Document No.

: PWA-RPD-QM-FM-040

Non-Conformance Report Revision No. : 05

Issue Date : 21 Jan. 2019

SA048-WSP-GEN-MTS-MNCR-1
SA048-D&B R and I and Security for Development of
Contract Name: Contract No.: BP2020 C60 G
Government Building in South West of the Country
Contractor: Tadmur Contracting NCR No.:
Engineers
WSP Date Issued: 23 Sep. 2021
Representative:

Work Area / Location: (Enter Details)

Details of NONCONFORMANCE: NCR RAISED BY:

Name : Anas Nasr
CONTRACTOR / ENGINEERS REP*

Position : Site Engineer

The contractor is using existing materials from site and using it as
embankments in the parking area without material testing. Date : 23 Sep. 2021

Signed :

CATEGORY:
Specification / Drawings / Process /
☒ Standards ☐ Details ☒ Procedure ☒ Material ☐ Plant / Equip ☒ Management

ISSUE:
Quality Skill /
☒ Control; ☒ Competence ☒ Supervision ☒ Planning ☐ Information ☒ Performance

IMPACT:
Not Meeting Poor Const Poor Defective Inadequate
☒ Requirements ☒ Practice ☒ Workmanship ☐ Material ☐ Records ☐ Other

START DATE FOR

PART B: PROPOSED REMEDIAL/ CORRECTIVE ACTION CORRECTIVE ACTION

Root Cause:
CONTRACTOR

Correction:
Action to prevent recurrence: TARGET DATE
TO CLOSE NCR

☐ Reject/Replace ☐ Re-work ☐ Repair ☐ Use As Is

Name & Signature Title: Date:

PART C: ENGINEERS ACCEPTANCE OF CONTRACTORS PROPOSALS IN PART B:

ENGINEER REP.

☐ Contractors proposals are acceptable and remedial work may proceed.

☐ Contractor’s proposals are unacceptable for the following reasons. (Contractor should revise & resubmit):
Name & Signature Title: Date:

PART D: CORRECTIVE ACTION PROPOSED IN PART B ARE COMPLETE & READY FOR INSPECTION ON :
CONTRACTOR

(SPECIFY DATE) & (SPECIFY TIME)

Name & Signature: Title: Date:

PART E: FOLLOW UP & CLOSE-OUT:

ENGINEER REP.

☐ Corrective Action have been undertaken and are acceptable. This NCR may be closed out.
☐ Corrective Action undertaken by the Contractor are not acceptable for the following reasons and this NCR may not
be closed out. (Contractor must address these issues):
Title: Date:
Name & Signature:

NOTES AND ATTACHMENTS (Photographs, Sketches etc.):

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