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Deviation Form

This deviation request form provides details of a defective batch of parts, including the part number, lot size, defective quantity, and proposed countermeasures to prevent future issues. It seeks special approval to use the parts despite defects and notes potential monetary losses and line stoppages if not approved. Key sign-offs are required from relevant department heads and production to approve or not approve the request.

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thindmanmohan
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735 views4 pages

Deviation Form

This deviation request form provides details of a defective batch of parts, including the part number, lot size, defective quantity, and proposed countermeasures to prevent future issues. It seeks special approval to use the parts despite defects and notes potential monetary losses and line stoppages if not approved. Key sign-offs are required from relevant department heads and production to approve or not approve the request.

Uploaded by

thindmanmohan
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
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DEVIATION REQUEST FO

FM/QA/5433
PART NO

LOT SIZE

PART NAME

DEFECTIVE QTY.

MODEL

INSPECTED QTY.
TO MEET
DELIVERY

COUNTERMEASURE FOR
PREVENTING THE REOCCURANCE

CAUSE OF OCCURANCE

DEFECTS CONTENTS

REASON OF SPL APPROVAL

SPECIAL APPROVAL REQUEST DEPARTMENT

Rev 00

SPECIAL APPROVAL CONDITION

Page

of

MONETERY
LOSS MORE

END CUSTOMER
LINE STOPAGE

SPECIAL APPROVAL CONDITION

Disposition

Requisitor Deptt. Head Sign.

APPROVED /
NOT APPROVED

MONTH :

HEAD
ENGINEERING

DATE :

Page

of

QAP/Wagon 7100, Rev 00

UEST FORM
Rev 00

Page 1 of 1

DEVIATION CATEGORY
STAGE-INCOMING / INPROCESS / FINAL
STAGE / OTHERS

REQUESTED DEPTT.

PRODUCTION

SEC. INCHARGE
DEPTT. HEAD

Page

of

APPROVED /
NOT APPROVED

RECOMMENDED /
NOT RECOMMENDED

HEAD QA

PLANT HEAD

Page

of

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