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Request for Support

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REQUEST FOR SUPPORT
NONCONFORMANCE CONTINUOUS IMPROVEMENT CALCULATED RISK
RFS No:	2	Date Prepared:
Item Name:		Item Part No:
Drawing / Spec No:		Item Rev:
Purchase Order# or Assignment Sheet#:		Lot / Serial No:
Area Affected:		Qty Affected:
Program Name:		RFS Submitted By:
Job No:		Traveler / Routing Name and Op No:
Description:	Identify S/B and source of requirement (spec#, para#, dwg zone, etc); Identify IS and QTY for each condition. Include narrative if required.
Send RFS To:		Unit Cost, Each:
Measurement Machine Personnel Material Method-Process Environment-Design Documentation
Root Cause: Determine if problem exists elsewhere in the system:
Affect on Supplies:
Immediate Action, Responsibility, Schedule:
Corrective Action, Responsibility, Schedule or Special Instructions:
Preventive Action, Responsibility, Schedule or Special Instructions:
Trend?:	Yes No	Trend Details:
Yes ACN No ACN; Yes Supplement No Supplement; Yes ICAR No ICAR; Yes EO No EO
ICAR No:		EO No:
CLASSIFICATION	DISPOSITION - check all that apply
MAJOR	SCRAP RTV WAIVER-DEVIATION NON-STANDARD REWORK-REPAIR NON-FLIGHT
Minor	Standard Rework Conditional Acceptance
None	Precautionary Clarification Notification
APPROVALS and EFFECTIVITY VERIFICATION
Review or Verify and Document Effectiveness of Action(s) Taken. Record source of objective evidence (training records, revised procedures, etc):
REA:		Date:
Quality:		Date:
Referee (N/A if REA and QA agree):		Date:
Rework/Repair Operator:		Date:
Rework/Repair Inspector:		Date:
ACN=Advance Change Notice; ICAR=Investigation and Corrective Action Request; EO=Engineering Order

PaperlessEfficient QMS™Created by: qualitycontrolplan.com

Request for Support

Paperless
Efficient QMS™
Created by: qualitycontrolplan.com