Document Number

KAMOA COPPER SA KCSA-QMS-NCR-001

Rev. No Rev Date
Quality Management System
02 13-12-2021
Page Number
NON-CONFORMANCE REPORT
Page 1 of 1

Project Name: Mining Office - Kamao- 1 Contract Number: BC301 NCR Number:

NCR issued to: MSS Civils Recipient Signature: Date: 16-Feb-23

Originator: S Skinner Job Title: Site Supervisor Signature: Date: 2/16/2023

Tick applicable box ü

Classification: QUALITY ASSURANCE QUALITY CONTROL ü

Area: Surface ü Underground WBS No: 638406 Equipment No:

Description of NCR (Attach relevant supporting documentation to NCR i.e. Photos, Audit report, QC reports, Daily Diary) ü
Incorrect fitting of conduits into electrical boxes at mine office buildings ü Method
ü Workmanship
Material
Design
Close out target date: ü Responsibility

Cause of NCR (tick) ü

Failure in : ü Conform to KCSA QMS Error in: Documented System
Implement or follow / Specification / Procedure Responsibilities
ü Follow approved QCP Records
Control / Submit Documents ü Drawings
Follow approved Method Statement HR Management
ü Performance Data Book Management
Preservation of material Train / Understood
Communication Manage Contractors / sub-contractors

Repair/Rework Reject Audit Concession Concession No:

Remedial Action
Use As Is Replace Training TQN TQN No:

Proposed Corrective Action: (To be approved by: Engineer / Superintendent / HOC / Construction Manager / QMS Manager)
CORRECTIVE ACTION BELOW:
Improving work processes or Method

Proposed by: Signature: Date:

Approved by: Signature: Date:

Preventative Action: PREVENTATIVE ACTION BELOW:

we conduct a quality training for employe regarding before starting any new activity for implementing to work method

Proposed by: Signature: Date:

Approved by: Signature: Date:

Verification / Clearance of NCR

Completed by: Signature: Date:

Approved by: Signature: Date:

Cost of Non-Conformance (To be completed by the KCSA QS)

Labour R Comments:
Plant R
Material R
Sub-Contractor R
Total R

Costing done by: Name: Title: Sign: Date: