Issue Form

Please complete all information on the form as accurately and thoroughly as possible. Once the Issue Form has been submitted, retrieve a printed copy from a member of the leadership team. Remember, everyone is responsible for reporting quality issues through the Issue Form, even if the issue may not count toward the redo total. Reporting every issue allows us to properly track problems, determine whether a redo “hit” applies, and identify opportunities to improve our processes.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Pretax (total invoice, not just the redone item)
(entire project)
Has a 5-Why Analysis been completed with your department leader?*
(be as specific, but as concise as possible)
Value Stream*
Responsible Department*
Is the project late?*
Did the customer know about the issue?*
Did we lose the customer because of this?*