MWD Intake Form

To report all MWD cases. Please create a separate MWD ticket for each SN.

Date*

Priority*

P1 - Showstopper / P2 - Major impact to Customer or Veritas / P3 - Minor impact to Customer or Veritas / P4 - Negligible impact to Customer or Veritas

Select

Platform*

Select

Platform-Other

Region*

Select

Node/BOD*

Identify if the affected component is a Node/BOD

Select

Serial Number*

Affected Serial number - please identify specific serial number for a Node/BOD as it will make investigations efficient. Please create separate MWD cases for each individual Serial Number. For eg: Node: VTAS0018369 BODX: DHSIFGD-2016F0A699 JBOD: SHT1012651GDH12

Quantity Affected*

Sales Order Number

Missing/Wrong/Damaged*

Missing

Wrong

Damaged

Customer*

Customer Contact Name*

Phone Number*

Phone

Customer Contact Email Address*

Customer Ship to Address:*

If customer's address not known readily - enter TBD

M/W/D Component*

Specify the Missing/Wrong/Damaged Component

Issue Description*

Provide brief description of the issue

Reporter*

Reporter Email:*

Reporter Email address

Reporter Organization*

Select

File Upload

Drop pictures or any documents here

Drag and drop files here or

Below section only for MWD Group - DO NOT FILL UNLESS YOU ARE IN THE MWD GROUP

SUPPLY CHAIN TRIAGE

To be filled out by Supply Chain Team

Supply Chain Contact:

Appliance Shipped Date

Age since shipment

Select

Quality to investigate further?

Select or enter value

Issue Type

Select

Damaged Shipment RAR?

Select

RAR number

CSAT PO Issued?

Yes

CSAT PO Issue Date

CSAT PO number

CSAT PO closed date

Date on which CSAT was closed with the customer upon confirmed correct delivery of part(s)

Part Number

Part Description

Quantity

Cost

Carrier

Tracking#

Supply Chain Closing Comments

Quality RCCA

Factory:

Select or enter value

If Missing - Part (s) consumed at factory?

Select

CSAT Case Issued to the Factory?

Select

CSAT Case Number

Findings

Root Cause

Input root cause of the issue as determined

Corrective Action

Input Corrective Action taken to resolve this issue for the customer

Preventive Action

Input Preventive Action taken to prevent future occurrences of the issue

Quality - Closing Comments

Status

Default - Open; Please mark as Closed if issue has been resolved

Open

Resolved Date

Date issue finally closed with CAPA completed

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