DEPARTEMENT QUALITY ASSURANCE No. Dok : 04-1.

04-03-01

PT BUMIMULIA INDAH LESTARI Revisi : 7

Tanggal : 5 Februari 2017
LAPORAN KELUHAN PELANGGAN Halaman : 1 dari 1
(CUSTOMER COMPLAINT RECORD)

PART 1) : To Be Filled By Sales Executive ( Unclear information will cause delay in replay )

To : QA DEPT.,M Triyono Evy SB, Customer : Kino Customer Ref. : 014/QC/LPBPSPP/BIL/VII/18

CC : Ferdinand, Leni M, Henry W Product Name : Botol NVO 60 Anti Acne Qty Return Proposed : 78
: Stephanie, Hamam Delivery Note : - Qty Return Approved :
S.E. Name : No. LKP/CCR : 214/LKP/VII/2018 Reject % : 0%
Sales Manager : Liliana Date : 24-Jul-18 P / O No. : -

Description of Reject : Rembes bada botol pada saat produksi

Part 2) : To Be Filled By QA Departement

Cause of Reject : Root Cause : Evidence Reject

Machine Method Man

Environment Measurement Material

Problem W1 W2 W3 W4 W5
Claim Valid

Claim Not Valid

Approved

Correction : PIC :

Due Date :

Corrective Action : PIC :

Due Date :

Replied To : Prepared By Reviewed By

CC :
Date : Customer Complain Tech QA SECTION HEAD / QA MANAGER

Part 3) : To Be Validated by QA Departement

Validating Finding / Comment Analysed Efectiveness of Correction Status : Open Closed

Validated / Audit By :

Date :
Confirmed By :

Date :
Note : Tindakan efektif dan status closed jika selama 6 bulan tidak terjadi pengulangan claim yang sama.