RETURNED GOODS INVESTIGATION REPORT

A)  Returned Goods Intimation note from warehouse to QA

Product Name		Batch Number
Mfg. Date		Exp./ Retest Date
Qty. returned		Returned on
Returned from
Reason for return :

Physical Inspection of the Returned Goods
Observation		Found ok	Not ok	Remarks
Condition of the HDPE / Fibre drum / Shipper / canister
Product labels
Seal intactness
Net weight
Primary packing material condition
Checked by	Ware house		Quality Assurance
Signature
Date

B) Returned goods inspection checklist

S. No.	Check Point	Yes / No
1	Whether reason for return is due other than regulatory reason
2	Whether reason for return is due to damage of secondary packing material
3	Whether reason for return is due to damage of primary packing material
4	Whether integrity of the primary packing material is doubtful
5	Whether quality of the product does not meet the customer specification of quality and safety
6	Whether the material is expired.
7	Any other significant reason which can have impact on quality of product.
8	Whether reason for return is due to quantity.
Any other observations:
Note:   The reason for the failure is to be investigated, if it is Quality problem / seal is not                  intact to the container, the material shall be retested as per the standard / provided               specifications. QA shall advise for retesting the material.
QA comments:

	Executive - QA	Head - QA
Signature
Date

C) Sampling and Testing Request Form

Quality control shall collect the sample of above returned goods for retesting as per the current specification/ Produced Specification.

Analysis detail

a)                  Sample tested as per the specification            : Yes / No

b)                  Any additional testing or review conducted  : Yes / No

Note:   Attach the analytical data along with Certificate of Analysis (COA).

The above material is complying / not complying as per the specifications. Hence the material is Released / Rejected.

	Sampled & Analyzed By:	Released or rejected By:
Signature	Chemist - QC	Head - QC
Date

Quality Assurance decision form

The above material shall be taken for Repackaging / Relabeling / Rework / Reprocessing/ Destruction as per the procedure.

Note : Batch numbers are allotted as per the SOP for the Reworked / Reprocessed batches.

	Signature	Date
Quality Assurance
Production

D) Quality Assurance final checklist

Whether Material is released by QC	Yes / No / NA
Whether material is repacked	Yes / No
Whether the material is relabeled	Yes / No
Whether material is reprocessed/reworked	Yes / No
Whether material is destructed	Yes / No
Whether material is released is Redistribution	Yes / No

QA Decision:

____________________________________________________________________________

	Checked by (Executive - QA)	Approved by (Head - QA)
Name
Signature
Date