<p> Title Originating Plant: Opened by: Where found: Customer: Material: Owner: Material description: Tracking #: Vendor: Customer Tracking #: Supplier Support SQE: Date Opened Serial Number: Date Closed: Comp. Lot Code:</p><p>1. Problem Description (check box A1 if ITAR data is on this form)</p><p><Enter comments here></p><p>2. Measurement Method At the Time Defective Parts/Assemblies Produced (check box A1 if ITAR data is on this form)</p><p><Enter comments here></p><p>3. Containment Summary (check box A1 if ITAR data is on this form)</p><p>Location Method of Check When Suspect Qty</p><p><Enter comments here></p><p>4. Root Cause Analysis (check box A1 if ITAR data is on this form)</p><p><Enter comments here></p><p>5. Process Verification – First 4 Steps (check box A1 if ITAR data is on this form) CORRECT PROCESS? Yes/No/NA Comments</p><p>Standardized work followed?</p><p>Standardized work posted?</p><p>Job done on all shifts the same way?</p><p>Operator understands standards?</p><p>Form: AT-10181 -1 Rev: 2013-05-08 Regular operator?</p><p>Operator properly trained?</p><p>Operator understands quality outcomes? Operator knows how to communicate quality concerns?</p><p>CORRECT TOOLS? Yes/No/NA Comments</p><p>Correct tools/fixtures/error proofing?</p><p>Has PM been done?</p><p>Are tools functioning correctly?</p><p>CORRECT PARTS? Yes/No/NA Comments</p><p>Correct parts?</p><p>Parts routing current?</p><p>Parts stocked in correct location?</p><p>Error proofing needed?</p><p>Form: AT-10181 -1 Rev: 2013-05-08 PARTS CHANGED? Yes/No/NA Comments</p><p>Parts changed?</p><p>BOB vs. WOW parts different?</p><p>Parts in spec?</p><p>6. Implementation of Corrective Action (check box A1 if ITAR data is on this form)</p><p>What Where When Who</p><p><Enter comments here></p><p>7. Effectiveness of Corrective Action (Evaluate) (check box A1 if ITAR data is on this form</p><p>What Method Who When Completed</p><p><Enter comments here></p><p>Form: AT-10181 -1 Rev: 2013-05-08 8. Problem Prevention & Institutionalization of Problem Solving (check box A1 if ITAR data is on this form) ITEMS TO UPDATE Target Date Date Completed PFMEA REVIEWED RPN OLD = RPN NEW = CONTROL PLAN/STEP SHEETS OPERATING INSTRUCTIONS (JES) LAYERED AUDIT ERRORPROOFING WORKFORCE NOTIFIED/DISCUSSION LOG VISUAL AIDS GVC QUALITY ALERT TRAINING ASSESSMENT OTHER (Tool Layout, Containment Sheets, etc.) PLANT(S) NOTIFIED READ ACROSS/INSTITUTIONALIZA TION</p><p>Form: AT-10181 -1 Rev: 2013-05-08</p>