Client:

Non Conformance Report

Construction Supervision Consultant:
Doc. No.:
Rev.:
Rev. Date:
Contractor:

Project no. & Title:

Color Code for Filling this Report: Consultant Contractor/Department Head
Report No.: Date: Type: Major Minor
Source of Non Conformance: Inspection Audit Others

Evidence(Documents/Pictures/ Records etc.):

Attachments:

Date:

Initiated/Audited by (Sign.): Received by (Sign.):

Name: Name:
Designation: Date: Designation: Date:
Proposed Corrective Action: Target Date:

Submitted By (Sign.): Received By (Sign.):

Name:
Designation: Date: Designation: Date:
Approval Authority Decision Regarding Corrective Action: Approved Disapproved
Remarks In Case of Approval/ Comments or Suggestion In Case of Disapproval

Dispatched to site on Date: Person:

Implementation of Corrective Action (1st Follow Up): Accepted Rejected Repair Rework
Implementation of Corrective Action (2 Follow Up):
nd
Accepted Rejected Repair Rework
Implementation of Corrective Action (3rd Follow Up): Accepted Rejected Repair Rework

RESIDENT ENGINEER SENIOR ENGINEER QUALITY MANAGER

TEAM LEADER

Remarks

Signature:

Date:
Distribution: