Non Conformity Report

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ISM-001

NON-CONFORMITY REPORT (NCR)


OFFICE*: VESSEL*: MAJOR* MINOR* NCR Nos:

*Please mark 'X' where Applicable.

DATE: WHEN AND BY WHOM IDENTIFIED: DETAILS OF NON-CONFORMITY: (to indicate manuals section reference or regulation number etc where applicable):-

ROOT CAUSE:

CORRECTIVE ACTION:

PREVENTIVE ACTION:

Target Completion Date:

Name of staff preparing the report FOR OFFICE USE ONLY ANALYSIS:

Name of Master

REMARKS:

CLOSED: Date 27Jan11 DPA's (or his designate) Name

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