Kembla Watertech Vinidex Non Conformance Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Raised By:

• Select date

  Date

• Issued to:

• Contract Number?

INCIDENT DETAILS

• External contact (If relevant)

• Date of incident?

  Date

• Report number?

• Address of incident?

• Line/segment I.D

• Description of situation/incident.

Coil details

• Coil diameter.

  150 mm

  225mm

  300mm

• Coil length in meters

• Coil number

• Rolling Date

  Date

• Product code

• Photo of date stamp

  Media

Outcome

• Number of man hours lost

• Number of equipment hours lost

• Root cause system failure /product fault

• Signature

  Sign

• Select date

  Date