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NCR
SUHATI SDN BHD NCR NO.: SSB/TAPS/NCR/0001
NON-CONFORMANCE REPORT (NCR)
PROJEK PEMBINAAN TAKUNGAN AIR PINGGIRAN SUNGAI
(TAPS) JERNIH, MELAKA Issued Date:
Category [Please Tick]: QUALITY SAFETY ENVIRONMENT OTHER …………………..
Part 1 – NON-CONFORMANCE STATEMENT [By Originator-Main Contractor] Attachment: Yes / No
Originated by: Quality Assurance Received by: Construction Acknowledged by (Consultant):
& Quality Control Department Department Signature Signature Signature Name Name Name Position Position Position Date Date Date Part 2 – REMEDIAL ACTION [By Recepient-Sub Contractor/Supplier] Attachment: Yes / No Root Cause of Non-Conformity:
Remedial Action:
Expected Completion Date:
The above actions are jointly agreed by (to be filled within 5 working days) Recipient Originator Reviewed and agreed by Signature Signature (Consultant) Signature: Name of Name of Name of Reviewer recipient Originator Date Date Date
Part 3 – FOLLOW UP & CLOSE OUT [By Consultant]
Proposed Signature & Date Close? Remarks Follow-up Consultant Yes/No (Effectiveness, reference to evidence, etc.) Originator date (Acknowledged by)