Non Conformance Report (NCR)
REPORT NUMBER:
DATE:
PROJECT NUMBER:
PROJECT NAME:
REFERENCE DWG:
SPECIFICATION NUMBER:
DESCRIPTION:
CORRECTIVE ACTION REPORT REQUIRED
ITEM LOCATION:
IN PROGRESS:
CONTRACTOR:
NON CONFORMING CONDITION DESCRIPTION:
DIGITAL PHOTO ATTACHED
TITLE
REPORTED BY:
RECOMMENDED DISPOSITION:
DATE:
REWORK
REPAIR
USE AS IS
REJECT
RECOMMENDED ACTION
TITLE
DISPOSITION BY:
ENGINEER CONCURRENCE :
FINAL DISPOSITION:
ENGINEER CONCURRENCE:
DATE:
REWORK
DATE:
REPAIR
DATE:
DISPOSITION IMPLEMENTATION DATE:
REINSPECTION REQUIRED:
YES
REMARKS:
USE AS IS
NO
REJECT