Bucher Leichtbau AG
CH-8117 Fällanden
Form
Customer Complaint Report
For internal use only
Doc. No.: see below
Revision: NC
Page: 1 of 1
Prepared form Date Checked form Date Released form Date
U. Christen 20.11.07 F. Bäumli 20.11.07 A. Lapice 20.11.07
K:\51_Qualitaetsmanagement\01_Leitung\QMH_neue_Dokumente\Formular\F-
039_customer_complaint_report_B.doc
Form No.: F-039-B
Complaint no. customer: Date: attachment:
Customer / others: First Bucher contact person:
Phone: Delivered to customer on:
Fax / e-mail: Value:
Part designation: Number of pieces:
Part- no. / revision: Internal order no..:
Spec..- no./ revision: Contact person / Initials:
Aircraft on ground: Yes No No. Of base complaint:
Team for complaint:
Desciption of failure / influence on security (kind of failure & location)
Yes
reasonable:
repeat complaint:
not reasonable:
guarantee claim:
Immediate actions:
Yes
Scraping parts:
Rework and retesting:
Spezial approval:
Other usage:
Lock parts:
Test report no.: ..........................
Root cause:
Mid term & long term preventive actions: PPR
Due
date:
progress:
20,40,60,80,100%
verification:
Forecast:
Complaint closed: at: Name: Signature: