FLOWLINE VALVES LLC

Nonconformity Report

NCR No:
Location:
Date of
Reporting
(Tick whichever is applicable)
Level of NC Major Minor
NC during
Internal Audit NC Third-Party
Source of NC production/process
Customer Supplier Regulatory Bodies
Name of the Originator:
Description of Non-Conformity (To be filled in by Auditor or Originator):

Name and signature of Auditor/Originator (Internal):

Date:

Analysis of Root cause (To be filled in by Auditee/Responsible Person):

Name and signature of Auditee / Responsible Person

Date:

Correction Action Taken:

Acceptance by Concession Rework Reject

Name and signature of Responsible Person:
Date:

Corrective Action Taken:

Name and signature of Responsible Person:

Date:

Verification and closeout by MR (if found not satisfactory, it shall be sent to the concerned for
further action)

Satisfactory Not Satisfactory

Method of Verification:

Name and signature of MR/Lead Auditor Close Date:

FLVL-QHSE-SOP-F-007 REVISION - 00 DATE ISSUED: June 2022 Page 1 of 2

 FLOWLINE VALVES LLC
Nonconformity Report

Name, Date and Signature of MR / Lead Auditor ………………………….

FLVL-QHSE-SOP-F-007 REVISION - 00 DATE ISSUED: June 2022 Page 2 of 2