[Short Client Name]
Nonconforming Part Disposition Rev. [Rev Number]
NCR #:
Date: Discovered at: Incoming In-Process Final Customer
By (Name): Dept:
Rev
Job #: Part #:
:
Rev
Drawing (if diff. from part #):
:
QTY Affected: Operation #: Operation Description:
Description of the
Nonconformity:
Include any out-of-
tolerance actual
measurements.
Use As Is – no nonconformity found after evaluation.
Use As Is – obtain customer / regulatory waiver and record below.
Repair As Follows:
For repairs which affect customer design, must obtain customer / regulatory waiver and record below.
Disposition:
Rework as Follows:
Return to Vendor. (SCAR Filed? NO YES (indicate SCAR #: )
Scrap
Regrade (for other purpose, such as tooling, sample, instructional piece)
Approvals: QC: ENG: OTHER:
Name: Signature:
Customer Waiver:
Title: Date:
Waivers: Agency: Dept:
Regulatory Waiver: Name: Signature:
Title: Date:
Re-Inspection Recorded on
Recorded here:
Results: Inspection Sheet
NOTES or
COMMENTS: