CORRECTIVE ACT ION REQUEST (CAR)

BAHADIR MALTAURO

PROJECT/DEPARTMENT:FALCON5 / MEP

A . REFERENCES

l CAR REF. NO:

SOURCE OF
r BMJV-Q UA-CAR-23-00833
D DEPT. AUDIT 181 ROUTINE SURVEILANCE
r DATE:
SOURCE
J 151h Oct 2023

REQUEST: D VENDOR AUDIT O QUALITY TREND ANALYSIS QC-01117

REF. NO:
Company Role Name
ISSUED TO:
r Vijay Arabia I
Project Manager Amit Mistry
B. STATEMENT OF NON-CONFORMITY

I REFERENCE STANDARD/SPEC:

21 13 25

DETAILS OF NON - CONFORMITY & EVIDENCE:

Installation of foam generator done without proper support details and calculation in AF 12 hanger
areas (Observation no 677 )-Project spec 21 13 25

t - - -

l
ISSUED BY:

ACCEPTED BY:
l Role

CQC Manager

Project Manager
I Abderrahmane
Tamahachet
Amit Mistry
Name Date

C. ROOT CAUSE
O Delay in Client Response D Delay in Designer Response D Procedure/Process not clear

D Recurring Product Failures D Procedure/Process not communicated ~ P rocedure/proc ess not followed

O Changes to Procedure/Process not documented and communicated D Other: _ __ _ _ __

D. PROPOS ED CORRECTION I CORRECTIVE A CT ION

RESPO NSIBLE PERSON: PROPOSED COMPLETION DATE:

DETAILS OF PROPOSED ACTION TO PREVENT RECURRENCE:

Role Name Signature Date

PROPOSED BY:
[
ACKN OWLEDGED
BY: I DAccepted D Not Accepted, please specify: _ __ _ _ _ _ _ __

E. VERIFICATION I CONFIRMATION (to be verified and confirmed by the Issuer)

VERIFIED BY:
l Role

l Name

I
Signature
I Date

Doc. No.: BMJV-QUA-F14 Rev. No.: 01 I Rev. Date: 05-Dec-2021 Page 1 of 2

 CORRECTIVE ACTION REQUEST (CAR)
BAHADIR MALTAURO
- JOIHT VI NT U ft l -

Doc. No.: BMJV-QUA-F14 Rev. No.: 01 I

L Rev. Date: 05-Dec-2021 I Page 2 of 2