Novaproducts - Non-Conformance Report Form

• NCR No. (please check last recorded NCR for next number)

• Job Number

• Department / Business Function

  Select Operations Projects Designing and Drafting Sales & Tendering Manufacturing HSEQ Marketing Installation People/HR

  • Operations Projects
  • Designing and Drafting
  • Sales & Tendering
  • Manufacturing
  • HSEQ
  • Marketing
  • Installation
  • People/HR
• Location
  Address

• Name of person making the Non-Conformance

Details of Non-Conformance

• Date the NCR was reported.

  Date

• Priority (if the Non Conformance is safety related the default selection must be high or critical)

  Low

  Medium

  High

  Critical

• Source

  Select Internal - Employee External - Client External - Supplier External - Customer

  • Internal - Employee
  • External - Client
  • External - Supplier
  • External - Customer

• Process

  Select Consultation Planing Ordering Good in Manufacturing Dispatch Installation Final Inspection Other (please specify)

  • Consultation
  • Planing
  • Ordering
  • Good in
  • Manufacturing
  • Dispatch
  • Installation
  • Final Inspection
  • Other (please specify)

• Detailed description of Non Conformance [Note: After providing details of the Non Conformance , click "Media" to add photo's from your camera or library]

• Name of person who raised the issue

• NON CONFORMITY DETAILS

• 1 - WHY IT HAPPENED? *

• 2 - WHY IT HAPPENED? *

• 3 - WHY IT HAPPENED?

• 4 - WHY IT HAPPENED?

• 5- POTENTIAL ROOT CAUSE

Improvement Actions

• Type

  Select Corrective Action Preventive Action Opportunity for Improvement/Suggestion

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

• Improvement actions to be implemented [Note: After providing all corrective or preventive actions, click "Action" to create your action plan/s]

• Assigned to:

Status of Analysis

• Result

  In progress

  Completed

• Additional Notes

• NCR authorisation (Name and Signature)

  Sign

• Date

  Date

• Signature of the person who prepared the report

  Sign

• Date

  Date