NON-CONFORMANCE REPORT (NCR)

Project Name : Shaybah INCREASE GAS HANDLING CAPACITY Item Name/No. : Job No. : 10-00905-0002 NCR No. : Vendor/Sub-Contractor : Location : GOSP4 SABKHA39 Spec./DWG No. : Issue Date : Owner :Saudi Aramco Material :

QC Inspector

Purchase Order No. : Discovered by : Date of Discovery :

Non-conformance Description (Attachment : Yes, No)

Cause Of Discrepancy (Attachment : Yes, No)

= Design = Material = Man = Machine (Process) = Method (Process) = Other

contractorSub-

Proposed Disposition (Attachment : Yes, No)

Prepared by Date Signature

Reviewed by

Approved by By SSA Inspector

Verified by

Disposition : Use-As-Is Reject Repair Rework Conditional Accept

Contractor

Prepared by : Date :

Approved by : Date :

Jung Ho Kim

Endorsed by : Date :

Preventive Action Report :

Company Approval
MTSAP

Approved by Remarks :

Signature

Date

Final Verification Accepted Rejected

SAPID

(Attachment : Yes, No) Date

Verified by

Signature

Reviewed by SA Inspector-----------------------------Signature-------------------Date
SAMSUNG SAUDI ARABIA LTD.