NCR Template
NCR Template
NCR Template
Form 01301
Revision 0
Oct 2014
Page 1 of 1
NCR No.:
RAPID-0001-PMC-ELENCR-1000-0005
Date issued:
Contract No.:
Contractor:
DISCIPLINE:
10/10/2016
CCSM
P. O. No.:
ELECTRICAL
AREA / LOCATION OR UNIT
NAME: COMMON AREA
/RFCC1/ RFCC2
Initiated by:
HAMIDI BIN ROZEMIN
Date:
10/10/2016
Hold Tag:
Yes
No
.
Audit No. (If Applicable):
B. Vendor Typical Layout (U-LI Steel Cable Ladder Typical Layout & U-LI Steel Cable Tray Layout)
All fitting , i.e. bends, tees, risers, elbows, etc. shall be supplied by ladder rack or tray manufacturer. Please
refer to attachment D
Non Conformance:
1. Site fabricated fitting used at site. Please refer to attachment C
NCR Cause Code Index: C01=Client Driven, C02=Communication, C03=Equipment/Material, C04=External Phenomenon, C05=Location Driven, C06=Management
Driven, C07=No Procedure, C08=Not Following Procedure, C09=People Driven, C10=Systems Driven, C11=Work Environment
DISPOSITION:
Use as is
Rework
Repair
Other
Form 01301
Revision 0
Oct 2014
Page 1 of 1
Attachment A2:
DISPOSITION
PROPOSED
AGREED THE
PROPOSED
DISPOSITION
Sheet(s), if needed
By Contractor Construction Engineer:
Print Name/Sign
____________________________________
By IPMT Construction Engineer:
Print Name/Sign
____________________________________
By IPMT Site QA: Print Name/Sign
By IPMT EPCC Discipline Engineer:
Print Name/Sign
____________________________________
By IPMT QA Manager:
Print Name/Sign
Date:
_______
No
_______
Date:
_______
DISPOSITION
COMPLETED BY
Attachment A3:
Note(s):
Approved by:
Contractor: QA/QC Manager,
Print Name/Sign
Sheet(s), if needed
Date
Design Engineer
Print Name/Sign
INSPECTION
OTHER
Print Name/Sign
DATE (dd/mm/yy) :
Date