SMHB Sdn Bhd in association with Langat 2 WTP and

Ranhill Consulting Sdn Bhd & Water Reticulation – Phase I

KTA Tenaga Sdn Bhd
FORM 801 (Rev. 2)

NON-CONFORMANCE REPORT
Job No/ 909

Project: LANGAT 2 WATER TREATMENT PLANT (PHASE 1) PACKAGE 2B

To : CLSB c.c. :

Issued By (Name): Mohd Fuad Issuance Date: 3 November 2020 NCR No:

Remedial Action to be completed : Immediately Within 1 week Within 2 weeks Date: ...................

Location of Non-Conformance : Trench/ Ground Slab TNB Sub Station

Type of Inspection and Testing: Receiving In-Progress Final

Where applicable: Material / Description:Dimension/ Area of trench/ ground slab

NON-CONFORMANCE PHOTO/EVIDENCE:

Refer attached approved dimension of TNB Sub Station drawing PAAB/B-001-2B/909S/TW/TNB/4570 Rev S2

DESCRIPTION OF DEFICIENCY/NON-CONFORMANCE:

1 - The concreting works at TNB sub station without permission. The dimension of trench/ground slab was found
exceed 400mm and is not according to approved drawing PAAB/ B-001-2B/ 909S/ TW/ TNB/ 4570 Rev S2

RECEIPT OF NCR: Received By (Name & Sign):

Rev : 2 Form 801 - Non-Conformance Report

Date : January 2016 Page 1 of 2
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PROPOSED REMEDIAL & CORRECTIVE ACTIONS ge
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Investigation (Root-Cause):

Proposed Remedial Action: Action to be completed by (Date):

Proposed Corrective Action: Action to be completed by (Date):

Approved By (Name & Sign) : Date:

ACCEPTANCE OF REMEDIAL ACTION

Acceptable Not- Acceptable Comments :

By Resident Engineer (Name & Sign) : Date:

COMPLETION OF REMEDIAL ACTION

Post Remedial Photo/Evidence:

Verified and Closed By Resident Engineer (Sign) : Date:

© SMHB Sdn. Bhd. All Rights reserved. No part of this publication may be used, reproduced or distributed in any form or by any means without the prior written
permission of SMHB Sdn. Bhd.

Rev : 2 Form 801 - Non-Conformance Report

Date : January 2016 Page 2 of 2