Non-Conformance Report (NCR)
OMA_035F
Employee Name
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Date of submission
*
/
Day
/
Month
Year
Date
NCR Category (select the most applicable)
Process / Procedure / Policy based
System / Audit based
Feedback / Complaint based
Subcontractor / Supplier based
Health / Safety Environment based
Other / Uncategorised
NON-CONFROMANCE IDENTIFICATION
Please select one of the three levels of impact this NCR has on the project, client, company etc.
NCR Impact Rating
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Low: minor impact on cost schedule, performance, compliance etc. Risks are largely acceptable. Corrections and communication may be enough to resolve the issue.
Medium: Some impact on cost, schedule, performance, compliance etc. Risks may be tolerable. Corrections and communications may be enough to resolve the issue.
High: significant impact on cost schedule, performance, compliance etc. Risk is unacceptable and likely to cause significant damage to persons, property, or costs.
Project/Site where NCR occurred
*
Please name the work site or location where the NCR occurred
Description of issue
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Describe the NCR with as much detail as possible
Has the issue been resolved? If so, how?
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Root Cause Analysis
(Select all that apply) What do you believe caused this? It can be due to more than one factor.
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People
Method/Procedure
Material/Tools
Environment
Other
What is your solution/s?
*
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