Nexteer's 3L5Y

Supplier Name

Part Number

DUNs/Location

Product/Process Name

Supplier contact names: List the name of the core team members (name and title):

Date of Occurrence

Problem Definition:

(who,what, when where and

how)
3 Legged 5 Why

Picture of Current State

How problem was created

Why problem was not detected?

Picture of corrected state

Explain why the problem occurred:

Why:
Final Permanent Corrective Action:please list Owner and Target
Date:

Why:
Why:
Why:(The root cause of non conformance)
Problem Description:

What is the Systemic root cause?

Corrective Actions / Owner / Target Date

Intermediate Containment: please list Owner and Target Date:

Problem Description:

Intermediate Containment: please list Owner and Target Date:

Explain why the problem was not detected:

Why:

Final Permanent Corrective Action:please list Owner and Target

Date:

Why:
Why:
Why:
Problem Description:
Explain the Systemic root cause:
Why:
Why:
Why:
Why:

Describe the Lessons Learned

for this problem: (the lessons
learned should be easily
understood and stated clearly
for the other locations to be able
to read, understand, and apply)

Look Across Requirements:

Within the Occurred Plant

Other Plants/Suppliers

Covisint Problem Case Number

Affected Nexteer Locations:

Supplier Location: City/State/Country

F1043 5 Why Form

Others

Nexteer Contact Name and Phone: