Non-Conformance Report

PROJECT :

Project No.: NCR No. :

1. Responsibility For NCR : Contractor Subcontractor Supplier Designer

Name Of Company:
Location Of Work :
Work Activity :
Reference Documents :

NONCONFORMANCE DETAILS :

CAUSE OF NONCONFORMANCE :

Equipment/Facilities Material Skills/Knowledge Procedure/Method

Originator : Signature : Date :

2. ACTION TO RECTIFY NONCONFORMANCE:

Accept and Use As Is Accept with Repair Rework Reject Re-grade

Action Required :

Proposed By : Signature : Date :

Client’s Approval Required? Yes No
Client’s Approval :
Name: Signature : Date :

3. ACTION TO PREVENT RECURRENCE:

Proposed By : Signature : Date :

Client’s Approval Required? Yes No
Client’s Approval :
Name: Signature : Date :

4. RE-INSPECTION : Rectification Complete -Signature : Date :

Remarks :

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