PT.

REKADAYA ELEKTRIKA CONSULT

KONSULTAN SUPERVISI KONSTRUKSI
PROJECT : PEMBANGUNAN GARDU INDUK KILIRAN JAO

CONTRACT NUMBER :

CONTRAKTOR :
NON CONFORMANCE REPORT
NCR No :

ISSUED DATE :

Description : --------------------------------------------------------------------------------------------------------------

Location : --------------------------------------------------------------------------------------------------------------

References : --------------------------------------------------------------------------------------------------------------

Nature of Non Conformity Damage Material Workmanship

Non Conforming Condition :

Reported by : (Nama Inspektor)(Tanggal) Validated by :(Nama Team Leader) (Tanggal)

Proposed Corrective Action

Proposed by
Description of Corrective Action Done by Contractor :
Owner Acceptance After Rework (Reinspection)

Conclusion

Closed Open

Owner Inspektor Konsultan

 F

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Safety

ader) (Tanggal)
Date :

Contractor
FORMAT BAKU NCR (NON CONFORMING RECORD)

NCR No : ------------------------

ATTACHMENT
Issued Date : ------------------------

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