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Deviation Request From Department: Name of Requester: Date of Request

This document is a deviation request form containing sections for customer and part information, details of the requested deviation such as whether it is product or process related and permanent or temporary, corrective and preventive actions taken, areas for approval signatures and disposition details such as if a drawing change or corrective action is required. The form is used to request approval to deviate from standard processes or requirements.

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Dinesh
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2K views2 pages

Deviation Request From Department: Name of Requester: Date of Request

This document is a deviation request form containing sections for customer and part information, details of the requested deviation such as whether it is product or process related and permanent or temporary, corrective and preventive actions taken, areas for approval signatures and disposition details such as if a drawing change or corrective action is required. The form is used to request approval to deviate from standard processes or requirements.

Uploaded by

Dinesh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
  • Deviation Request Form

Deviation Request from Department :

Name of Requester :
Date of Request :

A. Customer Information B. Part Information


Part Number:
Description:
Customer Name : Revision:
Process:
Quantity affected:
C. Deviation Information
Deviation Request is:
Product Related o
1st Time o
Permanent o
Repeat
Temporary o Duration
o
Process Related o
Current Requirement Requested Deviation Reason for Deviation

D. Corrective Action Taken E. Preventive Action

F. Approvals Signature Date Approve / Disapprove


Management
Quality
Production
Purchasing
G. Disposition
Drawing Change
Required?
Corrective Action Yes o No o If Yes ECR / ECO Number:
Request Yes o No o If Yes CA Number:
Required?
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