Sargent Supplier Discrepant Material Request (SDMR) SDMR#(Sargent Supplier Name: Provided) Sargent PO# and Line: Vendor#: Discrepant Part# and Rev: Supplier Contact Name: Discrepant Qty: Supplier Contact Phone: Order Qty Lot Qty %Complete MRB Authority: MRB Coord: Supplier accepts full responsibility for the accuracy of information provided. Contact your Sargent Buyer and/or Supplier Quality Engineer with any questions or further clarification. Reason for SDMR: (please select all that apply) The requirement/dimension suspected of being discrepant The actual condition or dimension Supplier containment actions Description of the Discrepancy (include actual dimensions when applicable): Suppliers Root Cause of this Discrepancy: Suppliers Corrective Action to Eliminate the Root Cause and Reocurrence: Concessions Being Offered to Sargent for this Discrepancy: Name of Person at Sargent this SDMR is being sent to : Supplier Signature: Date: ONLY SARGENT WRITE BELOW THIS LINE Rejected This SDMR will not be processed. 100% Conforming Material is Required, or Supplier to Rework Material to 100% Conforming or Scrap at supplier cost. Okay to process Forwarded to PRB Engineering for Material Decision Sargent Supplier Quality Engineer: Print Name Signature______________ Date Sargent PRB Decision Return for Sargent Evaluation & Disposition Sargent PRB Engineer Name (Print): Supplier to Rework to Conforming Condition No Cause for Rejection Supplier to Scrap & Replace at Supplier Cost PRB Engineer Instructions: PRB Engineer Signature: Date: This document does not alleviate suppliers risk. Parts may be returned to supplier for rework or scrap at supplier cost after evaluation by Sargent. All further details, serial/lot numbers and instructions shall accompany this SDMR. A completed copy of this form MUST be included with all affected shipments. Parts must be tagged with the SDMR Number and the SDMR Number must be listed on the CofC.
Sargent Supplier Discrepant Material Request (SDMR) SDMR#(Sargent Provided) Supplier Name: Sargent PO# and Line: Vendor#: Discrepant Part# and Rev: Supplier Contact Name: Discrepant Qty: Supplier Contact Phone: Order Qty Lot Qty %Complete MRB Authority: MRB Coord: Supplier accepts full responsibility for the accuracy of information provided. Contact your Sargent Buyer and/or Supplier Quality Engineer with any questions or further clarification. Reason for SDMR: (please select all that apply) The requirement/dimension suspected of being discrepant The actual condition or dimension Supplier containment actions Description of the Discrepancy (include actual dimensions when applicable): Suppliers Root Cause of this Discrepancy: Suppliers Corrective Action to Eliminate the Root Cause and Reocurrence: Concessions Being Offered to Sargent for this Discrepancy: Name of Person at Sargent this SDMR is being sent to : Supplier Signature: Date: ONLY SARGENT WRITE BELOW THIS LINE Rejected This SDMR will not be processed. 100% Conforming Material is Required, or Supplier to Rework Material to 100% Conforming or Scrap at supplier cost. Okay to process Forwarded to PRB Engineering for Material Decision Sargent Supplier Quality Engineer: Print Name Signature______________ Date Sargent PRB Decision Return for Sargent Evaluation & Disposition Supplier to Rework to Conforming Condition No Cause for Rejection Supplier to Scrap & Replace at Supplier Cost Sargent PRB Engineer Name (Print): PRB Engineer Instructions: PRB Engineer Signature: Date: This document does not alleviate suppliers risk. Parts may be returned to supplier for rework or scrap at supplier cost after evaluation by Sargent. All further details, serial/lot numbers and instructions shall accompany this SDMR. A completed copy of this form MUST be included with all affected shipments. Parts must be tagged with the SDMR Number and the SDMR Number must be listed on the CofC.