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NON-CONFORMANCE REPORT (NCR)

Form QF-002

Project: Qaremy Construction - NSW Solar Farm
Form No: QF-002
Revision: A


SECTION A: NCR IDENTIFICATION

FieldDetails
NCR Number:QAR-NCR-2025-_____
Date Raised:
Time Identified:
Raised By:Name: _____________________ Company: _____________________
Location/Area:
Discipline:☐ Civil ☐ Electrical ☐ Mechanical ☐ General

SECTION B: NON-CONFORMANCE DETAILS

Classification

Category (Severity):
CRITICAL - Significant safety risk or major specification violation
MAJOR - Significant quality issue affecting performance/compliance
MINOR - Limited impact, easily correctable

Type:
☐ Material NC ☐ Installation NC ☐ Testing NC ☐ Documentation NC ☐ Process NC

Description of Non-Conformance

What is the non-conformance? (Be specific and detailed)






Quantity/Extent Affected:


Specific Location(s): (Grid reference, tracker row, equipment ID, etc.)


Reference Documents

Applicable Standard/Specification/Drawing:

Document TypeDocument NumberTitle/Description

What Should Have Been Done (Requirement):




What Was Actually Done/Found (Actual Condition):




Evidence

Photos Attached: ☐ Yes (_____ photos) ☐ No

Photo References:
Photo 1: _________________ Description: __________________________________
Photo 2: _________________ Description: __________________________________
Photo 3: _________________ Description: __________________________________
Photo 4: _________________ Description: __________________________________

Other Evidence:
☐ Test results attached
☐ Material certificates attached
☐ Drawings/sketches attached
☐ Other: ________________________________________________________________


SECTION C: RESPONSIBLE PARTY

FieldDetails
Responsible Subcontractor/Supplier:
Contact Person:Name: _____________________ Phone: _____________________
Date Notified:
Notification Method:☐ Verbal ☐ Email ☐ Site meeting ☐ Formal letter

SECTION D: INVESTIGATION & ROOT CAUSE ANALYSIS

Immediate Actions Taken

Actions taken upon discovery:

☐ Work stopped in affected area
☐ Non-conforming work/materials isolated/tagged
☐ Site management notified
☐ Client/Engineer notified
☐ Photos taken
☐ Area secured

Other actions:



Investigation Findings

How did the non-conformance occur?




When was the non-conformance introduced? (Date/timeframe)


Why was it not detected earlier?



Root Cause Analysis (5 Whys - for Critical and Major NCRs)

Problem Statement: _______________________________________________________

Why 1: Why did this happen?
Answer: ____________________________________________________________________

Why 2: Why did that happen?
Answer: ____________________________________________________________________

Why 3: Why did that happen?
Answer: ____________________________________________________________________

Why 4: Why did that happen?
Answer: ____________________________________________________________________

Why 5: Why did that happen?
Answer: ____________________________________________________________________

ROOT CAUSE:



Extent of Non-Conformance

Are there other similar instances? ☐ Yes ☐ No ☐ Unknown

If Yes, how many locations/items are affected? _____________________________

Additional areas requiring inspection:



Investigation Completed By: _____________________ Date: ______________


SECTION E: PROPOSED CORRECTIVE ACTION

Corrective Action Plan

Proposed Solution:
☐ Repair (fix to meet requirements)
☐ Rework (remove and redo)
☐ Replace (substitute with compliant materials/work)
☐ Concession (accept as-is with justification - requires Engineer approval)
☐ Reject (return materials or demolish work)

Detailed Description of Corrective Action:






Method Statement/Procedure Reference: _____________________________________

Responsible Person: _______________________ Company: _________________

Target Completion Date: ___________________

Resources Required:



Verification Method After Correction:
☐ Visual inspection
☐ Re-testing (specify): ____________________________________________________
☐ Dimensional check
☐ Document review
☐ Other: __________________________________________________________________

Estimated Cost Impact: $ _______________ (if significant)

Approval of Corrective Action

Proposed By: _____________________ Company: __________ Date: ______

Reviewed By (QC Inspector): _____________________ Date: ______________
☐ Approved ☐ Not Approved (comments): ___________________________________

Reviewed By (QA Manager): _____________________ Date: ________________
☐ Approved ☐ Not Approved (comments): ___________________________________

Engineer's Representative Approval (required for Critical NCRs and Concessions):
Name: _____________________ Date: ______________
☐ Approved ☐ Not Approved (comments): ___________________________________


SECTION F: IMPLEMENTATION & VERIFICATION

Implementation of Corrective Action

Corrective Action Implemented By: _________________________________________

Date Completed: _____________________

Implementation Notes:




Photos of Corrected Work:
☐ Yes (_____ photos) ☐ No

Photo References (After Correction):
Photo 1: _________________ Description: __________________________________
Photo 2: _________________ Description: __________________________________
Photo 3: _________________ Description: __________________________________

Verification

Verified By (QC Inspector): _____________________ Date: ______________

Verification Results:
ACCEPTED - Corrective action effective, non-conformance resolved
REJECTED - Corrective action ineffective, further action required

Verification Notes:




Test Results (if applicable):


Attachments:
☐ Test certificates
☐ Inspection checklists
☐ Photos
☐ Other: __________________________________________________________________


SECTION G: PREVENTIVE ACTION

Actions to Prevent Recurrence

Preventive Measures Implemented:

☐ Additional training provided (specify): ____________________________________
☐ Work instruction updated/created (reference): _____________________________
☐ Procedure revised (reference): ____________________________________________
☐ Increased inspection frequency (specify): __________________________________
☐ Material supplier changed
☐ Additional verification step added to process
☐ Toolbox talk conducted (date: _________ topic: ____________________________)
☐ Other: __________________________________________________________________

Detailed Description of Preventive Actions:





Responsible Person: _______________________ Target Date: _____________

Implementation Status:
☐ Completed (Date: _________)
☐ In Progress
☐ Planned

Verified By (QA Manager): _____________________ Date: ________________

Effectiveness Check:
☐ Effective - No recurrence observed
☐ Monitoring ongoing
☐ Ineffective - Further action required


SECTION H: NCR CLOSURE

Closure Approval

NCR Status:
☐ Open
☐ In Progress
☐ Ready for Closure
CLOSED

Closure Approved By:

QC Inspector: _____________________ Date: _____________ ☐ Approved

QA Manager: _____________________ Date: _____________ ☐ Approved

Engineer's Representative (for Critical NCRs):
Name: _____________________ Date: _____________ ☐ Approved

Date Closed: _____________________

Days Open: _____ days (from date raised to date closed)

Closure Comments:




SECTION I: DISTRIBUTION & FILING

NCR Distributed To:
☐ Document Controller (project file)
☐ QA Manager
☐ Construction Manager
☐ Responsible Subcontractor
☐ Engineer's Representative
☐ Client (if required)
☐ Procurement (if supplier issue)

Filed In: NCR Register (Ref: __________________)

Document Management System Reference: ____________________________________


SECTION J: ADDITIONAL NOTES








Form End

Form No: QF-002 | Revision: A | Date: October 2025
Page: 1 of 1


NCR WORKFLOW SUMMARY (For Reference)

1. Identify NC → 2. Isolate/Stop Work → 3. Issue NCR → 4. Investigate
→ 5. Root Cause Analysis → 6. Propose Corrective Action → 7. Approve
→ 8. Implement Correction → 9. Verify → 10. Preventive Action → 11. Close

Target Closure Times:

  • Critical: 7 days
  • Major: 30 days
  • Minor: 14 days

Quality Management System for Educational Purposes