PROJECT: EMPLOYER: LTA/SITE ENGINEER: CONTRACTOR:

UNPD MERP Program

NON COMPLIANCE SHEET

From : To:
NCS Trade:
ref
:Contractor/Area/Year/NCS/Trade/Seq.#Rev.#
Area: Specification ref :
Location : BOQ division ref :
Schedule ref : Material Submittal ref:
Date:

For Engineer’s Use:

1. Description of NCS

Location : Drawings reference No.: -------

Specification Section No. No. of Attached Photos: --------
Name: Signature:
Date:

2. Proposed Solution By the Contractor:

Contractor’s Representative: Signature: Date:

3. Engineer’s Approval Status

A: □
LTA/ Site Engineer’s Comments:
----------------------------------------------------------------------------------------------------------- A
----------------------------------------------------------------------------------------------------------- W □
----------------------------------------------------------------------------------------------------------- C:
----------------------------------------------------------------------------------------------------------- RR □
------------------- :
RE □
J:
Name: Signature: Date:

4. Site Engineer Inspection Date of

Inspection:
Inspection: Work Executed as per Engineer comment
Explain: Status
----------------------------------------------------------------------------------------------------------- □
----------------------------------------------------------------------------------------------------------- A
----------------------------------------------------------------------------------------------------------- A □
---------------------------------- W

UNPD-MERP Program
PROJECT: EMPLOYER: LTA/SITE ENGINEER: CONTRACTOR:
UNPD MERP Program

----------------------------------------------------------------------------------------------------------- C
----------------------------------------------------------------------------------------------------------- □
----------------------------------------------------------------------------------------------------------- RR
------------------------------------------ RE □
J

Attachment Type of Receipt Info

Sent to Acti No (s) Attachment
on Action (s)
Yes No Received By Date Signature

 A: APPROVED
 AWC: APPROVED WITH
COMMENT
 RR: REVISE RESUBMIT
 REJ: REJECTED

UNPD-MERP Program