Non-Conformity Report Form (NCR



Non-Conformity Report Form (NCR

Vessel Name:             ……………..                 Date: ………………..                   Report No: ……/………..                        

-Deck Dept:                                                    
-Engine Dept:                                                                                                                                                                                                                                   
-Catering Dept:                                               
-Entry made in Log Book:                              
-Voyage No: ………………………………….
- At Sea?     ………………………………
- At Port (in /out) …………………………………
- Date of Incident: ……………………………...
Description of Non-conformity:




Cause:




Corrective Action Taken:



Recommended Preventive Action:


Agreed / Expected completed date:

Responsible Officer:                                                                 Master:
Name:                                                                                         Name:
Signature:                                                                                   Signature:
Closing the Report:
This report is now closed .
Final corrective action was:
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Date:                                                                                          Master :
                                                                                                   Name :
                                                    Signature :

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