RECALLED PRODUCT
CHECKLIST
Date:
Product
Information:
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Name |
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Batch
No.
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AR
No.
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Mfg.
Date
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Exp.
Date
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Qty.
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D.O.
No.
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Dispatch Date
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Customer
Name
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Reason
For Recall:
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Whether
material collected from different source of distribution:
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Source of Distribution
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Status
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Distributed Qty.
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Recalled Qty.
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Date
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1.
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Yes/No |
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2.
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Yes/No
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3.
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Yes/No
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Reconciliation:
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Total Qty. of material Dispatched ______________ Kg/Nos.
Total Qty. Recalled ______________
Kg/Nos.
Balanced Qty (if any) ______________ Kg/Nos. |
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Reason for Deviation in
Qty. (if any):
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