LICONIN LIMITTED COMPANY

Add.: No. 56 St. No. 1, Residential Chu Van An, Ward 26, Binh
Thanh District, Ho Chi Minh City
Tel.: +84 283 7307 0972, mobi : 0903160722
E-mail: truong.dang@liconin.com.vn, cfi.liconin@gmail.com,

NON-COMPLIANCE REPORT (NCR)

Report no: NCR-LCN/WIZ-003 Date: 04 April 2022
Project: ELECTROLYTIC TINNING & TIN FREE STEEL LINE - PERSTIMA
Sub-contractor : WIZ-Winner
Location ( drawing attached): CW1 Stainless Steel pipe DN100 to Rectifier panel
Viewer
Description
The flange of butterfly valve is mismatch type ( 01 flange DN100,
PN16 ASTM connect with 01 flange DN100 ANSI class 150). Like this
can’t tighten bolts and wrong connect as contruction. ...............................
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 Material  Service
Full name:………………………….
 Semi product  Complain from Client
Position : ..................…………..
 Product  Other Date :...../....../.........…………
evaluate of non compliance

1.  A little mistake ( Control and not recurrence)

2.  Big mistake (Require action recover)

Corrective action...................................................................................... Performed by

Before the worker get materials from warehouse, should be check the
materials with drawing and materials request.............................................
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 Return (Material, Equipment)  concessions

 Repair  Remove  Re-supply

Full name:………………………….
Position: ..................…………..
Date : ....../....../.........……….

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Cause analysis of non compliance Prepare by
When install the flange need to check the materials get from
warehouse, should be check the materials with drawing and materials
request.......................................................................................................
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Action to avoid non compliance
Cut and reinstall the right flange.................................................................Full name:………………………….
................................................................................................................ Position: ..................…………..
................................................................................................................ Date : ....../....../.........……….
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Approved
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 Return (Material, Equipment)  concessions

 Repair  Remove  Re-supply

Responsibility for action: .........................................................................

Full name:………………………….
Date line : From :...... /....../...... To : ....../....../.... ...
Position: ..................…………..
Check by : …………………… Date : ....../....../.........……….

Inspection result Inspector

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Full name:………………………….
Position: ..................…………..
Conclude Date : ....../....../.........……….
 Closed  Open more require,

-Code : BM01.07 - Issued date: 10/08/2020 - Rev: 00

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