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Issue No.01 PAD/NCR/20 Forms/Records Rev. No. 01 Form 20: Non Conformance Report

This non-conformance report documents an issue that occurred on a project. It provides information on the area and date of occurrence, description of the non-conformance, immediate action taken, root cause analysis, proposed corrective actions, responsibilities, and approvals. Any time or cost implications are also noted. Photographic evidence of the issue is included in an annex.

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VIKASH PEERTHY
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228 views

Issue No.01 PAD/NCR/20 Forms/Records Rev. No. 01 Form 20: Non Conformance Report

This non-conformance report documents an issue that occurred on a project. It provides information on the area and date of occurrence, description of the non-conformance, immediate action taken, root cause analysis, proposed corrective actions, responsibilities, and approvals. Any time or cost implications are also noted. Photographic evidence of the issue is included in an annex.

Uploaded by

VIKASH PEERTHY
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Issue No.

01
PAD/NCR/20 FORMS/RECORDS Rev. No. 01
FORM 20: NON CONFORMANCE REPORT
NCR No.
Project Name
01
DESCRIPTION OF NON CONFORMANCE

Area of Occurrence Date occurred


Description of Non-Conformance

Annex A – Photographic Evidence of NCR


IMMEDIATE ACTION TAKEN

NCR ISSUED TO NCR ISSUED BY

Name Name

Designation Designation

Signature Signature
ROOT CAUSE ANALYSIS

CORRECTIVE ACTION
Can Concession be made? Yes No If yes, Related Concession request No.
If no, Specify Corrective Actions to be Taken;

Responsibility
NCR Closing Date: for CAPA
Name Designation

TIME/COST IMPLICATION
Any Time Implication? Yes No
Any Cost Implication? Yes No
INVESTIGATED BY & APPROVED BY

Name Designation
Signature Date

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