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    Non-Conformity Report (NCR)

    Uploaded by

    Zain Abidi

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Non-Conformity Report (NCR)

    Uploaded by

    Zain Abidi
    34 views2 pages

    Original Title

    Ncr

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    © © All Rights Reserved

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    Copyright:

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    Download as docx, pdf, or txt
    34 views2 pages

    Non-Conformity Report (NCR)

    Uploaded by

    Zain Abidi

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NON-CONFORMITY REPORT (NCR)

    NCR Report
    Date of Issuance
    Number
    Project Name NC Identified on

    Project Number

    Region

    Issued to Response Due Date

    Documented
    Information /
    Specification
    Reference

    Discipline Civil Architectural Mechanical Electrical Other (specify)      


    Section A: Description of Non-Conformity / Non-Conformance / Deviation (To be filled by the NEOM
    ETSD Q&E)

    Initiator Name: Receiver Name:

    Signature: Date: Signature: Date:

    Approver’s Name:

    Signature: Date:
    Section B: Correction and Corrective Action (To be filled by the Contractor / Supplier / Vendor)

    Disposition: ☐ Reject ☐ Rework* ☐ Repair* ☐ Not Applicable


    *Rework, Repair & Use as is may require Engineering approval and WIR/MIR to be raised for Final
    Inspection

    Engineering Concurrence is required: ☐ Yes ☐ No


    Immediate Action Taken /Correction:

    WIR / MIR required for final inspection: ☐ Yes ☐ No


    If YES, provide WIR/MIR reference number
    Root Cause:

    DOCUMENT CODE : NEOM-NEN-MAN-003_FRM03 REVISION CODE: 03.00 PAGE 1 OF 2

    ©NEOM [2021]. All rights reserved.


    NON-CONFORMITY REPORT (NCR)
    Proposed Completion Date:
    Corrective Action:

    Correction/Corrective Action Approved: ☐ Yes


    Reviewer Name: Approver Name (NEOM ETSD Q&E):

    Signature: Date: Signature: Date:


    Objective Evidence of Corrective Action
    Implemented on
    Section C: Corrective Action Verification (To be filled by NEOM ETSD Q&E)
    Date of Verification
    Remarks of the Initiator/Authorized
    Representative: (If Any)
    Verification & Effectiveness Review by
    the Authorized Representative
    Authorized Representative Name Signature: Date:

    Section D: NCR Closure (To be filled by NEOM ETSD Q&E)


    Risk & Opportunity associated with Non-conformity or Corrective Action: ☐ Yes ☐ No
    If YES, specify the details

    Impact on the cost or schedule: ☐ Yes ☐ No (If YES, refer to Project Quality Inspection
    Manual)
    Any change in document? ☐ Yes ☐ No
    Document Ref. No Document Name
    If YES, provide

    NCR Status: ☐ Closed NCR Closed on (Date)


    Authorised Signature:

    Name: Signature:

    DOCUMENT CODE : NEOM-NEN-MAN-003_FRM03 REVISION CODE: 03.00 PAGE 2 OF 2

    ©NEOM [2021]. All rights reserved.

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