Quality Corrective Action Report

(If you encounter any trouble completing this form, contact Tommy via email at twhitman@arnoldpackaging.com)

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Today's Date

Sales Rep*

Customer Contact Name*

Company*

Address*

Street Address

Product ID

Product order #

Date issue was first noticed*

Please provide a detailed description of the nature of the issue and how it was identified*

Root cause of the issue, if known

Has this issue occurred before?

Yes (Explain Below)

Front Image

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Top Image

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Side Image

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Customer expectation for remedy

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Rework

Other

If Rework is required, resolution needed by:

Additional Comments

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