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Temporary Deviation Request

The supplier is requesting a temporary deviation from using ODPA material in production due to being out of stock. The supplier will continue production without ODPA, which affects the pipes minimally based on a risk assessment. The suggested corrective action is to find a new supplier for the ODPA material. The deviation request details the reason for the deviation is lack of material from the current supplier due to environmental law changes.

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Sead Zejnilovic
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776 views3 pages

Temporary Deviation Request

The supplier is requesting a temporary deviation from using ODPA material in production due to being out of stock. The supplier will continue production without ODPA, which affects the pipes minimally based on a risk assessment. The suggested corrective action is to find a new supplier for the ODPA material. The deviation request details the reason for the deviation is lack of material from the current supplier due to environmental law changes.

Uploaded by

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

Suppliers to complete areas with asterisk (*)


Key Fields
*Deviation Number: 01 Equipment/System Type Deviation Initiator
Supplier name - Equipment Customer:
Requester´s name Sead Zejnilovic System *Supplier:
*PO Number: 40-110 mm rör & 1, 1/4 till 2 tum rör Internal:
*Quantity affected: alla *Deviation Type
Deviation Request: Labor:
Continue to run production without ODPA material Material:
Process:
Dimension:
Specification:

*Identification
Customer/Supplier/Internal: Internal Date: 2018-09-06
Description: Missing material Material: ODPA
Supplier No.: Serial No / LOT No.: See specific date affected
Procedure/Work Instruction & Revision: Work Order/Job No/ Project No. / Sales Order No.:

Drawing No./Purchase Specification: Test Specification/Method & Rev.: Risk assessment performed
Effective Date:2018-09-07 Final Date:2018-10-07
Originator: Phone: Email:

*Deviation Request Details / Reason for Deviation (Root Cause)


Supplier is out of stock of this specific material (ODPA) and will not produce any new due to change in the environment laws in this
country. LK Pex is forced to run their production without this material to not stop the production at our customer.
Construction of the pipe´s are affected on it´s very minimum, this is based on the risk assessment that LK Pex performed earlier.

*Suggested Corrective Action(s)


Look for a new supplier for this material (ODPA)

Records (check all that apply) Documents (check all that apply)
Inspection Check Sheet Process Flow Diagram Operator Instructions JSA
Lot Control Sheet Other (define): Other (define):

******Attach copies of updated records and/or documents with highlighted changes******

SAP Change
Update Production Order BOM (Bill of Materials) Yes No
Item(s) to Remove: Material ODPA
Temporary Deviation Request (06/09/2018) Page 1 of 3
Temporary Deviation Request

Item(s) to Add

Training Acknowledgment (if required)


Signature of trained personnel:
1st Shift Supervisor:
2nd Shift Supervisor:
3nd Shift Supervisor:
Other personnel:

Approvals (Manager or designee)


Required Approved
Signature
Signature
Quality Manager (required): Date:
Customer Service: Date:
Industrial Engineering Manager: Date
Manufacturing Manager: Date:
Design/Materials Manager: Date:
Purchasing Manager: Date:
Project Manager: Date:
Plant Manager/CEO: Date:
: Date:

Supplier Related deviation requests:


Email this request and supporting documents to the Buyer listed on the PO

Temporary Deviation Request (06/09/2018) Page 2 of 3


Temporary Deviation Request

INSTRUCTIONS FOR COMPLETING DEVIATION REQUEST


1. General
a. The Deviation Request is used by a supplier or internally to Evoqua to document a request for a change to
a product or process. For purchased / supplier requested deviations, the supplier must submit the
Deviation request through the Buyer listed on the PO.
2. Instructions: Supplies are to complete all fields marked with an asterisk [*]
Key Fields
Deviation Number – The unique number for each Deviation Report
Suppliers follow this format for deviation number: DEV-Supplier Name-date of deviation
Evoqua – follow this format for deviation number: DEV-EWT Plant#- date of deviation
 Deviation Point – The point in the overall process where deviation will occur
 Job Number – SAP Project Number
 *PO Number – Purchase Order Number
 *Quantity affected -
 *Equipment/System Type –
 *Deviation Initiator – Source of the Deviation request
 *Deviation Type – Identify the part of manufacturing/fabricating the Deviation effects

*Identification Section
 Customer/Supplier/Process – Name of entity or requesting Deviation
 Date – Date report is filed
 Description – Brief description of request
 CAR No – Enter the CAR No if one is issued
 SAP WT No – Part number effected
 Serial No / LOT# -
 Procedure/Work Instruction & Revision – Enter required for Internal Deviation requests only
 Work Order/Job No, Sales Order No. / Project No.
 Drawing No./Purchase Specification -
 Test Specification/Method & Rev -
 Effective Date – Date when the accepted Deviation will start
 Final Date - Date when the accepted Deviation will end
 Originator – Person filing the Deviation Report
 Phone – Originator’s phone number
 Email - Originator’s email address
*Deviation Request Details – Specific details of Deviation request
*Reason for Deviation / Root Cause - Specific details of the reason the deviation is needed and the Root Cause, if
identified
Records - (check all that apply or add record if not listed)
Documents - (check all that apply or add document if not listed)
SAP Change – Identify changes required in SAP for this deviation
Training Acknowledgment (if required) Personnel associated with process deviation must sign off when trained

Approvals (Manager or designee) – Signature of managers approving this specific Deviation request

Temporary Deviation Request (06/09/2018) Page 3 of 3

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