EFDN, S.A. DE C.V. NON CONFORMANCE REPORT EXHIBIT No.

IDENTIFICATION OF NON CONFORMACE

1. No Conformidad No. 2. Area

3. Nombre del que origina 4. Fecha

5. Carro No. o Identificacion del Proceso 6. P.O No. (Si Aplica)

7. Contratista o Proveedor 8. Identificacion de Parte No.

9. Parte Descripcion 10. Cantidad

11.Non Conformance detected during (Mark Incoming In Process Final

Inspection Other (Describe)
or Circle). Inspection Inspection
Is there a need for an AAR Exhibit 7.1?, If "Yes", Please attach
a copy of this NC Report to the Exhibit 7.1 to be sent to the Yes No
Contractor or Supplier

12. Clearly define the nonconformance

13.Clearly define the actions taken for dispotition

ROOT CAUSE
14.Determining the root cause (s) of the noncompliance, transgression,customer complaint, or nonconformance using
problem-solving tools, methods and techniques (Use additional description page if necessary)

CORRECTIVE ACTIONS
15.Clearly define the corrective action(s) taken that will permanently eliminate the root cause(s) (Use additional description
page if necessary).

FOLLOW UP ACTIONS
16. Clearly define the follow-up plan(s) that will ensure the efectiveness of the corrective action(s) taken in its/their
permanence (Use additional description page if necessary).

FECHA DE EMISION: 02-14-11 Page 1 out of 3 FECHA DE REVISION: 10-07-21

EFDN, S.A. DE C.V. NON CONFORMANCE REPORT EXHIBIT No. 4

CLOSING OF NON CONFORMANCE

17. Planned disposition has been completed, corrective/preventive action have been completed and follow up actions finished.

Additional Coments (Use additional description page if necessary).

QA Inspector´s Name Closing Date

ADDITIONAL DESCRIPTION PAGE FOR ITEMS 12 THROUGH 17

FECHA DE EMISION: 02-14-11 Page 2 out of 3 FECHA DE REVISION: 10-07-21

EFDN, S.A. DE C.V.
INSTRUCCTIONS FOR COMPLETING THE NON CONFORMANCE REPORT
1. Non Conformance No.
2. Area
3. Originator´s Name
4. Date
5. Car No. or Process ID
6. P.O. No. (If Applicable)
7. Contractor or Supplier
8. Part ID No.
9. Part Description
10. Quantity
11. NC detected during…..
12. Clearly define the
nonconformance
13.Clearly define the actions
taken for dispotition
14.Clearly define the root
cause(s) that tesulted in the
nonconformance
15.Clearly define the corrective
action(s) taken that will eliminate
the root cause(s)
16. Follow Up Actions
17. Closing of NC
FECHA DE EMISION: 02-14-11
NON CONFORMANCE REPORT EXHIBIT No. 4
The progressive Number assigned for the Non Conformance (NC).
Place or Work Space where the NC was Identified.
Name of the person identifying the NC.
Date of Identification for the NC.
Car Initial and Number or Repair Process where NC was identified.
Purchase Order used to buy the Non conforming Part or Material.
Company or Orgazition whose Product / Material or Process is Non Conforming.
Storage Control Number assigned to The Non conforming Part or Material.
Name of the Part / Material or Process as indicated on the Purchase order or internal Control.
Number of Non Conforming Parts or Lots
Mark or circle the appropriate Box, if you need to mark "Other", please add an explanation of the
facts. Very important to indicate if an AAR Exhibit 7.1 is needed or not, if "Yes" then a copy of
this report needs to be attached to the AAR Exhibit 7.1 to be sent to the
Contractor or Supplier.
Describe or explain the problem, show the requirements that are not met, provide references to
specifications, procedures, etc. Also, describe the possible causes of the NC, such as
inadequate training or procedure, wrong set up for test conditions, etc.
Indicate what steps have been taken to garantee the item has been separated from the ones in
good condition or if its a process what has been done to continue failing on it meanwhile the
NC remains unresolved.
Indicate what was the root cause of the non-compliance, transgression, customer
complaint and which problem solving tool was used, method or technique.
Indicate what actions/steps will be taken to prevent permanently the Non Conformity from
happening again.
This Box is to demonstrate what actions were performed to actually follow the correction of the
Non Conformity before it´s been closed. You´d need to provide feasible proof to demonstrate that
efficient follow up actions have been given during the completion of the
Non Conformity.
QA Inspector´s Name and date must be shown along with any additional comments (if Any), after
the Disposition has been completed and the corrective / preventive action has
been initiated.
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