Keystone Automatic Technology, Inc. Logo KAT Contact Keystone Automatic Technology, Inc.
1 South Maple Street
Emporium, PA 15834
Phone: 814-486-0513
Fax: 814-486-1190
info@keyautotech.com
Keystone Automatic HomeProductsServicesQualityISO CERTIFICATIONAbout KATLocate KATContact KAT

KAT INITIAL ACTION REPORT

THIS FORM MAY BE PRINTED AND FAXED OR SUBMITTED ON-LINE
 
Customer: Report #:
Contact: Customer P.O./Lot#:
Title: Date Order Received:
Quantity Rec'd: Date Action Requested:
Discrepancy: Action Request Received By:
Specification is: KAT Invoice #:
  Part #:
  Description of Part:
   
    Inventory #:
Actual is:  
Issue:  
Analysis and cause of issue:  
Analysis by:  
Corrective action to prevent reoccurrence:  
Date corrective action will be effective:  
     

Disposition:
Use as is

Request Credit (Only)

Request Replacement

Request Rework

Request Return Authorization

Return Refused

Authorized By:

Quality Department:

Sales/Purchasing:

Engineering/Production:

Final Disposition determined by KAT:
Samples must accompany this report.