Paulstra Global 8-D Report
Title:
Date Opened
Last Updated
Part Number:
Product Process Information:
Organizational Information:
D0 Symptom(S):
D0 Emergency Response Action:
% Effective
D1 Team (Name, Dept, Phone)
Champion:
Team Leader:
Team Members:
Date Implemented
D2 Problem
Problem Statement:
Problem Description:
D3 Interim Containment Action(S):
% Effective
D4 Root Cause(S):
Date Implemented
% Contribution
D5 Potential Permanent corrective Action(s):
% Effective
Target Date
D6 Implement Permanent corrective Action(s):
Target Date
D7 Prevent Actions:
Target Date
D7 Systemic Prevent Recommendations:
Responsibility
Target Date
D8 Team and Individual Recognition
Date targeted for
closure:
Reported By:
Actual Date of
Closure:
Form 125A
Use with WI 125
REL: 05-03-96 REV: 11-20-08
Paulstra CRC
Global 8-D Cover Sheet
Date:
MCN #:
Include this page with your 24-hour response
Please provide the following information:
Name:
Phone number:
Fax number:
Email address:
Date of certified material shipment:
Certified material will be identified by:
Request e-mail photo of defective part from Paulstra CRC
Return completed 8-D in 10 days, including:

Revision of Control Plan

Revision of FMEA

Containment
 Containment must be completed immediately to protect the plant(s).
 Parts can be sorted by [company name] in house at Paulstra CRC
 [Name] : [[email protected]], Cell: [###-###-####]
 [Name] : [[email protected]], Cell: [###-###-####]
 If timing permits, parts can be returned to the supplier for containment activity.
 Supplier must work with Paulstra Supply Chain for this activity.
Form 125A
Use with WI 125
REL: 05-03-96 REV: 11-20-08