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POWER HOUSE Doc.REF.NO: PH-IMS-SP10-FR01

REV/ISSUE: 03/01

NON CONFIRMITY DATE : 7-11-2016

REPORT Pages :

1-Identification:
Originator Name: MOHAMED HAMED Date: 3/1/2018 Code: 181
Supplier: PR.NO NCR NO.: (4) GR
WO.NO: (17/TC/001 ) sales Part Description: Water pump
Part NO: Drawing NO/SAMPLE:
Quantity:
Found in What Activity?  Incoming
 Inspection In-
 Process Inspection
 Final Inspection
 Other

2- Description of non-conformity

When we inspect water pump visually for code 181 we

found that :
1. Water leakage from mechanical seal according to field report.

3- Root causes:

Name: Designation: Signature:

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Date:
Disposition:

 Use as is  Return to Supplier

 Repair  Reject
 Rework  Request Concession
 Other
Name: Designation: Signature:

4- Correction Action

Responsible manager Responsible Sector Manager

Signature &Date Signature &Date

5- Approval of correction

QC manager Signature &Date

17- Closing of non-conformity

NON CONFORMANCE CLOSURE:

Planned disposition is accepted, and has been completed as required. Corrective and preventative has been initiated and
changes/recommendations implemented.

Name; Designation: Signature:

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