Supplier Corrective Action Report Checklist

Complete and include as a Cover Sheet for each Corrective Action Response submitted.
CHECK:
CAR STEP GUIDELINES TIPS
Yes / No / NA

Supplier Methode 1a. D2: Problem Statement 1. Problem described by Methode 1. Use IS/IS NOT analysis;
SHORT and LONG Term Responses
Sections 1 & 2 are required for both

Yes Yes 1b. D2: Problem Description 1. What? 2. Is the analysis being reported on the
2. When? problem as the Customer sees it?
No No 3. Where? 3. Use information provided in QCR.
NA NA 4. Who Reported?
5. How Many?
6. Lot Information?

Supplier Methode 2. D3: Interim Actions 1. Clean Date? 1. Describe how is good product differentiated
Yes Yes 2. Part/Packaging Identification? from bad?
3. Defect/Suspect quantity at Customer 2. Estimate time/date when Customer will get
No No and Supplier pipeline? certified product for clean point?
NA NA 4. Certification method? 3. Identify if the certification is through 100%
gauging, visual or functional check?

Supplier Methode 3a. D4: Root Cause 1. Use of 5-Why analysis? 1. Is there cause-effect relation between
Yes Yes Identification why's?
2. Cover Specific / Detection / Systemic
No No failures?
NA NA 3. Specific - What caused the particular
problem to happen?
4. Detection - Why did the issue escape the
3b. D4: Verification of Root 1. Replication / Recreation of failure Supplier's process?
Cause where applicable? 5. Systemic - Think in terms of procedures,
2. Use of statistical data / evidence policies, standards, etc…, that failed to
Sections 3, 4, 5, 6 and 7 are required for Long Term Responses

where applicable? prevent the failure of specific and detection.

Supplier Methode 4. D5 & D6 Permanent 1. Specific, detection, systemic actions 1. Use fault samples, validation samples,
Yes Yes Corrective Action taken with planned / implementation statistical data, post implementation PPM to
dates and responsibility. show evidence of implemented corrective
No No 2. How did you verify specific, detection
action.

NA NA and systemic corrective actions?

Evidence or documentation to
support the validity of corrective
action.

Supplier Methode 5. D7: Preventive 1. Steps to ensure process control to 1. Use of SPC, Pareto / Trend Charts, Audits,
prevent reoccurrence of the same PM Checks, Error Proofing, additional
Yes Yes Sustain/Control
issue? testing.
No No
NA NA

Supplier Methode 6. D7: Evidence 1. Documents showing evidence of 1. PFMEA, Control Plan, Work Instructions,
changes inplemented Gage R&R, Alerts, Flow Charts, Process
Yes Yes Specs, etc…
2. Minimum requirements are PFMEA,
No No Control Plan or Work Instructions
NA NA

Supplier Methode 7. D7: Read Across 1. Evidence of similar product / process 1. Manufacturing or Design guidelines,
addressed. Lessons Learned documents, etc…
Yes Yes
No No
NA NA

CAR SUBMITTED BY:

Supplier Contact/ QCR Number Date Phone Email

CLOSURE OF CORRECTIVE ACTION:

Supplier Development / Quality Engineer visit required?

Yes No

CAR CLOSED BY:

Methode Quality Engineer Date

Methode Supplier Development Date

Methode Electronics, Inc. SMF-4.100.3 Rev: A