f._409th_NCR_Form.pdf

409th CSB QUALITY ASSURANCE NON CONFORMANCE

REPORT

COR NAME:

EMAIL:

PHONE:

DATE ISSUED: SUSPENSE DATE:

LEVEL I * Minor effects on product/service, Issued for nonconformity that can be corrected on the spot and where no further corrective action response is necessary. Level I NCRs shall be documented and issued to the contractor management level responsible for taking corrective actions.

LEVEL II * Major effects on product/service, Issued when contractual nonconformity cannot be corrected on the spot. Level II NCRs should be directed to the contractor management level responsible for initiating corrective actions.

LEVEL III * Critical effect on product/service (Potential Health Hazard or Safety Hazard), Issued to the contractors top management to call attention to serious contractual nonconformity. Repeat nonconformities found within one year for the same single point failure, SOF characteristics shall be issued as a level I NCR. A level I NCR may be coupled with contractual remedies such as reductions of progress payments, cost disallowances, or business management systems disapprovals, etc. A level I or II NCR need not be issued before a level III NCR is generated. All level III NCRs shall be coordinated with the KO.

NCR TITLE:

NCR LEVEL I II III NCR NUMBER:

PRIME CONTRACTOR: CONTRACT NUMBER:

ISSUED TO Name: ISSUED BY Name:

SIGNATURE: SIGNATURE:

PROCESS:

DESCRIPTION OF DISCREPANCY

CONTRACTOR (areas to address)

1. ROOT CAUSE OF DISCREPANCY.

2. ACTION TAKEN TO CORRECT THE SPECIFIC DISCREPANCY.

3. ACTION TAKEN TO CORRECT AND PREVENT RECURRENCE OF ROOT CAUSE OF DISCREPANCY.

4. ACTION TAKEN TO DETERMINE IF OTHER PRODUCT IS AFFECTED BY THE SAME OR SIMILAR DISCREPANCY AND

ACTION TAKEN REGARDING SUSCEPTIBLE PRODUCT.

5. ACTION TAKEN TO CORRECT THE WEAKNESS WHICH ALLOWED DEFICIENT PRODUCT TO BE PRESENTED TO THE

GOVERNMENT.

6. TARGET DATES FOR IMPLEMENTATION OF IDENTIFIED CORRECTIVE ACTIONS AND APPLICABLE RECOVERY PLAN.

409th CSB ACTION ONLY

FOLLOW UP

DATE REMARKS KO/COR SIGNATURE

NCR CLOSED

DATE REMARKS KO/COR SIGNATURE

W912CM-16-T-0032 Exhibit F

409th CSB QUALITY ASSURANCE NON CONFORMANCE

REPORT

COR NAME:

EMAIL:

PHONE:

DATE ISSUED: SUSPENSE DATE:

NCR TITLE: CONTRACT NUMBER:

NCR LEVEL I II III NCR NUMBER:

CONTRACTOR RESPONSE