LOGO

Non Conformance Report

<Project Number> <Project Name>

IDENTIFICATION
Originator : Date :
Contractor/Supplier : NCR No :
Contract No :
Part Description : Qty :
Procedure Ref : Dwg No :
Found during what activity:
Incoming Inspection Other:
In-process Inspection
Final Inspection

Description of nonconformance

Action taken to prevent misuse

DISPOSITION
Use-as-is Return to Supplier Responsible Manager

Repair Reject Name :

Rework Date :

Approval of USE-AS-IS disposition Project Engineer Project Management

Non-critical NC Name : Name :

Critical NC Date : Date :
Approval of repair, rework, return to supplier, rejection disposition

Project Engineer Name: Date:

CORRECTIVE/PREVENTIVE ACTION
Description of proposed action

Approval of corrective/preventive action

Project Engineer Name: Date:

CLOSING THE NONCONFORMANCE

Planned disposition has been completed and corrective/preventive action has been initiated

Responsible
Name: Date:
Manager

598524817.xls
 LOGO

Non Conformance Report

<Project Number>
<Project Name>

IDENTIFICATION
Originator : Date :
Contractor/Supplier : NCR No :
Contract No :
Part Description : Qty :
Procedure Ref : Dwg No :

Continuation Page
Page ____ of ____
 WORKFLOW OF NCR

START

Originator
Identifies and Segregates non-
conforming Item

Originator
Opens non-conformity and
forwards to Responsible
Manager

Responsible Manager
Decides if USE-AS-IS should
be considered

Project Engineer Responsible Manager

Decides if the non- Decides whether the item can be
conformance is critical or not repaired/reworked or is rejected.
Proposes preventive/corrective action.

Project Engineer
Client Project Engineer
Approves the disposition.
Approves the USE-AS-IS of Approves the USE-AS-IS of
Approves the preventive/corrective
the Item the Item
action

Contractor
Implements disposition

Contractor
Retests or Reinspects product if
required

Responsible Manager
Completes NCR
Closes NCR

END

Originator Person who identified the nonconformance

Contractor person having the responsibility and authority to follow-up the execution
Responsible Manager
Of the contract or order

Project Engineer Engineer in charge of the contract order

Client National Water Company

Contractor Organisation in charge of executing part or all of the contract or order

 INSTRUCTION FOR COMPLETING THE NCR
Originator Name
Contractor / Supplier
Date
NCR No.
Part Description
Qty
Dwg No
Found during what activity
Description of Nonconformance
Action taken to prevent misuse
Originator records the Nonconformance with Status OPENED
Disposition
Approval of USE-AS-IS
Approval of disposition other
than USE-AS-IS
Corrective/Preventive Action
Closing the Nonconformance
Responsible Manager updates the status of the Nonconformance to closed
Name of the person who identified the nonconformance
Organisation whose product or process is nonconforming
Date when the nonconformance was identified
A unique number identifying the NCR
Name of the part such as it appears on drawings
Number of parts or lots affected
Drawing number and revision index
Tick the appropriate box.
If ticking Other explain the circumstances
Describe the problem, identify the requirements that are not met, give references to
specification, procedures etc.
If possible describe the possible causes of the nonconformance, such as inadequate
procedure, wrong test set-up and so on.
Describe what steps have been taken to ensure that the item segregated from the
normal production while the nonconformance remains unresolved.
The responsible Manager ticks the appropriate box and enters his name and the
Responsible Manager records the disposition
This box need not be completed if the disposition is anything other than USE-AS-IS. If
the disposition is USE-AS-IS, the Project Engineer evaluates whether the
nonconformance is critical or not and tick the appropriate box, then enters his name and
the date.
If the nonconformance is critical, USE-AS-IS has to be approved by the client. When
approved, the representative of the client enters his name and the date.
This box need not be completed if the disposition is anything other than USE-AS-IS. If
the disposition is USE-AS-IS, the Project Engineer evaluates whether the
nonconformance is critical or not and tick the appropriate box, then enters his name and
the date to approve the disposition.
Project Engineer records approval of disposition
Describe what action should be taken with the design, the manufacturing process, the
testing procedure or any other circumstances to prevent the reoccurence of the
problem. The Project Engineer enters and the date to approve the corrective/preventive
action.
The responsible Manager enters his name and the date when the disposition has been
completed and the corrective/preventive action has been initiated. Completed
disposition means:
if USE-AS-IS when the item is back in production
when the failed test/measurement has been repeated
if repair/rework
successfully
when the item has been dispatched back to the
if return to supplier
supplier
when the item has been definitely removed from
if rejected
production