13_-_Condition_Found_Report_(CFR)_Form.xlsx
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- N2345A-17-R-0021
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Condition Found Report (CFR) Form
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CR 001
| CONDITION REPORT | |
| DEFICIENCY NO. | DATE: |
| SHIP/HULL NO.: | SHIP/HULL NAME: | TWD SERIAL NUMBER: | REVISION: | ||||
| 64 FT Screening Vessel | |||||||
| CONTRACT NO: | SPEC NO: | ITEM NO: | CHARGE CODE: | SY JOB ORDER KEY OP: |
SYSTEM: COMPONENT NAME: AWR NUMBER:
TITLE:
| YES | NO | TYPE OF ACTION REQUIRED | CATEGORY | |
| CONTRACT REQUIRED REPORT: | IMMEDIATE | |||
| ANSWER MANDATORY: | EARLIEST CONVINENCE | |||
| JOB CONTINUITY DISRUPTED: | INFORMATION ONLY | |||
| ADDITIONAL FUNDING REQUIRED | ||||
| NEW WORK | ||||
| DESCRIPTION OF CONDITIONS: |
RECOMMENDED ACTIONS:
LABOR OR MATERIAL REQUIRED:
ORIGINATOR: NAME: EMP ID: DATE: PHONE NO.:
SUPERVISOR: NAME: EMP ID: DATE: PHONE NO.:
GOV’T REP: NAME: ACTIVITY: DATE: PHONE NO.:
| CUSTOMER RESPONSE: | ||||
| Acknowledged. Waiting revised schedule (POAM). | ||||
| CUSTOMER REP: | NAME: | ACTIVITY: | DATE: | PHONE NO.: |
| John Annonen | SWFPAC, SPB1044 | 19-Jul-16 | 360-396-8978 | |
| GOV’T REP: | NAME: | ACTIVITY: | DATE: | PHONE NO.: |
&8DELPHINUS ENGINEERING, INC.
QUALITY ASSURANCE FORMS;
CONDITION REPORT
DEI FORM CR Rev (-)&10
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