This 3 page contract non-conformance report documents an issue with a contractor's work, including general contract information, a description of the non-conformance, the contractor's root cause analysis and proposed corrective action, and a section for follow up verification to confirm the issue has been addressed.

1. CONTRACT NON-CONFORMANCE REPORT (NCR)
1 Effective Date: 1/10/2008
SECTION I
GENERAL INFORMATION
Contract No:
Contractor:
Contractor Department:
Location of Discrepancy:
NCR Control No:
Date Submitted:
PWS/PRS Paragraph #:
COR Name (print & sign):
Phone:
Date :
RESPONSE DUE:
Contractor Representative Acknowledgment:
(print, sign, & date)
SECTION II
DESCRIPTION OF NON-CONFORMANCE
TYPE OF NCR: MAJOR ___ MINOR ___
DESCRIPTION:

2. CONTRACT NON-CONFORMANCE REPORT (NCR)
2 Effective Date: 1/10/2008
Contract/Modification No: NCR Control No:
SECTION III
ROOT CAUSE CORRECTIVE ACTION
Contractor Corrective Action:
Projected Completion/Implementation Date:
Contractor Representative/Date (print & sign):

3. CONTRACT NON-CONFORMANCE REPORT (NCR)
3 Effective Date: 1/10/2008
Contract/Modification No: NCR Control No:
SECTION IV
FOLLOW-UP VERIFICATION
NCR Closed: YES ___ NO ___
COR Signature/Date:
Follow-up Comments: