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Complaint (If Space Is Limited Use An Additional Sheet Of Paper And Staple It To This Corrective Action) 1 Type: Customer Supplier Internal Customer/Supplier: Part/Mat l : External Contact Name Quantity: External Contact Phone: Initiated By: Forward To: (for step 2) Initiation Date: Due Date: Pending Due Date: Respond To Customer Yes No By Date: Plant Visit Required Yes No Describe The Problem: Can the problem affect other products or processes Is it a systemic problem that can re-occur Responses are required by Team Champion See Steering Committee for actiom 2 Team Champion: (Team Roster Tracking Sheet Required) Position/Group Phone: 3 What Did You Do To Contain The Problem (Purge System As Warranted) If the problem affects other product/process or is systemic, how were they contained 4 Root Cause (s): Ask Why 5 Times..