Non-conformance Report

IDENTIFICATION
Originator Name: Date:
Contractor: NC No.:
Drawing No(s):
Dwg. Item No(s):

Found during what activity:

 Incoming inspection  Other
 In-process inspection
Final inspection

Description of non-conformance

Action taken to prevent misuse

DISPOSITION
 Use-as-is  Return to supplier Contractor Manager:
 Repair  Reject Name:
 Rework Date:

Categorization of NC Inspection Engineer

 Non-critical NC Name:
 Critical NC Date:

CORRECTIVE/PREVENTIVE ACTION
Description of proposed action (use continuation page if necessary)

Change / Approval of corrective/preventive action

Maintenance Name: Date:
Engineer

CLOSING THE NON-CONFORMANCE

Planned disposition has been completed and corrective/preventive action has been initiated
Responsible Name: Date: