Nonconformance Report.doc
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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.
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- 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: