if no explain why
not?
D8 - Congratulate the team
Was Lesson Learned Created? If yes list format of lesson & location, if no Explain how the lesson learned was shared with other facilities. What went well in this investigation? / What did not go well?
explain why not?