DOC NO.

:
SUPPLIER / IN-PLANT QUALITY PROBLEM ANALYSIS AND COUNTERMEASURE SHEET (5-RULE) REV NO.:

PREPARED
VENDOR / DEPTT : PART NAME : PROBLEM NO. PRODN.MGR. QA MGR. DATE:
BY

PROBLEM PART NO. :

ACTUAL CONTENTS ACTUAL INVESTIGATION (PRODN. END - MACHINE / METHOD / MATERIAL / JIG / EQUIPMENT)
MODEL: PLACE OF RANK PROCESS FLOW RESULT ANALYSIS
OCCURRENCE MAN MACHINE
REJ. QTY.:

HMCD
OTHERS:
AWARENESS
DETAIL OF PROBLEM (DATA/SKETCH)

MATERIAL METHOD

ROOT CAUSE COUNTERMEASURE DETAIL RESP. OBSERVATION / EFFECTIVENESS (GRAPH/Cp)

(SKETCH/DATA/DETAIL) CORRECTIVE ACTION:

PREVENTIVE ACTION:

WHY-WHY ANALYSIS : MONITORING SHEET (REOCCURANCE OF DEFECT ) (QTY./GRAPH) FEED BACK TO OTHER
PROBLEM I II III IV V 1 MONTH II MONTH III MONTH IV MONTH V MONTH VI MONTH REMARKS PROCESS ( IF SAME TYPE
PROBLEM)