SHARDA MOTOR INDUSTRIES LTD.

SANAND
Internal Deviation Request Format

Deviation No. 01/06 - 21.06.2021 Total Qty.(Produced): 10 Nos

Supplier/Process/Raw material :Cermet Sintered Technology, Ahmedabad
Part No. SM TS 24 21 1017
Part Name - NGNA Outlet Sensor Boss
Customer-
Stages Raw Material Bought Out Parts F.O.A Stage In-Process Stage Final Stage
(Plz "Tick Mark") √
Deviation Detail- NGNA Outlet Sensor Boss (SM TS 24 21 1017) is manufatured by Sintered process against Machining Process.

Possible Effect On Final Product-

Proposed Corrective Action (By Concerned Department)-

Target Date For Corrective Action -

Department Asking For Deviation :

Name(of Initiator)- Name(Authorized Person)/ Deptt. Head

Signature Signature

Deviation Valid Upto: Date: Qty:

Deptt.Customer Functional Drawing Appearence ok/not ok Signature

/Internal Minor Major Nominal Minor Major Nominal Minor Major Nominal
QA √
Design
Purchase
Production

Customer Quality Head Signature: Deviation Accepted Deviation Rejected

Remarks (if any):