Pelican

PN: S96029
NON-CONFORMITY REPORT

System / Package No. Testpack No.

P&ID/Dwg No. Room No.

Equipment Name / Tag No.

NOTE: If a section is NOT relevant enter N/A

Upon Re-Inspection the
following Work items were
Upon Inspection the following Work items were found not to
found to have been rectified in
conform to Project requirements
accordance with Project
requirements
Identification
Nature of Non-Conformity / reason for rejection Signature Date
Number

Non-Conformity Report Issued All Items on this sheet cleared

Signature Signature

Date Date

S96029 3 CON 8749 REC 50 – Non-Conformity Report

Prepared By: Amalina Kamal Revision Date: 16-Mar-2020 Page 1 of 1
Create Date: 22-Dec-2011 Revision: 2