Non-Conformance Report

NCR No ..
TRADE PACKAGE NO. CONTRACTOR
WORKS
CAUSE : 1.Quality of Material 2. Methods Statement 3. Workmanship 4. Shop drawings 5. Design or Documen
implementation conformity
REPORTED BY DATE
RECORDED BY DATE

DETAILS OF NON-CONFORMANCE
METHOD STATEMENT NO. DRWG. NO.

LOCATION SAMPLE NO.

Description of the Non Conformance:

Causes of the Non Conformance:

Manager in Charge DATE

CAR required : YES/NO QC Manager DATE

PROPOSED DISPOSITION PREPARED BY

DATE
1. Repair 2. Use as is 3. Rework 4. Replace

Details:

Manager in Charge DATE

QC Manager DATE

APPROVAL : Project Manager

Comments

CLIENT APPROVAL REQUIRED YES/NO DATE SIGNED

Client Representative: DATE SIGNED

VERIFICATION OF COMPLETED DISPOSITION

NOTES

Sign-off of NCR DATE /

DATE /
NCR revision A: Sep 14
gn or Documents

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