Pro-MEC Issue Form

• Job #

• Location

• Conducted on

  Date

• Prepared by

• General description of Issue

• Who is involved? (ie: contractor, vendor, end user, etc)

• Why is this a discrepancy? (ie: why should we not use an item, why is it incorrect?)

• Provide evidence (ie: print VS spec, incorrect hardware, etc)

  Media

Short Summary of Discussion

• Did we talk to the end user, vendor, customer?

  Yes

  No

  N/A

• Did this issue / discrepancy cause a STOP WORK situation?

  Yes

  No

  N/A

• How many time was lost due to STOP WORK?

Resolution

• Was there resolution involving all parties?

  Yes

  No

  N/A

• Who provided the resolution?

• What was the resolution?

• Will there be a change order?

  Yes

  No

  N/A

• If PMES is responsible for cost, were all receipts matched?

  Yes

  No

  N/A

Sign Off

• Customer / End User / Site Contact Sign Off

• Does customer / end user / site contact agree to sign?

  Yes

  No

  N/A