Non-Conformance Report Form

• Project

  Select

• NCR No.

• CAQ IC Number

• Machine Part Number

• Location
  Address

• Content of the NCR

• Date

  Date

Department

• Mechanical installation

• Electrical installation

• Commissioning

• Customers deviation

Details of Non-Conformance

• Type

  Select Corrective Action Preventive Action Opportunity for Improvement/Suggestion

  • Corrective Action
  • Preventive Action
  • Opportunity for Improvement/Suggestion

• Priority

  Low

  Medium

  High

  Critical

• Impact on the overall project process

  Low

  Medium

  High

  Critical

• Waiting times and expected additional costs

  Not expected

  Expected

• Source

  Select Deviation safety at work Damage report Planning or design discrepancy Investigations Employee Feedback Customer Feedback Supplier/Subcontractor Feedback Management Review Action Item Other

  • Deviation safety at work
  • Damage report
  • Planning or design discrepancy
  • Investigations
  • Employee Feedback
  • Customer Feedback
  • Supplier/Subcontractor Feedback
  • Management Review Action Item
  • Other

• Process

  Select Engineering Detailing Welding Installation Delivery Sheet Wall & Floor Frame Dispatch Sales Transport

  • Engineering
  • Detailing
  • Welding
  • Installation
  • Delivery Sheet
  • Wall & Floor Frame
  • Dispatch
  • Sales
  • Transport

• Detailed description of Non Conformance

• Take a photo (Optional)

  Media

• Name and Signature of Staff who raised the issue

  Sign

• Date the NCR was endorsed to the Manager

  Date

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

  Pass

  Fail

• Additional Notes

• NCR effectiveness verified by (Name and Signature of Manager)

  Sign