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-002 Date: 21 Mar 2022
Project: ELECTROLYTIC TINNING & TIN FREE STEEL LINE - PERSTIMA
Sub-contractor : WIZ-Winner
Location ( drawing attached): CW1 pump
Viewer
Description
The flexible <anti vibration below> is damage because: It’s install not
alignment and checkn't the location from flange of flexible to flange of
spool. .........................................................................................................
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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 tighten bolts, must be check and alignment the rubber face of
flexible connect to the raised face of flange is correct yet. If it’s correct,
to continue tighten bolts for install the flexible............................................
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 Return (Material, Equipment)  concessions

Full name:………………………….
 Repair  Remove  Re-supply Position: ..................…………..
Date : ....../....../.........……….

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Cause analysis of non compliance Prepare by
When install anti vibration bellow need to alignment before tighten
bolts............................................................................................................
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Action to avoid non compliance
Re-supply the anti vibration bellow because the olds damaged can’t Full name:………………………….
use..............................................................................................................Position: ..................…………..
................................................................................................................ Date : ....../....../.........……….
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................................................................................................................ Approved
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 Return (Material, Equipment)  concessions

 Repair  Remove  Re-supply

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