Non Conformance Report Form
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Contract For the Upgrading of Approximately 104Km of Chipata-Mfuwe Road
Non Conformance Report Form
Contract No. TB/CE/003/09
Ref. ………………….
Location: Description of Problem
Responsible Supervisor’s Name: Non Conformance Observed by: Date : Non Conformance appearing 1st time
2nd time
Describe the Effect of the Non Conformance on the Project/Quality
RE’s Comments/Instructions
Remedial/Corrective Measures Taken by Contractor
Date Corrected Approved by
Witnessed By Date
Contractor ‘s Preventive Measure(To avoid Re-occurrence)
Time: 3rd time
More than 3times
Non Conformance Report Form
Contract No. TB/CE/003/09
Ref. ………………….
Location: Description of Problem
Responsible Supervisor’s Name: Non Conformance Observed by: Date : Non Conformance appearing 1st time
2nd time
Describe the Effect of the Non Conformance on the Project/Quality
RE’s Comments/Instructions
Remedial/Corrective Measures Taken by Contractor
Date Corrected Approved by
Witnessed By Date
Contractor ‘s Preventive Measure(To avoid Re-occurrence)
Time: 3rd time
More than 3times
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