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ADS Suggestion Form
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* Indicates required question
Employee First Name
*
Your answer
Employee Last Name
*
Your answer
Department
*
Choose
Admin / Office
Engineering / Development / Tooling
Finishing / Forming
In Mold
Maintenance
Press/Ink/Screen
Quality
Shipping
Shift
*
Choose
1st Shift
2nd Shift
3rd Shift
Job Title
*
Your answer
Suggestion Type
*
Safety
Improvement
Priority
*
Use the Severity -vs- Likelihood Matrix to Assign a Priority or use NA for Improvement Suggestions
0
1
2
3
4
5
6
7
8
NA - Improvement
Required
Issue
*
Your answer
Recommended Solution
*
It is okay if you do not how to fix this problem, type "I do not know" below. The first step is successful identification of a problem.
Your answer
Action Taken
Only complete this section if you have taken some actions on this already.
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