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 RAS MARKAZ CRUDE OIL PARK PROJECT (PHASE1)
NON-CONFORMANCE REPORT
NCR Number 9686-OT-NCR-0080

Root Cause

Correction Details

Completion Date

Corrective Action

Completion Date

Responsible Rep. Name Title Signature & Date

SECTION 7: DISPOSITION OF SUPPLIER / CONTRACTOR CORRECTIVE ACTION

(Signed response by Project Quality Manager/Lead)

Proceed Action
Name Signature Date
with action denied
Originator / Inspector
Engineering/Construction Mgr.
Project Quality Manager/Lead
Project Manager (Category 1)

Remarks:

SECTION 8: ACTION COMPLETION NOTIFICATION

(To be completed by Recepient)

Actions Taken:

Attachments:

Responsible Rep. Name Title Signature & Date

SECTION 9: FOLLOW-UP VERIFICATION AND CLOSE-OUT

(To be completed by the Originator and Project Quality Manager; Project Quality Manager to attach approved Supplier Technical
Deviation or Site Query Form, if applicable).

Follow-up Notes

Verified by
(Originator/Inspector) [Name] [Signature] [Date]

Approved By Contracts
Manager [Name] [Signature] [Date]

Approved By Project
Manager (Category 1) [Name] [Signature] [Date]

Closed By Project Quality

Manager/Lead [Name] [Signature] [Date]

SECTION 10: DISTRIBUTION

(To be filled in by Originator and Project Quality Manager/Lead)

Originator/Inspector Project Manager (PM)
Project Engineer (PE) Procurement/Contracts Manager
Project Quality Manager/ Lead Contractor /Supplier

2
9686-OTTCO-FRM-0001 Rev 1, 10-Sep-19
 RAS MARKAZ CRUDE OIL PARK PROJECT (PHASE1)
NON-CONFORMANCE REPORT
NCR Number 9686-OT-NCR-0080

Construction Manager (CM) Others (Specify) Project Services Manager

3
9686-OTTCO-FRM-0001 Rev 1, 10-Sep-19