supplier material rejection report (smrr) - Johnson Controls Inc.

Supplier Name: SMRR #:
Reject
Concern
SUPPLIER MATERIAL REJECTION REPORT (SMRR)
Open Date:
Close Date:
Initial Quantity Rejected:
Ppmsmrr.doc - Contact Mark
Moellering @734-254-5718
April, 1999
Type of Non-Conforming Material:
Manufacturing Line:
Incoming Inspection:
Supplier Contact Name: Originator: Dept. No.: Adjusted / Final Quantity Rejected:
Supplier Location: JCI Plant: Reject Tag No.:
Returned Material Cost
Piece Price $ = @ Qty = $
Other Affected Parts Rev. Qty $/Part = $
Fax No.: Fax No.: Phone No.:
Telephone No.:
Part Number:
Authorization No.:
(for return, scrap or rework)
3 rd Party Containment – 90 days Yes No
Part Description:
Non-conforming Material (NCM) Description:
(Sketch as needed)
Misformed
Started 90 day containment
152 pcs returned for full month
Montrex found 12 pcs for month, balance came from line
Accounting Signature: _______________________________________________________
Zone Eng. or QA Signature: __________________________________________________
NOTICE TO SUPPLIER: SEND CORRECTIVE ACTION REPORT (8D) TO ATTN: SQA
NOTE: (Non-compliance with above request will lower your Service and Quality Doc. Rating)
WRITTEN CONTAINMENT WITHIN 24 HOURS: YES
NO
COMPLETED 8D WITHIN 7 WORKING DAYS: YES NO
Returned Qty:
Sampled Qty:
Sorted Qty:
Reworked Qty:
Scrap Ticket #:
Notes:
Supplier Contact Signature
Return Fax to:
Supplier Acknowledgement Number (SAN):
Material Disposition
JCI Shipper Number:
Hrs Worked:
@ /HR = $
Hrs Worked:
@ /HR = $
Hrs Worked:
@ /HR = $
Scrap Qty:
________ @ $ _______= $
Service/Handlijng Fee:
Shipping Charges:
Downtime Charges:
Other Charges:
GRAND TOTAL
Date:
Date:
Date:
Date:
Date:
$
_______________
$
_______________
$
_______________
$
_______________
$
_______________
Date:
Date:
MAKE COPIES AND DISTRIBUTE TO THE FOLLOWING DEPARTMENTS: MATERIALS and ACCOUNTING