Project Name: [Insert Project Name]
Location: [Insert Location]
NCR No.: [Insert Unique ID]
Date of Issue: [Insert Date]
Issued By: [Insert Name of AE/CSC]
Contractor: [Insert Contractor Name]
Document Version: 1.0
Approval Authority: [Insert Name/Designation]
1. Non-Conformance Details
- Date of Detection: [Insert Date]
- Location/Chainage: [e.g., Chainage 3+200]
- Description of Non-Conformance: [e.g., “Concrete slump test failed, recorded 120 mm against max. 100 mm”]
- Standard Violated: [e.g., MoRTH Clause 602, IS: 1199-1959]
- Severity: [Minor/Major]
- Evidence: [e.g., Test report no. ABC, photos, lab results]
2. Affected Work Specifications
- Work Item: [e.g., Cement Concrete Pavement]
- Specification Reference: [e.g., MoRTH Section 600, IS: 456-2000]
- Impact on Project: [e.g., Potential for reduced pavement durability]
3. Root Cause Analysis
- Identified Cause: [e.g., “Excess water added during mixing”]
- Method of Analysis: [e.g., Review of batching plant records, operator interview]
- Contributing Factors: [e.g., “Inadequate supervision at batching plant”]
4. Corrective Action Plan
- Proposed Action: [e.g., “Remove non-compliant concrete, remix with correct water-cement ratio”]
- Responsible Party: [e.g., Contractor’s Site Engineer]
- Target Completion Date: [Insert Date]
- Verification Method: [e.g., Retest slump as per IS: 1199, compressive strength per IS: 516]
5. Preventive Measures
- Proposed Measures: [e.g., “Implement pre-mix checks, train batching plant operators”]
- Implementation Plan: [e.g., “Training scheduled for [Date], checklist introduced”]
- Responsible Party: [e.g., Contractor’s Quality Manager]
6. Stakeholders Involved
| Name | Role | Contact |
|---|---|---|
| [e.g., Mr. XYZ] | [Quality Engineer] | [Contact Details] |
| [e.g., Ms. ABC] | [Site Supervisor] | [Contact Details] |
7. NCR Closure Checklist
- Corrective Action Implemented: [Yes/No]
- Verification Completed: [Yes/No]
- Verification Details: [e.g., “Slump test passed at 80 mm, strength test compliant”]
- Supporting Documents: [e.g., Test report no. DEF, photos]
- Date of Verification: [Insert Date]
- NCR Status: [Open/Closed]
- Remarks: [e.g., “Work resumed after compliance verified”]
Issuer’s Signature: ___________________________
Contractor’s Acknowledgment: ___________________________
Verifier’s Signature (on Closure): ___________________________
Approval Authority Signature: ___________________________
References:
- MoRTH Specifications for Road and Bridge Works (5th Revision, 2013)
- IRC: SP: 57-2018 – Guidelines on Quality Systems for Roads
- IS: 456-2000 – Plain and Reinforced Concrete
- IS: 1199-1959 – Methods for Sampling and Analysis of Concrete
- IS: 516-1959 – Methods for Tests for Strength of Concrete
- IS: 73-2013 – Paving Bitumen
- IS: 6241-1971 – Method of Test for Determination of Bitumen Content
- ISO 9001:2015 – Control of Nonconforming Outputs