NON CONFORMANCE REPORT (NCR) NC NO.

: 844
(FORM QF-U-003) DATE : 12.05.21
Section (Please tick)
A QMS / EMS / OHSAS NA C Customer Complaints Yes
rd
B Audit (FSL / 3 Party) NA D QC Inspection NA
For Section A & B For Section C & D
ISO / BS Clause : NA Inspection lot Number : 010003742363
Process / Procedure :- Part number / code : 2H-160321
Sub Process : NA Part description : Plan 52
SOP / OCP No. : NA Offered quantity :3
Supplier Code : DD6198 Complaint quantity :2
Audit No. : NA Accepted quantity :1
For SAP F3 Notification only For SAP F2 Notification only
Production Order : NA Purchase Order : 6100079435
Device data : NA PO Line item :3
Defect location : NA Material document : 5001371965
Cell : NA Supplier code : DG0010
Cause code : NA Supplier name : Gauges Bourdon(India)Pvt Ltd
Cause text : NA Raw material heat code : -
Details of Non conformance
Problem statement / Auditor observation / Complaint

SAP Notification Short text : NA

SAP Notification Long text : NA
Reported by : LK3
Disposition Quantity Department (Dept.) PEN ID Comments / Confirmation
Machining defectives
Concession Engg / BT

Deviation Engg / BT

Rework Engg / BT / Dept.

Rejection Engg / BT / Dept.

Material defectives
Concession Engineering / BT

Rework Engg / BT / Dept.

Rejection Engg / BT / Dept.

Corrective Action Details
CAPA Report Number : 844
 Flowserve Sanmar Ltd CAPA No. : 844
CORRECTIVE / PREVENTIVE
Date : 12.05.21
147, Karapakkam Village
ACTION REPORT Page : 1 of 1
Chennai – 600 097
To:

Name : Mr. Mangesh Mohite Department : Quality

Process : QA Location : GBIPL, Maharashtra

Details of rejection / Non conformance / Customer Complaint

Part number 2H-160321 Customer NCR / Email ref. 2021/05/31 Dt:10.05.21

Part description Plan 52 Production / Purchase order 6100079644-1

No. of defectives 2 Audit NCR No. -

Interim Corrective action

Action taken on Stocks / WIP

Details Qty available Action taken / planned Resp Date
WIP

Child part

Sub assembly

Assembly

Similar part code(s)

Root cause

NC Magnetic Level Gauge bend observed

Why? Magnetic Level Gauge bend observed due to transit damage.

Why? Mishandling by the transporter.

Why? Due to heavy weight of the level gauge.

Why? Transport labour not aware of the weight of the package.

Why? Trasnport Labour not verified the packing list.

Corrective Action to eliminate recurrence Resp Date

Rectification done by end user.

Preventive Action / Risk Mitigation in other Process / Part Resp Date

Handling instructions intimated to transporter.

Also, decided to use handling instruction symbol of heavy weight on packages.

Details Prepared by Reviewed by Approved by

Name
Sign
Date