Problem Solving Reporting Format
Problem Solving Reporting Format
Summary Worksheet
Date Initiated: Concern/Issue #:
Problem Owner Information Product Information Problem Initiator Information / Customer
Company Name: Part Number: Company Name:
Co. Location/Identifier: Co. Location/Identifier:
Team Lead Name: Part Description: Initiator Name:
Team Lead Title: Initiator Title:
Phone/email: Program Name: Phone:
Executive Champion Name/Title: Email:
Sketch or Photo (Below)
Problem Solving Team - Name/Role *Must Identify Problem owner
Problem Identification
Customer effect/Customer Complaint:
Customer Requirement:
Frequency of the problem? Problem Solving Goal Statement & Target Timing:
Containment
List all locations and quantities of suspect product. Location Contact Potential Qty Actual Qty Containment Details
1) Containment Start Date:
2)
3) Containment Method:
4)
5) Nonconformance Rate:
6) Projected:
Totals ==> 0 0 Actual:
Failure Mode Analysis
Product feature(s) not in compliance: Failure mode resulting in product nonconformance:
Product Specification:
2)
3)
2)
3)
2)
3)
2)
3)
Containment Removed?
Yes No Date:
Replicate Corrective Actions across processes, parts and locations as Preventive Action Responsible Date