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

REV/ISSUE: 02/01

NON CONFIRMITY DATE : 07/02/2016

REPORT Pages :2

1-Identification:
Originator Name: Alaa Sobh Moawad Date: 12/1/2017 Code: MWS
Supplier: PR.NO: N/A NCR NO.: (3) Fab ware
W.O NO: Part Description: Check valve
Part NO: Drawing NO/SAMPLE:
Quantity:
Found in What Activity? 1. Incoming
2. In- Process Inspection
3. Final Inspection
4. Other

2- Description of non-conformity

When we inspect visually the check valve, class 150 , 6"

We found that:
1- The part of the check valve is not fixed.

3- Recommended Action:

Name: Designation: Signature:

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Disposition: Date:

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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