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Non - Conformance Report (NCR)

Section 1: General Information

Project Information:
Package Item / Component No. Specification Reference No.

Contractor Information:
Location: Person in charge: Phone: Email:

Supplier Information:
Location: Person in charge: Phone: Email:

Section 2: Non - Conformity Details:

Description of Non -
Conformity

Non - Conformity
Category

Recommendation
by Originator:
If there a project time delay If yes, expected estimate:
Question:
caused by non-conformance?

Photos and Videos

Outcome of
investigation into
cause of Non-
Conformance

JOHN ERVIN V. AGENA JOVERT ROMEL O. BERNABE


QC Inspector Safety Supervisor Operations Manager

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