C.A.T.

GROUP

CORRECTIVE / PREVENTIVE ACTION FORM

Form P108-1
C/A or P/A C/A Report No: Date: November 17, 2016
Area: Department: Contract#:

AINDAR 601 QA/QC Department - CIVIL

Surveillance:
DURING SITE SURVEILANCE IT WAS OBSERVED THAT THE CONCRETE FOR COUNTER BALANCING PURPOSES (INSIDE) FOR DRUM MARKER
AND WINDSOCK POLE IS LESS THAN THE REQUIRED. AS PER STANDARD DRAWING WITH REFERENCE # DA-950146-001-01 FOR WINDSOCK
POLE , REQUIRED LENGTH TO BE POURED IS 1.15M & FOR DRUM MARKER IS 1.5M AS PER DRAWING NUMBER DB-122-001-01. ACTUAL
LENGTH OF CONCRETE POURED INSIDE FOR WINDSOCK IS 0.60M AND FOR DRUM MARKER IS 1.3M. SEE ATTACHED DRAWING FOR
REFERENCE.

Initiator Signature: RENARD LAYAG Date: November 17, 2016

Cause(s):
MISTAKE IN FABRICATION.

Initiator RENARD LAYAG Date: November 17, 2016

Resposible Manager/Supervisor
Proposed Action (s):

1.RETURN THE MATERIAL TO FABRICATION AND CHANGE WITH THE CORRECT ONE
2. MAKE A HOLE AND PUT CONCRETE OR GROUT TO ATTAIN CORRECT LENGTH SPECIFIED IN THE STANDARD DRAWING.

Proposed Completion Date:

Initiator RENARD LAYAG Date: November 17, 2016

Resposible Manager/Supervisor
Action Review:

Initiator / Delegate: Date:

Closure Name Signature Date
QA/QC Manager / Supervisor: Jaison Matthew
Responsible Dept'/ Project Manager Mohammed Al Yahya
Client (If Required) Siva Prasad
Form P108-1, Rev. 0, Date 25. 12.2014