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Get DD 1715 1983-2024

U.S. DOD Form dod-dd-1715 QUALITY DEFICIENCY RECORD 1. DATE YYMMDD TO Contractor 2. REFERENCE NUMBER FROM Quality Assurance Representative 3. SIGNATURE OF REQUESTOR DD Form 1715 MAR 83 EDITION OF 1 JUL 76 MAY BE USED UNTIL EXHAUSTED. 5. CONTRACTOR S REPLY QAR will attach separate reply to file copy of this form YYMMDD 5A. THE FOLLOWING DISCREPANCY IES REQUIRE CORRECTIVE ACTION AS TO THE CORRECTION OF DEFECT S AND THE CORRECTION OF THE CAUSE S INCLUDE A DESCRIPTION OF THE A. ROOT CAUSE OF THE DEFICIENCY. B. ACTION TAKEN TO CORRECT THE SPECIFIC DEFICIENCY. OF ROOT CAUSE OF DEFICIENCY. AFFECTED BY THE SAME OR SIMILAR DEFICIENCY AND ACTION TAKEN REGARDING SUSCEPTIBLE PRODUCT. ALLOWED DEFICIENT PRODUCT TO BE PRESENTED TO THE GOVERNMENT FOR ACCEPTANCE* F* TARGET DATES FOR IMPLEMENTATION OF IDENTIFIED CORRECTIVE ACTION* 3A. THIS DISCREPANCY WILL AFFECT PRODUCTION SCHEDULES If YES is checked send copy to production element YES NO IT IS REQUESTED THAT A REPLY AS TO CORRECTIVE ACTION TAKEN BE SUBMITTED WITHIN DAYS OF THE ABOVE DATE* IN THE EVENT CORRECTIVE ACTION CANNOT BE FINALIZED BY THAT DATE REQUEST DATE SAME WILL BE CONCLUDED. THE REVERSE SIDE OF THIS FORM MAY BE USED FOR YOUR REPLY. PLEASE REFER TO THE ABOVE REFERENCE NUMBER IF SEPARATE COMMUNICATION IS USED. TYPED OR PRINTED NAME OF CONTRACTOR REPRESENTATIVE Last First MI 5B. SIGNATURE 6. STATEMENT OF VERIFICATION AND EVALUATION OF CONTRACTOR S ACTION To be completed by Quality Assurance Representative 7. THE FOLLOWING DISCREPANCY IES REQUIRE CORRECTIVE ACTION AS TO THE CORRECTION OF DEFECT S AND THE CORRECTION OF THE CAUSE S INCLUDE A DESCRIPTION OF THE A. ROOT CAUSE OF THE DEFICIENCY. B. ACTION TAKEN TO CORRECT THE SPECIFIC DEFICIENCY. OF ROOT CAUSE OF DEFICIENCY. ROOT CAUSE OF THE DEFICIENCY. B. ACTION TAKEN TO CORRECT THE SPECIFIC DEFICIENCY. OF ROOT CAUSE OF DEFICIENCY. AFFECTED BY THE SAME OR SIMILAR DEFICIENCY AND ACTION TAKEN REGARDING SUSCEPTIBLE PRODUCT. ALLOWED DEFICIENT PRODUCT TO BE PRESENTED TO THE GOVERNMENT FOR ACCEPTANCE* F* TARGET DATES FOR IMPLEMENTATION OF IDENTIFIED CORRECTIVE ACTION* 3A. AFFECTED BY THE SAME OR SIMILAR DEFICIENCY AND ACTION TAKEN REGARDING SUSCEPTIBLE PRODUCT. ALLOWED DEFICIENT PRODUCT TO BE PRESENTED TO THE GOVERNMENT FOR ACCEPTANCE* F* TARGET DATES FOR IMPLEMENTATION OF IDENTIFIED CORRECTIVE ACTION* 3A. THIS DISCREPANCY WILL AFFECT PRODUCTION SCHEDULES If YES is checked send copy to production element YES NO IT IS REQUESTED THAT A REPLY AS TO CORRECTIVE ACTION TAKEN BE SUBMITTED WITHIN DAYS OF THE ABOVE DATE* IN THE EVENT CORRECTIVE ACTION CANNOT BE FINALIZED BY THAT DATE REQUEST DATE SAME WILL BE CONCLUDED. THIS DISCREPANCY WILL AFFECT PRODUCTION SCHEDULES If YES is checked send copy to production element YES NO IT IS REQUESTED THAT A REPLY AS TO CORRECTIVE ACTION TAKEN BE SUBMITTED WITHIN DAYS OF THE ABOVE DATE* IN THE EVENT CORRECTIVE ACTION CANNOT BE FINALIZED BY THAT DATE REQUEST DATE SAME WILL BE CONCLUDED. THE REVERSE SIDE OF THIS FORM MAY BE USED FOR YOUR REPLY. PLEASE REFER TO THE ABOVE REFERENCE NUMBER IF SEPARATE COMMUNICATION IS USED. .

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