Investigation Form

SUPPLIER CORRECTIVE ACTION REQUEST (SCAR)

INVESTIGATION FORM

Section 1. General Information
SCAR Code: / Date of Issuance:
Supplier Information
Supplier Name: / Supplier Contact:
Phone Number: / Email:
HAP Contact
Facility: / HAP Contact:
Phone Number: / Email:
Component Information
Incoming Report:
Component: / Component Description:
Batch: / Quantity:
Description of Non-conformance

A. Define Severity Rating of the issue using the Severity scale according to following table:

Definition / Scale / Criteria:
Severity of Effect on Product
(Customer Effect) / Criteria:
Severity of effect on process
(manufacturing / assy. effect)
Catastrophic / 10 / Potential failure mode affects safe vehicle operation and/or involves noncompliance with government regulation without warning. / May endanger operator (machine or assembly) without warning.
9 / Potential Failure mode affects safe vehicle operation and/or involves noncompliance with government regulation with warning. / May endanger operator (machine or assembly) with warning.
Critical / 8 / Loss of primary function (vehicle inoperable, does not affect safe vehicle operation). / 100% of product may have to be scrapped. Line shutdown or stop ship.
7 / Degradation of primary function (vehicle operable, but at reduced level of performance). / A portion of the production may have to be scrapped. Deviation from the primary process including decreased line speed or added manpower.
Moderate / 6 / Loss of secondary function (vehicle operable, but comfort/convenience functions inoperable). / 100% of the product may have to be reworked offline and accepted.
5 / Degradation of secondary function (vehicle operable, but comfort / convenience functions operable at a reduced level of performance). / A portion of the production run may have to be reworked offline and accepted
Minor / 4 / Appearance or Audible Noise, vehicle operable, item does not conform and noticed by most customers (>75%). / 100% of the production run may have to be reworked in station before it is processed.
3 / Appearance or Audible Noise, vehicle operable, item does not conform and noticed by many customers (50%). / A portion of the production run may have to be reworked in-station before it is processed.
2 / Appearance or Audible Noise, vehicle operable, item does not conform and noticed by discriminating customers (<25%). / Slight inconvenience to process, operation or operator.
Negligible/
Cosmetic / 1 / No discernible effect. / No discernible effect.

Severity:

Severity Justification:

B. Define Frequency Rating of the issue using the Frequency scale according to following table, this step is required only if the non-conformance is linked directly in the product.

Frequency Rating / Category / Frequency
1 / Remote / Failure is eliminated through preventive controls
2 / Low / 1 in 1000000 / 1 ppm
3 / 1 in 100000 / ≥10 ppm
4 / Moderate / 1 in 10000 / ≥100 ppm
5 / 1 in 2000 / ≥500 ppm
6 / 1 in 500 / ≥2000 ppm
7 / High / 1 in 100 / ≥10000 ppm
8 / 1 in 50 / ≥20000 ppm
9 / 1 in 20 / ≥50000 ppm
10 / Very High / ≥1 in 10 / ≥ 100000 ppm

Frequency:

Frequency Justification:

Section 3 – Minimum Action Required

From the Severity and Frequency sections above, define the action required (frequency does not apply in case of non-product related event, use categories as “Low” frequency).

Frequency / Severity
1 / 2 / 3 / 4 / 5
Negligible / Minor / Moderate / Critical / Catastrophic
1 / Very High / Full SCAR / Full SCAR / Full SCAR / Full SCAR / Full SCAR
4 / High / Correction / Correction / Full SCAR / Full SCAR / Full SCAR
3 / Moderate / Correction / Correction / Correction / Full SCAR / Full SCAR
2 / Low / Notification / Notification / Correction / Full SCAR / Full SCAR
1 / Remote / Notification / Notification / Correction / Full SCAR / Full SCAR

Review of supplier SCAR History during last 12 months:

Is this a repeat non-conforming event?☐ Yes ☐ No

If yes, complete section below and escalation to next highest level of SCAR action type is required and justified: Notification escalated to Correction, Correction to Full SCAR.

SCAR Code:
Component:
Action Type:
Description of the event:
Comment:

From the Severity, Frequency and Historical above, define the action required:

SCAR's Type Required determined above:
Justification:
SCAR Investigation Form Approval
SQE or assignee: / Date:
Quality Manager: / Date:

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F-7.4.3.2-012 SCAR Investigation form Rev 3. 21-Sep-2017