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Revision Change Description

07 Added space for Quality Engineer to approved the SMRR, due to


Sarbanes-Oxley requirements.
08 Added space for RMA to be documented on the SMRR form, to
match IRIS (this is required to return or scrap rejected materials);
revised "Defect Description" to "Problem Statement".

09 Added "Johnson Controls, Inc. Confidential and Proprietary" to all


pages
10 Revised logo / document number (formerly WW-MOS-FR-13-02)

AE-MOS-FR-34-E / Rev 10 Johnson Controls, Inc.


Page 1 of 4
(01-October-2007) Confidential and Proprietary
Supplier Material Rejection Report

Supplier Name Reject: Re-Occur: Initial Quantity Rejected: Date:


Yes Yes
SKF
No No 1 3/24/2019
Supplier Contact Name Supplier Number Adjustment/Final Quantity Rejected:

Hussain Date:
Supplier Location PO #: PO Date Sketch Option:

Dammam
Phone #: Phone #:

Fax #: Fax #:

Part #: Part Name: Make: Shipper #:


NJ2311 -E-XL-TVP2 C4 Bearing FAG Romania
Operator #: Inspector: Lot #: other#:
Prasannan 0097T0101 019225377-0040-02
Problem Statement:

Bering outer surface found blakish color


Lining found on outer surface of bearing

QC Engineer Date:

NOTICE TO SUPPLIER: Manager Workshop Date:


Return back above part and suplly the same without any defects (signature required)

Failure to meet these requirements will affect Suplier rating

Comments:

ALH-QC / Rev 3
HAMAD ABDULLAH AL HUWAIS ARABIAN EST. Page 2 of 4
(03-Feb-2018)
Supplier Material Rejection Report

ALH-QC / Rev 3
HAMAD ABDULLAH AL HUWAIS ARABIAN EST. Page 3 of 4
(03-Feb-2018)
ALH-QC / Rev 3
HAMAD ABDULLAH AL HUWAIS ARABIAN EST. Page 4 of 4
(03-Feb-2018)

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