Reference : P01-PR02-En01

NON-CONFORMITY SHEET Version: 01

Date: 26/06/2019

N° 9001 14001 45001 opening date :19-05-2022

Equipment customer complaint Supplier Other : ............................

Weight: 1 2 3
DESCRIPTION OF THE PROBLEM
Designation:
Staff involved or

Problem on the surfacing frame

Obtaining outliers
RQ

Name : Oumar ZOMBO date : 19-05-2022 visa :

IMMEDIATE CURATIVE ACTION(S)
Designation:
Change of the surfacing frame
Staff involved or

Crushing of concrete with the new frame

RQ

Name : Oumar ZOMBO visa :

RESEARCH OF CAUSE(S) and EXTENT OF NON-CONFORMITY
Staff involved or

Manufacturing defect of the surfacing frame

RQ

Name : Oumar ZOMBO visa :

TREATMENT
Action plan decided :

Replacement of the surfacing frame

Quality Manager

Putting the surfacing frame out of operation

Implementation Timeframe: Manager:

Name: Daniel ADOU date: visa :

Comments:
RQSE - Quality Safety Environment Manager
Weight 1: Major NC: Major deficiency detected in the organization presenting a serious risk for the quality of services
Weight 2: Average NC: Deficiency detected in the organization: requirement of the standard not addressed or partially addressed but not
having a direct impact on the quality of services
Weight 3: Minor NC: Concerns a provision that needs to be further formalized or clarified, or an area for improvement
This non-conformity form is associated with an annex containing XX additional information sheets
 Reference : P01-PR02-En01

NON-CONFORMITY SHEET Version: 01

Date: 26/06/2019

Comments:
RQSE - Quality Safety Environment Manager
Weight 1: Major NC: Major deficiency detected in the organization presenting a serious risk for the quality of services
Weight 2: Average NC: Deficiency detected in the organization: requirement of the standard not addressed or partially addressed but not
having a direct impact on the quality of services
Weight 3: Minor NC: Concerns a provision that needs to be further formalized or clarified, or an area for improvement
This non-conformity form is associated with an annex containing XX additional information sheets