LEI Non-Conformance Report

• NCR#

• Date:

  Date

• Discovered at:

  Select Incoming In-Process Final Customer

  • Incoming
  • In-Process
  • Final
  • Customer

• By (Name):

• Dept:

• Job Site/Contractor

• Prepared by

Subcontractor responsible?

• Trade involved

  Select Concrete Utilities Grading Mechanical Electrical Plumbing Drywall Paint Low Voltage Stucco Masonry

  • Concrete
  • Utilities
  • Grading
  • Mechanical
  • Electrical
  • Plumbing
  • Drywall
  • Paint
  • Low Voltage
  • Stucco
  • Masonry

Item Information

• Part#

• Drawing (if diff, from part #):

• Quantity Affected #

• Operation#:

• Operation Description:

Description of the Nonconfromity:

• Description? Include any out of tolerance actual measurements.

Disposition

• Check a box for disposition:

  Select Use As Is- no nonconformity found after evaluation. Use As Is- obtain customer/ regulatory waiver and record below. Repair As Follows: For repairs which affect customer design, must obtain customer/regulatory waiver and record below. Rework as Follows: Return to Vendor: If return to Vendor, has a Corrective Action Request been filed? Scrap: Regrade: (for another purpose, such as tooling, sample, or an instructional piece)

  • Use As Is- no nonconformity found after evaluation.
  • Use As Is- obtain customer/ regulatory waiver and record below.
  • Repair As Follows: For repairs which affect customer design, must obtain customer/regulatory waiver and record below.
  • Rework as Follows:
  • Return to Vendor:
  • If return to Vendor, has a Corrective Action Request been filed?
  • Scrap:
  • Regrade: (for another purpose, such as tooling, sample, or an instructional piece)

• If you answered return to Vendor above (indicate CAR#)

Approvals

• Indicate:

  Quality Control

  Engineer

  Other:

Waivers

• Customer Waiver:

• Regulatory Waiver:

• Name:

• Title:

• Agency:

• Date:

  Date

• Signature of individual approving Waiver:

  Sign

Re-inspection Results:

• Recorded on Inspection Sheet

• Recorded here

• If recorded here give a brief description

Pictures

• Add media

  Media