RCCA-form1

file:RCCATemplate.xlsRevB04/07/10Revision:Supplier:Revision:Contact:TrekBuyer:RCCA#Date:NORP#Date:Date:NCM#Date:LotNo:ResponsiblePersonDuedateCompletionDateResponsiblePersonDuedateCompletionDateNameDateTitle3)Iftheproblemhasbeencorrected,howdidyouverify?Feedbackrequired?Directfeedbackto:ContainmentAction(s)Selected:Approval:Note:OrangeshadedareastobefilledoutbyTrekQE/SQEorSupplier.Note:YellowshadedareastobefilledoutbyRCCAapprover.Note:GreyshadedareastobefilledoutbyRCCAinitiator.2)Hastheproblembeencorrected?Results/Confirmation30-dayAuditdate:CorrectiveActionConfirmation(30DayAudit):1)Arethepermanentcorrectiveactionsstillinplace?RCCAcloseDate:TemporaryFixorContainment:ContainmentAction(s)Selected:Results/ConfirmationFQA#QuantitySampled:RootCauseAnalysis:5)Wheredoesithappen?1)Whatistheproblem?2)Whendidithappen?4)Howoftendoesithappen?PaulTam6)Howdoesthiseffectthecustomer?DetailedProblemStatement:TrekQuality:SupplyChain-RootCauseCorrectiveActionPart#OnwardHelmetTrekEngineer:QuantityProduced:BasicInformation:PartDescription:Drawing#PermanentCorrectiveAction:QuantityDefective:SourceofRCCAinformation:3)Whofoundtheproblem?