Komatsu Mining Corp. Suppler Deviation Request

Use this form to create a deviation request for materials you are supplying to KMC. Shortly after you submit the request, an acknowlegement will be e-mailed to you. Your request will be reviewed by KMC buyers and engineers, who will then contact you with the response to your request.

Required fields are marked with a red asterisk ( * ).

STEP 1: Choose the purchase order number and line number for this request
* Purchase Order #:
* PO Line #:

Part Number:
* Supplier Company Name:
* Supplier Number:

STEP 2: Enter supplier / contact information
* Your Name:
* Your Job Title:
* Your Phone:
* Your E-Mail:
Your FAX:

STEP 3: Enter request details
* Quantity to Deviate:
* Process Failure Area:
* Request Type:
* Failure Description:
* Root Cause Category:
* Root Cause Description:
Proposed Salvage:
(required if Request Type
is 'use as is with salvage')
* Preventive Action:

OPTIONAL: Upload files
Attach Files: