Tracking No.

Initiator:

QRCM Problem Solving Report

Date Opened Last Updated Qty. Rejected

D0 Customer Reported Problem:Date Reported: Customer Contact: Customer: ArvinMeritor Plant: Complaint Received By: RMA No.: Comments: Name Function or Title Customer Reject No.: Telephone: Location: Operations Unit: Formal: Fax: Informal: Email: Customer Part No.: ArvinMeritor Part No.: Telephone:

Internal:

D1 Team:Team Role Team Member Team Member Team Member Customer Contact Champion Telephone

D2 Problem Description: What: Where:

When: How Big: D3a. Containment Action(s):

Date Verified Date Initiated

Verification:

Date Completed Date Verified Date Implemented Date Validated Date Verified

D3b. Interim Corrective Action(s):Verification:

D3c. Validation: D4a. Occur Root Cause:Verification:

D4b. Escape Root Cause(s):Verification:

Date Verified

D5a. Occur Permanent Corrective Action(s) Chosen:Verification:

Date Verified

D5b. Escape Permanent Corrective Action(s) Chosen:Verification: 8.01.2 F1, Rev. 11 April 03

Date Verified

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Tracking No.

Initiator:

QRCM Problem Solving Report

Date Opened Last Updated Date Implemented Documents Updated

D6a. Occur Permanent Corrective Action(s) Implemented:

Validation:

Date Validated Date Implemented Date Validated Date Approved Tracking No.(s)

D6b. Escape Permanent Corrective Action(s) Implemented:Validation:

D7 Preventive Actions:

D8 Team and Individual Recognition:Management Approval:

Date Closed

8.01.2 F1, Rev. 11 April 03

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