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)
Revision No: 0