Nonconformance Initiation Form

Please complete this form for each defective item and a Williams Valve Representative will be in contact shortly.

Company Name *

Full Name of Primary Contact *

Contact Information (email/phone) *

Entered By WEW Employee?

Select check box if you work for Williams E William Valve Corporation

Purchased From:

Order Number

End User or Site:

Valve Type *

Size *

Pressure Class *

Figure Number

Serial Number or Code

Description of Nonconformance or Defect *

Date of Discovery? *

mm/dd/yyyy

Any repairs attempted? If yes, please explain. *

Desired Action? *

Any 3rd party modification or actuation? *

Return for Root Cause Evaluation? *

Was the valve installed? *

Please upload any relevant documentation or photos

Drop your files here

*

Send me a copy of my responses

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