Dwg

							                                                                                                                      1. NCR No.
                      Nonconformance                                                  Report
                                               Ames Research Center
                                                         Identify Nonconformance
NCR
O r i g i 2. Originator:                                             Phone:                               Date:                      Org:
nator

         3. Item Name:                                                                                                     Qty:
         4. Dwg / Part No:                                                      5. Found During
            Lot / Serial No:                                                       What Activity:


         6. Item Location:
         7. Actual Condition:




         8. Req’d Condition:




                                                       Disposition Nonconformance
R e s p 9. Authorized _         Rework To          10. Disposition Rationale:
onsi      Disposition:                                                                              Original Spec.
 ble                  _         Scrap
Mana
 ger/
                      _         Return to
                                Supplier
R e vi
 ew                   _         Repair
Team                  _         Regrade
                           _    Use As Is
                                                   11. Cause Classification:      _    Design         _    Manufacturing
                                                                                  _    Supplier       _    Training
                                                                                  _    Other (explain) ________________________________________


         12. Responsible Manager:                                       Signature:                                                Date:

         13. _ Request Waiver (ARC 762)                                 Waiver No:

         (Procedure 53.ARC.0013.1)
         14. Disposition Details:




         15. Corrective Action Req’d _ Yes           16. CAR No:
         (Procedure 53.ARC.0014)            _ No
                                                     Rationale (if
                                                     yes):
         17. Safety Function:
         (If Safety Is Affected)                                        Signature:                                                Date:




  ARC 758 (9/98) E
                             Disposition Nonconformance
  R
 e s 18. NCR Closed By:                Signature:                Date:
 .M
 gr
  .




                                                             NCR No.
                   Nonconformance                   Report
                          Ames Research Center




ARC 758 (9/98) E
                                       Page   of

                   Continuation Page




ARC 758 (9/98) E