WORKBOAT INTERNATIONAL DMCCO

NON-CONFORMITY REPORT

SECTION A (to be completed by Originator)

Reported by : Date:

(Name & Rank)

Identification Source: Inspection Internal Audit
Details of Source:

Description of Non-Conformity

Agreed date of corrective action, root cause analysis and preve

It is agreed that necessary corrective action, root cause analysis and preventive action to close this non confo

Maximum Limit for completing corrective action is: Major NC 7 days, Minor NC - 3 months. Both to be reported to DPA.
possible. It will be verified at next audit or inspection.
Accepted By: (Signature,
Originator Signature:
Name and Rank)

SECTION B (To be complete by Process Owner)

Description of Root Causes (reason for occurrence is to be determined by as

Corrective and preventive actions taken:

The above corrective and preventive actions have been taken and implemented.

Process Owner Signature, Name and Date:

SECTION C (To be Completed by DPA, CSO or QMR)

Corrective Action Review:
 NC Closed: YES / NO Date and Signature:

Notes :
1 Process Owner is the WBI employee, who is Incharge of the vessel, department, process or incharge of the site where the operation ta
C/O, Bosun, OM, TM, MA, CE, are Process Owners depending on the NC issued)
2 Originator completes Section A and gives the paper version to Process Owner. Alternatively the Process Owner completes section A
(example when verbal feed back is received from Client, Inspector, Auditor or Surveyor)
3 Process Owner accepts the NC by signing it and immediately forwards a copy to the DPA / CSO / QMR, OM/TM and HSE Co-ordinator
4 Process Owner carries out root cause analysis, corrective and preventive actions, completes section B, signs it and forwards it to DPA /
HSE Co-ordinator along with proofs of completion.
5 DPA / CSO / QMR reveiws and verifies actions completed, closes the NCR. Original is filed in WBI office and copy is send to the Proce
 Form No : WBI T24
Issue Date : 01.Nov.2014
NATIONAL DMCCO Rev No : 01
Rev Date: 28.01.2015

MITY REPORT

Affected location/site: NCR No (To be filled by DPA /

CSO / QMR):

Deviation Other

scription of Non-Conformity

action, root cause analysis and preventive action:

preventive action to close this non conformity will be taken by date:

months. Both to be reported to DPA. Corrective action for Observation is to be completed as soon as

r occurrence is to be determined by asking 'why', 'why', 'why'.)

ve and preventive actions taken:

 Name and Rank:

charge of the site where the operation takes place, with regard to the non conformity (NC) that occurred (Master, C/E,

e Process Owner completes section A

O / QMR, OM/TM and HSE Co-ordinator.

ection B, signs it and forwards it to DPA / CSO / QMR and

WBI office and copy is send to the Process Owner.