NON CONFORMITY NOTIFICATIONPage 1 of 2

Number of Notification : 0Schneider Electric Plant : 0

Date of Notification (dd/MM/YYYY) : 12/30/1899

Supplier Name : 0Sender : Supplier Number / DUNS : 0 0

Phone Number : Phone Number : 0

E-Mail Address : Fax number : 0

Dear Sir,

We inform you that the batch referenced in the attached

form does not conform to our Quality specifications for this part.

Our process for managing this issue and for preventing its

re occurrence is the completion of our ‘8D process’.

The process described in the "Key + Process Flow Diagram" sheet

summarises the '8 D process' actions to be taken, the owner

and the timescales for completion.

(A fixed cost of Euros for administrative management

of this non conformity will be sent through a credit note

marked for your attention.)

We thank you for your commitment to solve this problem,to prevent it from reoccurring and to help us to continuouslyimprove the Quality performance of our Supply Chain.

Best Regards,

Signature

NameTitle

Supplier distribution copies :Quality Manager

Attached documents:Non Conformity description+Part disposition sheetPicturesG8D Report5 Why sheet (3)

NON CONFORMITY NOTIFICATIONPage 2 of 2

Number of Notification :

Schneider Electric Plant :

Date of Notification (dd/MM/YYYY) :

Supplier Name :

Sender : Supplier Number / DUNS :

Phone Number : Phone Number :

E-Mail Address : Fax number :

Part Number Part Name Schneider Order number Supplier Batch Number

Delivered Quantity Potentially total concerned Quantity

Description of the non conformity (by Schneider plant)

Who detected the defect ?

Where has it been detected ?

How has it been detected ?

When has it been detected ?

Other useful information to share

Inspected Quantity

Estimated Defective Rate - Defects Per Million (PPM)

Disposition from Quality Department Suspected non conforming deliveries

this batch only

is accepted under derogation

our stock of raw material

Quarantined, waiting for supplier's decision our stock of finished goods

Has been sorted/reworked for production needs

Quantity sorted/reworked

USD

Has been used in production before the non conformity was discovered

USD

Warning: A credit note of the total value will be sent to you separately.

Answer from the supplier regarding logistic aspect

The concerned batch(es) must be scrapped by Schneider

The concerned batch(es) will be sorted/reworked at the suppliers expenxe by

The concerned batch(es) will be removed by the supplier (at his expense) before

After this date, the batch(es) will be returned at the expense of the 1/13/1900supplier (invoiced separately).

The mail reception is equal to an electronical signature

Distribution

Revision Level

Schneider Reception Number

Delivery Ticket Number

What is the non-conformity ?Which specification is not met?

Why is it a problem ?What are the effects of the failure?

How many defective parts ?Actually observed

Cost of sorting/rework (if known at the time consignement mail)

Administrative cost for handling of non conformity(This cost does not include sorting or rework)

Buyer - Plant Logistic Manager - Plant Quality Manager - Plant Financial Manager

Ref. document : NNC 001 version 2

NNC

Number of Notification 0

Date of Notification 12/30/1899

Part Number 0

Part name 0

Part Index 0

Supplier Batch Number 0

NON CONFORMITY NOTIFICATION

ALERT

Picture of DESIRED part Picture of REJECTED part

Claim ClaimNotification Closure

Reminder of claim references

Number of Notification : 0 Hussey Plant : 0RMA no. : # Part no. : 0 Revision no. : 0

Supplier Name : 0 Part Name : 0Supplier Number : 0 Batch Number : 0

Non Conformity Severity : Quality Purchase Order : 0Place of detection : Delivered Quantity : 0

Recurrence : No

Customer contacts

Position Name Location E-Mail Address Phone NumberQuality contactSupply Chain contactSupplier LeaderOther( SQME, SSCME, ….)

Discipline 1

Position Name Team Role E-Mail Address Phone NumberSponsor

G8D Team LeaderTeam member

Team member

Team member

Discipline 2What is the non conformity ? 0

Why is it a problem ? 0

Who detected the defect ? 0

Where has it been detected ? 0

How has it been detected ? 0

When has it been detected ? 12/30/1899

How many defective parts ? 0 Out of 0 parts inspectedOccurrence (ppm) 0

Hussey Supplier Quality ManagementNon-conformity management - 8 D report

Containment Action< 2 days

Root Cause Analysis and corrective actions

< 2 weeksPreventive Actions

< 2 months

Cross-Functional Team : The supplier describes the team that will lead problem analysis and assign responsabilities for corrective action

Define the non-conformity: Description of the non conformity (automatic copy of informations from NC description sheet)

Schneider Electric CustomerSchneider Electric Production LineSchneider Electric Incoming Inspection

Claim ClaimNotification Closure

Hussey Supplier Quality ManagementNon-conformity management - 8 D report

Containment Action< 2 days

Root Cause Analysis and corrective actions

< 2 weeksPreventive Actions

< 2 months

Containment actions (To be filled in by the supplier within 48h)Discipline 3 Define and Implement Containment Actions: Guarantee that the defective material will not reach Schneider

3.1 Which previous shipments are likely to be affected by the same defect (in transit or already received by customer, based on traceability data ? What shipment (BL number) Shipped when Quantity

3.2 What Actions are taken in the supplier plant to guarantee that from now on, ONLY conforming material is shipped by customer (includes WIP + all stock)What Who When

3.3 What Actions are taken in other locations (sub-contractors plants) to guarantee that from now on ONLY conforming material is shipped by customer?What Who When

Number of non conformities Number of sorted products PPM Sorting date Who Identified pieces OKProduct Recall from Customers 0 PPMSorting result at the logistic platforms 0 PPMSorting result at Schneider plant 0 PPMSorting result at supplier plant 0 PPM

comments :

Approved by : Approved by : Supplier Quality Engineer

Date : Date :

Containment Approval : Supplier commitment

Claim ClaimNotification Closure

Hussey Supplier Quality ManagementNon-conformity management - 8 D report

Containment Action< 2 days

Root Cause Analysis and corrective actions

< 2 weeksPreventive Actions

< 2 months

Root cause analysis (To be filled in by the supplier within 2 weeks)Discipline 4 Root Cause Analysis: Why did the non conformity occur, why the supplier did not detect it?

4.5 Have you reproduced the defect with root cause identified ?

4.1 Where in your global manufacturing process did the root cause occur? (supplier to send a process flow chart to explain)

4.2 Why did the Non Conformity Occur ? Only the root cause has to be reported here (To be filled in after "5 Why (O)" sheet has been filled in)

4.3 Why were you not able to Detect the Non Conformity ? Only the root cause has to be reported here (To be filled in after "5 Why (D)" sheet has been filled in)

4.4 Why did your Management System allow the root cause to happen ? Only the root cause has to be reported here (To be filled in after "5 Why (MS)" sheet has been filled in)

Claim ClaimNotification Closure

Hussey Supplier Quality ManagementNon-conformity management - 8 D report

Containment Action< 2 days

Root Cause Analysis and corrective actions

< 2 weeksPreventive Actions

< 2 months

Corrective actions (To be filled in by the supplier within 2 weeks)Discipline 5 Identify and Implement Permanent Corrective Actions

5.1 What are your Corrective Actions to prevent the root cause of Non-Conformity from re-ocurring ? (Poka-Yoke is recommended whenever possible) What Who When Done1 - 2 - 3 -

5.2 What are your Corrective Actions to improve Detection of Non-Conformity if it is still likely to occur ? What Who When Done1 - 2 - 3 -

5.3 What changes will you implement in your Quality Management System to avoid recurrence of the problem (lessons learned for the future) ? What Who When Done1 - 2 - 3 -

Discipline 6 Verify Corrective Actions Implementation and Effectiveness (will be done jointly with Schneider upon Schneider request)

6.1 Supplier will provide evidence of implementation of Corrective Actions described above :What Who When Done1 - 2 - 3 - 4 - 5 -

comments :

Approved by : Approved by : Supplier Quality Engineer

Date : Schneider Electric Date :

Preventive actions definition and implementation (To be filled in by the supplier within 2 months)

Corrective Action approval : Supplier commitment

Claim ClaimNotification Closure

Hussey Supplier Quality ManagementNon-conformity management - 8 D report

Containment Action< 2 days

Root Cause Analysis and corrective actions

< 2 weeksPreventive Actions

< 2 months

Discipline 7 Identify and Implement Permanent Preventive Actions

7.1 Is this problem likely to occur on other parts/products that you supply to Schneider Electric ? Parts =S= Entity Parts =S= Entity

7.2 How will you extend the corrective actions to prevent occurrence of the root cause on these other parts ? What will be done Who When Done1 - 2 - 3 -

What will be done Who When Done1 - 2 - 3 -

comments :

Approved by : Validated by : Supplier Quality Engineer

Date : Schneider Electric Date :

Claim closure Discipline 8 Individual and Team Recognition

comments :

Approved by : Validated by : Supplier Quality Manager

Date : Schneider Electric Date :

7.3 How will you extend the corrective actions to improve detection of the non-conformity if it is still to occur ?

Actions implemented and efficient : Supplier commitment

Claim closure approval : Supplier commitment

5 Why: Occurrence Analysis

Date : Prepared by :

Non Conformity as described by the SchneiderWhy Why

0 C1 C2

Therefore Therefore

+ +

Why Why

Therefore Therefore

Why did the Non Conformity Occur?

As a check for consistency, we can read the why's backward towards the problem statement with a "therefore".

5 Why: Occurrence Analysis

Approved by :

Why Why Why

C3 C4

Therefore Therefore Therefore

+ +

Why Why Why

Therefore Therefore Therefore

As a check for consistency, we can read the why's backward towards the problem statement with a "therefore".

C5

+

Corrective Acton Owner Due DateA1A2A3

A5

A6

5 Why: Non Detection Analysis

Date : Prepared by :

Non Conformity as described by the customerWhy Why

0 D1 D2

Therefore Therefore

+ +

Why Why

Therefore Therefore

As a check for consistency, we can read the why's backward towards the problem statement with a "therefore".

Why were you not able to Detect the Non conformity?

5 Why: Non Detection Analysis

Prepared by : Approved by :

Why Why Why

D3 D4

Therefore Therefore Therefore

+ +

Why Why Why

Therefore Therefore Therefore

As a check for consistency, we can read the why's backward towards the problem statement with a "therefore".

D5

+

Corrective Acton Owner Due DateB1B2B3

B5

B6

5 Why : Management System Analysis

Date : Prepared by :

Root cause as described by 5 Why (O)Why Why

S1 S2

Therefore Therefore

+ +

Why Why

Therefore Therefore

As a check for consistency, we can read the why's backward towards the problem statement with a "therefore".

As a check for consistency, we can read the why's backward towards the problem statement with a "therefore".

Why did your management System allow the root cause to happen?

5 Why : Management System Analysis

Approved by :

Why Why Why

S3 S4

Therefore Therefore Therefore

+ +

Why Why Why

Therefore Therefore Therefore

As a check for consistency, we can read the why's backward towards the problem statement with a "therefore".

As a check for consistency, we can read the why's backward towards the problem statement with a "therefore".

S5

+

Corrective Acton Owner Due Date

C1C2C3

C5

C6

Color Key used in this Excel Document (all sheets)

Information to be provided by Schneider

Information to be provided by the supplier

Copy/paste cell: do not change the formalue in it.

Titles, giving general instructions

GLOBAL Process Flow Diagram

Actions SchneiderR

Fill in pictures RFill in the header of 8D Report (Schneider Contacts) RFill in Notification letter R

send the template to the supplier RFill in 8D Report :discipline 1(Supplier Team)Fill in 8D Report :discipline 3 (Containment action)

send the updated template to SchneiderReview and Approve Containment action :discipline 3 R

send the updated template to the supplier R

Fill in 5 why (O): Occurrence Root cause analysis (RCA)Fill in 5 why (ND): Non Detection Root cause analysisFill in 5 why (MS): Management System Root cause analysisComplement 8D Report : discipline 4 (Root Cause Analysis)Complement 8D Report : discipline 5 (Corrective Action)

send the updated template to SchneiderReview and Approve RCA + Corrective Action:discipline 4 + 5 + 6 R

send the updated template to the supplier RIMPLEMENT ACTION PLAN

Complement 8D Report : discipline 7 (Preventive Action Plan)Complement 8D Report : discipline 8 (Propose Claim Closure)

send the updated template to SchneiderReview and Validate Efficiency of actions :discipline 7 + 8 R

sign claim closure and share the updated template with the supplier R

Revision Index: V1-2: 1st release for useRevision Index: V1-2-1: Modification of Notification Letter

Fill in NC description + Part disposition sheet

Fill in NC description + Part disposition sheet

Complement 8D Report : discipline 6 (Corrective Action Verification Plan)

Supplier Leadtime

Step 1

R2 DAYS

Step 2RR

2 DAYS

R

2 WEEKS

Step 3

RRRRR

RR

5 DAYS

R2 MONTHS

Step 4

RRR

ASAPR

ASAP, but with all necessary information

+ analysis

ClaimNotification

Reminder of claim references

Number of Notification : 0RMA no. :

Supplier Name : 0Supplier Number : 0

Non Conformity Severity : QualityPlace of detection :

Customer contacts

Position NameQuality contactSupply Chain contactSupplier LeaderOther( SQME, SSCME, ….)

Discipline 1Position Name

Discipline 2What is the non conformity ? 0

Why is it a problem ? 0

Who detected the defect ? 0

Where has it been detected ? 0

How has it been detected ? 0

When has it been detected ? 12/30/1899

Hussey Supplier Quality ManagementNon-conformity management - 8 D report

Containment Action< 2 days

Cross-Functional Team : The supplier describes the team that will lead problem analysis and assign responsabilities for corrective action

Define the non-conformity: Description of the non conformity (automatic copy of informations from NC description sheet)

How many defective parts ? 0

Occurrence (ppm) 0

Containment actions (To be filled in by the supplier within 48h)Discipline 3 Define and Implement Containment Actions: Guarantee that the defective material will not reach Schneider3.1 Which previous shipments are likely to be affected by the same defect (in transit or already received by customer, based on traceability data ? What shipment (BL number)

3.2 What Actions are taken in the supplier plant to guarantee that from now on, ONLY conforming material is shipped by customer (includes WIP + all stock)What

3.3 What Actions are taken in other locations (sub-contractors plants) to guarantee that from now on ONLY conforming material is shipped by customer?What

Number of non conformities

Product Recall from Customers

Sorting result at the logistic platforms

Sorting result at Schneider plant

Sorting result at supplier plant

Approved by : Date :

Root cause analysis (To be filled in by the supplier within 2 weeks)Discipline 4 Root Cause Analysis: Why did the non conformity occur, why the supplier did not detect it?

Containment Approval : Supplier commitment

4.1 Where in your global manufacturing process did the root cause occur?

4.5 Have you reproduced the defect with root cause identified ?

Corrective actions (To be filled in by the supplier within 2 weeks)Discipline 5 Identify and Implement Permanent Corrective Actions5.1 What are your Corrective Actions to prevent the root cause of Non-Conformity from re-ocurring ? (Poka-Yoke is recommended whenever possible) What1 - 2 - 3 -

5.2 What are your Corrective Actions to improve Detection of Non-Conformity if it is still likely to occur ? What1 - 2 - 3 -

5.3 What changes will you implement in your Quality Management System to avoid recurrence of the problem (lessons learned for the future) ? What1 - 2 - 3 -

Discipline 6 Verify Corrective Actions Implementation and Effectiveness (will be done jointly with Schneider upon Schneider request)6.1 Supplier will provide evidence of implementation of Corrective Actions described above :

4.2 Why did the Non Conformity Occur ? Only the root cause has to be reported here

4.3 Why were you not able to Detect the Non Conformity ? Only the root cause has to be reported her

4.4 Why did your Management System allow the root cause to happen ? Only the root cause has to be reported here

What1 - 2 - 3 - 4 - 5 -

Approved by : Date :

Preventive actions definition and implementation (To be filled in by the supplier within 2 months)Discipline 7 Identify and Implement Permanent Preventive Actions7.1 Is this problem likely to occur on other parts/products that you supply to Schneider Electric ?

Parts =S= Entity

7.2 How will you extend the corrective actions to prevent occurrence of the root cause on these other parts ? What will be done1 - 2 - 3 -

What will be done1 - 2 - 3 -

Approved by : Date :

Discipline 8 Individual and Team Recognition

Approved by : Date :

Corrective Action approval : Supplier commitment

7.3 How will you extend the corrective actions to improve detection of the non-conformity if it is still to occur ?

Actions implemented and efficient : Supplier commitment

Claim closure approval : Supplier commitment

Reminder of claim references

Hussey Plant : 0# Part no. : 0

Part Name : 0Batch Number : 0

Purchase Order : 0Delivered Quantity : 0

Customer contacts

Location E-Mail Address

Team Role E-Mail AddressSponsor

G8D Team LeaderTeam memberTeam memberTeam member

Hussey Supplier Quality ManagementNon-conformity management - 8 D report

Root Cause Analysis and corrective actions

< 2 weeksPreventive Actions

< 2 months

The supplier describes the team that will lead problem analysis and assign responsabilities for corrective action

Define the non-conformity: Description of the non conformity (automatic copy of informations from NC description sheet)

Out of 0 parts inspected

Containment actions (To be filled in by the supplier within 48h)Define and Implement Containment Actions: Guarantee that the defective material will not reach Schneider

3.1 Which previous shipments are likely to be affected by the same defect (in transit or already received by customer, based on traceability data ? Shipped when Quantity

3.2 What Actions are taken in the supplier plant to guarantee that from now on, ONLY conforming material is shipped by customer (includes WIP + all stock)Who When

3.3 What Actions are taken in other locations (sub-contractors plants) to guarantee that from now on ONLY conforming material is shipped by customer?Who When

Number of sorted products PPM

0 PPM0 PPM0 PPM0 PPM

comments : Approved by : Supplier Quality Engineer

Date :

Root cause analysis (To be filled in by the supplier within 2 weeks)Root Cause Analysis: Why did the non conformity occur, why the supplier did not detect it?

4.1 Where in your global manufacturing process did the root cause occur? (supplier to send a process flow chart to explain)

Corrective actions (To be filled in by the supplier within 2 weeks)Identify and Implement Permanent Corrective Actions

5.1 What are your Corrective Actions to prevent the root cause of Non-Conformity from re-ocurring ? (Poka-Yoke is recommended whenever possible) What Who1 - 2 - 3 -

5.2 What are your Corrective Actions to improve Detection of Non-Conformity if it is still likely to occur ? What Who1 - 2 - 3 -

5.3 What changes will you implement in your Quality Management System to avoid recurrence of the problem (lessons learned for the future) ? What Who1 - 2 - 3 -

Verify Corrective Actions Implementation and Effectiveness (will be done jointly with Schneider upon Schneider request)6.1 Supplier will provide evidence of implementation of Corrective Actions described above :

Only the root cause has to be reported here (To be filled in after "5 Why (O)" sheet has been filled in)

Only the root cause has to be reported here (To be filled in after "5 Why (D)" sheet has been filled in)

Why did your Management System allow the root cause to happen ? Only the root cause has to be reported here (To be filled in after "5 Why (MS)" sheet has been filled in)

What Who1 - 2 - 3 - 4 - 5 -

comments : Approved by : Supplier Quality Engineer

Schneider Electric Date :

Preventive actions definition and implementation (To be filled in by the supplier within 2 months)Identify and Implement Permanent Preventive Actions

7.1 Is this problem likely to occur on other parts/products that you supply to Schneider Electric ? Parts =S= Entity

7.2 How will you extend the corrective actions to prevent occurrence of the root cause on these other parts ? What will be done Who1 - 2 - 3 -

What will be done Who1 - 2 - 3 -

comments : Validated by : Supplier Quality Engineer

Schneider Electric Date :

Claim closure Individual and Team Recognition

comments : Validated by : Supplier Quality Manager

Date :

How will you extend the corrective actions to improve detection of the non-conformity if it is still to occur ?

ClaimClosure

Reminder of claim references

0Revision no. : 0

0000

Customer contacts

E-Mail Address Phone Number

E-Mail Address Phone Number

Hussey Supplier Quality ManagementNon-conformity management - 8 D report

Preventive Actions < 2 months

The supplier describes the team that will lead problem analysis and assign responsabilities for corrective action

Description of the non conformity (automatic copy of informations from NC description sheet)

parts inspected

Containment actions (To be filled in by the supplier within 48h)Define and Implement Containment Actions: Guarantee that the defective material will not reach Schneider

3.1 Which previous shipments are likely to be affected by the same defect (in transit or already received by customer, based on traceability data ?

3.2 What Actions are taken in the supplier plant to guarantee that from now on, ONLY conforming material is shipped by customer (includes WIP + all stock)

3.3 What Actions are taken in other locations (sub-contractors plants) to guarantee that from now on ONLY conforming material is shipped by customer?

Sorting date Who Identified pieces OK

Supplier Quality Engineer

Root cause analysis (To be filled in by the supplier within 2 weeks)Root Cause Analysis: Why did the non conformity occur, why the supplier did not detect it?

Corrective actions (To be filled in by the supplier within 2 weeks)

5.1 What are your Corrective Actions to prevent the root cause of Non-Conformity from re-ocurring ? (Poka-Yoke is recommended whenever possible) Who When Done

Who When Done

5.3 What changes will you implement in your Quality Management System to avoid recurrence of the problem (lessons learned for the future) ? Who When Done

Verify Corrective Actions Implementation and Effectiveness (will be done jointly with Schneider upon Schneider request)

(To be filled in after "5 Why (O)" sheet has been filled in)

e (To be filled in after "5 Why (D)" sheet has been filled in)

(To be filled in after "5 Why (MS)" sheet has been filled in)

Who When Done

Supplier Quality Engineer

Preventive actions definition and implementation (To be filled in by the supplier within 2 months)

=S= Entity

Who When Done

Who When Done

Supplier Quality Engineer

Supplier Quality Manager