GULF LABORATORY FOR CONSTRUCTION MATERIAL

NON-CONFORMANCE / OBSERVATION / CUSTOMER COMPLAINT / CORRECTIVE ACTION REQUEST

(Tick one as appropriate and cross out others)

Major / No.: NCR No. 2 of 28

LOCATION /
Material Testing Division CATEGORY Minor /
DIVISION Sheet 1 of 2
Observation
1. Description of the anomaly (with details of objective evidence) (To be filled by the auditor):
The laboratory management does not inform some of the employees about declaration
confidentiality, and the document does not included in the laboratory’s system of
document management. (Undocumented) (4.2.4)

2. Reference Standard / Document (with clause # / Para #):

(To be filled by the auditor)
Name Designation Date (dd/mm/yyyy)
Raised By
Signature
(Auditor)
Name Designation Date (dd/mm/yyyy)
Accepted By
P.F. Calmerin Technical Manager 13/07/2021 Signature
(Auditee)

3. Root Cause(s) (To be identified by the auditee):

Lack of due attention was given.

Date (dd/mm/yyyy)
Name P.F. Calmerin 13/07/2021 Signature

4. Correction(s) required to fix the problem (To be suggested by the auditee):

Confidentiality declaration form will be revised bearing form number, issue number, and issue
date to be part in the list of controlled document.

Date of implementation:

Date (dd/mm/yyyy)
Name: P.F. Calmerin Signature

QM/005, Issue 4, Issue Date: 01/09/2021

 GULF LABORATORY FOR CONSTRUCTION MATERIAL

5. Verification (To be done by the auditor):

Checked and verified objective evidences referred in “Corrections” (item 4) Yes No

Name: Date (dd/mm/yyyy): Signature:

Sheet 2 of 2

QM/005, Issue 4, Issue Date: 01/09/2021