You are on page 1of 1

Product Deviation

(Do not make additional copies of this waiver without consent of the originator.)

Supplier: Log Number: Date initiated:

Revision:

Attn: Part Number:

Expiration Date: Part Description:

Discrepancy:

Temporary specification allowed:

What is the Corrective Action? Owner Estimated Completion Date

Why should accept this deviation? (Required)

Product Engineer: Product Engineering Manager


Quality Manager: Process Engineering Manager
Supply Chain Mgr: Operations Manager
Originator: (Do not submit until all other signatures complete)
QAF-0089 REVISION "-" PAGE 1

You might also like