CONCERN RECEIVED SHEET	C.R.S. No.

Customer		Contact name		Tel No. Fax No.
Supplier		Contact Name		Tel No. Fax No.

Date & Time received
Customer part no.
Supplier no.
Part description
Where is/are the reject part(s)

Delivery Details - it is difficult to follow up a concern without this information
Goods Received No.
Quantity
Data

Concern description :
Sign here if a stock sort is required		No. of defective parts
What action has already been taken ?
What action is the customer requesting (eg a visit) ?
Cut-off /Identification of suspect parts

Personnel contacted (name and job title)