Nonconformance Report

Record, disposition, and close out a nonconformance.

MILLWRIGHT QC Precision Maintenance QC
millwrightqc.com

Project

Job No.

Client

Sheet ____ of ____

NCR No.

Date Opened

Originated By

Discipline

AlignmentInstallationGrouting / FoundationBoltingBearingsLubricationRiggingBalancingMachiningDocumentationOther

Severity

MinorMajorCritical

Drawing / Spec Reference

Equipment Tag

Location

Machines / Joints Affected

Spec / Clause Reference

Schedule Impact

Cost Impact

Description of Nonconformance

Root Cause

Corrective Action

Preventive Action — how recurrence is prevented

Disposition

Use As IsRepairReworkReject / Replace

Status

OpenIn ProgressClosedVoid

Date Closed

Verified By

Client Notified / Date

Retest Reference

Originated by / Date

QA/QC Approval / Date

Client / Owner Acceptance / Date

MW-NCR-01 | Rev 0 Free blank form from MILLWRIGHT QC — millwrightqc.com