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Supplier Repair Information
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Indicates Required Field
Supplier Information
L3Harris PO Number
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PO Item Number
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Note #
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Part Quantity
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Entered By: Name
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Entered By: Email Address
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Supplier Part Number
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Supplier Serial Number
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Under Warranty?
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Yes
No
Certificate Of Compliance
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Yes
No
Return Type
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Repair
Modification
Replace
Other
Failure Information
Failure Verification
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Failure Verified
Other Failure or Problem Found
No Failure or Problem Found
Failure Type
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Operator Error
Process Error
Design Error
Equipment Error
Documentation Error
Defective Supplied Material
Componet Failure
Wrong Component or Material Used
L3Harris - Customer Induced
Other
Please explain
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Failure Description
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Possible Cause
All repair reports require detailed descriptions of actions taken to bring repairs back to conformance.
Each specific comment or request made in the Failure Description of the PO must be addressed
clearly and concisely without room for interpretation.
Failure to do so may result in the issuance of a SCAR.
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Acknowledgement of instructions required.
Repair Action
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Repair Date
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Email me a copy of this Repair Information.