Use this general non-conformance report form template to document any plan deviation or any non-conformances in quality observed in the workplace. This form should be made available to all staff or members. Start by completing details of non-conformance report: type, priority, source, process, detailed description of the case and photos (optional). The staff who raised the issue should affix a digital signature to validate the report. The template should then be endorsed to the manager or any authorized personnel. After receiving the template, the manager should enter corrective or preventive actions to be implemented and assign it to responsible teams or professionals to take necessary actions. After completion of the task, send this back to the manager for verification and closure. Provide an overall rating and provide a digital signature to complete the report.
Scan this QR code to use this paper checklist on your smartphone or tablet or
visit
https://safetyculture.com/
Title Page
Project
NCR No.
CAQ IC Number
Machine Part Number
Location
Content of the NCR
Date
Department
Mechanical installation
Electrical installation
Commissioning
Customers deviation
Details of Non-Conformance
Type
Corrective Action
Preventive Action
Opportunity for Improvement/Suggestion
Priority
Impact on the overall project process
Waiting times and expected additional costs
Source
Deviation safety at work
Damage report
Planning or design discrepancy
Investigations
Employee Feedback
Customer Feedback
Supplier/Subcontractor Feedback
Management Review Action Item
Other
Process
Engineering
Detailing
Welding
Installation
Delivery Sheet
Wall & Floor Frame
Dispatch
Sales
Transport
Detailed description of Non Conformance
Take a photo (Optional)
Name and Signature of Staff who raised the issue
Date the NCR was endorsed to the Manager
Corrective Actions
Corrective actions to be implemented
[Note: After providing all corrective or preventive actions, click 📎 then click "Action" to create your action plan/s]
Item Closed Out
Result
Additional Notes
NCR effectiveness verified by (Name and Signature of Manager)
Kornel Ruttler
Non-Conformance Report Form
Use this general non-conformance report form template to document any plan deviation or any non-conformances in quality observed in the workplace. This form should be made available to all staff or members. Start by completing details of non-conformance report: type, priority, source, process, detailed description of the case and photos (optional). The staff who raised the issue should affix a digital signature to validate the report. The template should then be endorsed to the manager or any authorized personnel. After receiving the template, the manager should enter corrective or preventive actions to be implemented and assign it to responsible teams or professionals to take necessary actions. After completion of the task, send this back to the manager for verification and closure. Provide an overall rating and provide a digital signature to complete the report.
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.
