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1-Nonconformance Report Sample

This document is a nonconformance report issued from an originating organization to a vendor regarding a nonconforming specification or standard. It details the nonconformance, requires the vendor to provide the cause and an action plan to correct and prevent recurrence. The vendor's proposed action plan must then be approved by the originating organization before implementation by the vendor. Upon completion, the originating organization verifies closure through attached quality records.

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sajeed76743031
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© Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online on Scribd
2K views

1-Nonconformance Report Sample

This document is a nonconformance report issued from an originating organization to a vendor regarding a nonconforming specification or standard. It details the nonconformance, requires the vendor to provide the cause and an action plan to correct and prevent recurrence. The vendor's proposed action plan must then be approved by the originating organization before implementation by the vendor. Upon completion, the originating organization verifies closure through attached quality records.

Uploaded by

sajeed76743031
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NONCONFORMANCE REPORT Issued To:

(Vendor, Subvendor or Subcontractor)

From:
(Issuing Organization)

Doc. No.: Issue Date:

Copy to: PO No. PM Company PQL 1. NONCONFORMANCE DETAILS (Completed by Originator) State nonconforming spec or standard / reference sect or clause:

As attached

Name: (Print & Sign)

Date:

Target Response Due Date:

2. CAUSE OF NONCONFORMANCE (Completed by Vendor, Subvendor or Supplier)

3. ACTION PLAN (DISPOSITION) TO CORRECT AND PREVENT RECURRENCE


(Completed by Vendor, Subvendor or Supplier)

Repair Re-work Use-As-Is Replacement (Tick One) Technical Justification for above decision: Explain in Detail or As Attached

Name: (Print & Sign)

Date:

Target Closure Date:

4. APPROVAL OF VENDORS PROPOSED ACTION PLAN (DISPOSITION): (Completed by EM) Comments or Conditions: As proposed by Vendor As proposed by Contractor Rejected With Comments as attached Alternative Plan Required w/Documentary Evidence Contractor EM Name: (Print & Sign) Date: Company Acceptance EM Name: (Print & Sign)
(Only required if Sect 3 use-as-is or repair disposition ticked)

Date:

5. ACTION PLAN (DISPOSITION) IMPLEMENTED: (Completed by Vendor, Subvendor or Subcontractor) Comments: With quality record Quality record N/A Name: (Print & Sign) 6. VERIFICATION OF COMPLETED ACTION: (Completed by Originator) Do Quality Records Attached Verify Closure? Y/N Comments: Date:

Contractor Originator Name: (Print & Sign)

Date:

Company Acceptance Name: (Print & Sign)


(Only required if Sect 3 repair disposition ticked)

Date:

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