NON-CONFORMANCE REPORT

Project Title *

Project Code *

Section *

Type *

Work Discipline *

NCR Ref.No *

Issued By

Date Issued *

Issued To (Company) *

Document Ref. (Spec/Dwg./etc) *

Location

Chainage

Gridline

Structure Element

Others

Section A

NCR Description *

Attachment

Yes

File

*Accept multiple files with 60 MB limit

Originated By *

Document

Reference No.	Type	Sub Type	Date	File

Reference

Process	Reference No.	Created By	Created Date

NCR Receipt

Acknowledge *

Name *

Position *

Organization *

Signature

Clear

Time *

Date *

Section B

Root Cause *

Disposition *

Disposition

Repair

Rework

Regrade

Scrap

Concession

Other

Further Details (If any)

Attachment(s)

*Accept multiple files with 60 MB limit

Target Completion Date *

Date

Proposed By *

Signature

Clear

Section C – Consultant Comment

Verification

Is disposition acceptable? *

Yes

Originator's Remark

Date *

Agreed By

Name *

Date *

Verification and Close Out of NCR

The above rectification works have been carried out and recommend NCR to be closed.

Verified

Attachment(s)

*Accept multiple files with 2 GB limit

Name *

Position *

Signature

Clear

	PROCESS	REF. NO.	CREATED BY	DATE CREATED	SUBJECT	DESCRIPTION	VIEW

	REFERENCE NO.	TYPE	SUBTYPE	DATE	STATUS	CREATED BY	FILE