Part Number Vendor Name Part Description Vendor Code: Name Dept Phone Ext Name Dept Phone Ext
Part Number Vendor Name Part Description Vendor Code: Name Dept Phone Ext Name Dept Phone Ext
Engine Serial #
DØ Symptom(s):
D1 Team:
Name Dept Phone Ext Name Dept Phone Ext
24 hour
D2 Problem Statement:
EFFECT
Environment 3. Why?
4. Why?
2)
When Permanent corrective active is implemented how was it verified effective? Explain
in detail tests performed to show RC cannot be reproduced and past escape routes are
closed.
Verification / Validation
Day 10
D7 Preventative Actions: Responsibility Completion Date
Eng Lessons
Action C. Plan PFMEA Standard SOP Training Learned Drawing Gauge
Required
Identify the actions taken in the following process documents to
Completion Date
prevent reoccurance of defect. There must be two checked boxes.
D8 Team and Individual Recognition: Date Closed Reported by
39 3/30/2011
Product / Process Information Organization Information
Part Number Process Number
Part Description Oil module drain plug Process Name
D1 Team:
Name Dept Phone Ext Name Dept Phone Ext
24 hour
D2 Problem Statement & Description:
Contacted engineer to find out the proper torque. (15 +or- number of parts in transit
2NM) number of parts at customer
Containment Color Mark Safe Product Date/Serial Number
D4 Root Cause(s) Investigation:
Equipment People
1. Why ?
InadequeteTrainin
g
2. Why?
EFFECT
Environment 3. Why?
4. Why?
5. Why?
Day 3
Method Machine
Root
1) Cause(s) Statement: Escape Point (s): % Contribution
D
2) 1)
D
3) 2)
D
4) 3)
D 4)
Verification: Verification:
39 3/30/2011
D5 Chosen Permanent Corrective Action(s): Responsibility Due Date
1)
2)
Day 10
Verification / Validation
Eng Lessons
Action C. Plan PFMEA Standard SOP Training Learned Drawing Gauge Add to Internal Audit
✘ ✘ ✘ ✘
Required
Completion Date
Date Closed Reported by