17 Gul Way, Singapore, 629194

W.O.M. Southeast Asis Pte Ltd.

Phone: +65 6690 1711 Fax: +65 6560 3859 www.womusa.com

Non - Conformance Report

Internal P.O.No.: S.O.No.: Project Ref.: Incoming Inspection In-process Inspection Shipment Welding Description of Non-Conformance Supplier Field Customer.: Supplier.: Others.:

NCR No.:

QA/QC

Final Inspection Others

Initiated By.: Disposition: Use-As-Is Name Rework

/ / Signature Scrap RTV

/ / Date
Others

Qty.:

ENGINEERING / OPERATIONS

Disposition Proposed By: Name: Designation: Date: Signature: Disposition Followed Up By.:

Disposition Approved By:

/ Engineering / Operations Manager Remark: Date

OPERATIONS

/ Name Verified By: Signature

/ Date This NCR is reviewed and closed on

QA/QC

/ Name Signature (If Applicable)

/ Date QA/QC MANAGER

REMARKS

17 Gul Way, Singapore, 629194

W.O.M. Southeast Asis Pte Ltd.

Phone: +65 6690 1711 Fax: +65 6560 3859 www.womusa.com

Non - Conformance Report

NCR No.: NCR PHOTOS / DRAWINGS

ATTACHEMENT PHOTOS / DRAWINGS