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Internal Non-Conformance Report (Form # Gmd-Mfq-101 Rev.00)

This internal non-conformance report documents an issue with replacing drum screens in two sea water cooling plants in Jubail, Saudi Arabia. The report includes sections to describe the discrepancy, identify the root cause, propose corrective and preventive actions, and verify that the issue was resolved. Once completed, the report requires sign-off from various parties at GEMS and Marafiq to close out the non-conformance.

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0% found this document useful (0 votes)
156 views

Internal Non-Conformance Report (Form # Gmd-Mfq-101 Rev.00)

This internal non-conformance report documents an issue with replacing drum screens in two sea water cooling plants in Jubail, Saudi Arabia. The report includes sections to describe the discrepancy, identify the root cause, propose corrective and preventive actions, and verify that the issue was resolved. Once completed, the report requires sign-off from various parties at GEMS and Marafiq to close out the non-conformance.

Uploaded by

kapsarc
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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INTERNAL NON-COMFORMANCE REPORT Doc. No.

GMD-MFQ-101-001

GLOBAL ENVIROMENTAL MANAGEMENT SERVICES Rev. No. 00


PROJECT: REPLACEMENT OF (7 Nos.) DRUM SCREEN IN SEA WATER
COOLING PLANT-1 AND LCP’s N SEA WATER COOLING PLANT-2, Rev. Date DD-MM-YYYY
JUBAIL, KSA,
CLIENT: MARAFIQ, Contract No: 7200043000 Issued On DD-MM-YYYY
INCR Issue Date: Discipline INCR # XXX-YYY-ZZZ ACD:
1 – INCR INITIATION – DESCRIPTION OF DISCREPANCY / VIOLATION & REFERENCE TO STANDARD:

ROOT CAUSE OF NON-CONFORMANCE:

PROPOSED CORRECTIVE ACTION:

PROPOSED PREVENTIVE ACTION:

ISSUED BY – RECEIVED BY: (GEMS QC – GEMS Construction/other)


Area Engineer

Name:

OPEN QCI Name Sign & Date Date: Signature


Seen by GEMS Sr.QA/QC Engineer: Agreed Completion Date (ADC) given by Discipline Engineer:

Name : Name:

Date : Sign. Date : Sign.

CORRECTIVE ACTION TAKEN & ACTUAL IMPROVEMENT IN WORK


-PROCEDURE IMPROVED -RESOURCES IMPROVED / ADDED SUPERVISION ENHANCED

-TRAINING PROVIDED -EQUPIMENT REPLACED /ADDED QC COVERAGE ENHANCED


2 - VERIFICATION OF CORRECTION / COMPLETION / COMPLIANCE:

CLOSED Date of Completion: Inspected by: (QCI Name, Sign & Date) RFI #
INCR Close out verified by GEMS Sr.QA/QC Engineer: Comments (If Any):

Name:

Sign & Date:


MARAFIQ:
Acknowledged by: Intimation about INCR Initiation Intimation about INCR Close Out
Marafiq Engineer Marafiq QA/QC Marafiq Engineer Marafiq QA/QC

INTERNAL NON-CONFORMANCE REPORT (Form # GMD-MFQ-101 Rev.00)


INTERNAL NON-COMFORMANCE REPORT Doc. No. GMD-MFQ-101-001

GLOBAL ENVIROMENTAL MANAGEMENT SERVICES Rev. No. 00


PROJECT: REPLACEMENT OF (7 Nos.) DRUM SCREEN IN SEA WATER
COOLING PLANT-1 AND LCP’s N SEA WATER COOLING PLANT-2, Rev. Date DD-MM-YYYY
JUBAIL, KSA,
CLIENT: MARAFIQ, Contract No: 7200043000 Issued On DD-MM-YYYY

Name, Sign & Date Name, Sign & Date Name, Sign & Date Name, Sign & Date

INTERNAL NON-CONFORMANCE REPORT (Form # GMD-MFQ-101 Rev.00)

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