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Supplier Deviation Request Form

This document is a supplier deviation request form used by GE Power & Water. The form contains sections for suppliers to describe any non-conformances or proposed changes to orders, as well as sections for GE personnel to provide disposition comments, authorize the request, and close out the deviation request. The form includes fields to document details of the requested deviation such as part numbers, drawings, purchase orders, and personnel involved.

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jainik shah
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359 views

Supplier Deviation Request Form

This document is a supplier deviation request form used by GE Power & Water. The form contains sections for suppliers to describe any non-conformances or proposed changes to orders, as well as sections for GE personnel to provide disposition comments, authorize the request, and close out the deviation request. The form includes fields to document details of the requested deviation such as part numbers, drawings, purchase orders, and personnel involved.

Uploaded by

jainik shah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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g GE Power & Water Sourcing Quality Forms

Supplier Deviation Request Form


SPS-PSSQMF-0190
Rev: 1.7
Supplier Deviation Request Form SPS-PSSQMF-0190
GE Power & Water Sourcing GSL Code Sequence #

(9 Char) (4 Char)
1. THIS SECTION TO BE COMPLETED BY SUPPLIER:

Non Conformance: (Description and reason for proposed Change) Supplier Ref #:
Buyer Name:
Buyer Code:
# Pages Attached:
Supplier Name:
Supplier Contact:
Phone #
Material Substitution
Fax #
From: Spec: To: Spec:
Date (DD/MM/YY):
Class: Class:
Purchase Order #: PO Line:
Other SDRs Submitted For This Part:
Qty. Def #
Dwg. # Rev. #:
Corrective Action: (action taken to prevent reoccurrence of
Dwg Name:
deviation)
Dev. Code: Cause Code:
C/A Ref. No: C/A Required (Y/N)
Design Change Req. For Future Orders :
Mat Spec #
Lot/Serial #:
2. DISPOSITION COMMENTS / SPECIAL INSTRUCTIONS Casting Serial:
Region:
GE Business:
SQE Name:
SQE Code:
SQE Location (Bldg* Room):
Eng Code:
Drawing Change Req. Field Mod. Required GEGS Code:
Turbine#:
Supplier Disposition Acknowledgment.
Model # / Framesize:
Name: Date:
Shop Order # :

GE PROPRIETARY AND CONFIDENTIAL UNCONTROLLED WHEN PRINTED Page 1 of 2


g GE Power & Water Sourcing Quality Forms

Supplier Deviation Request Form


SPS-PSSQMF-0190
Rev: 1.7

3. AUTHORIZATION:
OK REJECT SIGNATURE DISTRIBUTION NAME DATE

Product Services / /

Sourcing Quality / /

Design Engineering. / /

Materials Eng / /

Production Eng. / /

Manufacturing Eng. / /

Other (Specify) / /

4. DISPOSITION CODE: 5. C/A IMPLEMENTED: 6. SDR Close Date:

GE Power & Water Sourcing Quality Forms


Title: Supplier Deviation Request Form
Reference: SPS-PSSQMF-0190
Revision: 1.7
Application Date: 9/10/2013 3:17:56 AM
Expiration Date: 9/10/2016 12:00:00 AM
Author: Otto Zamek

GE PROPRIETARY AND CONFIDENTIAL UNCONTROLLED WHEN PRINTED Page 2 of 2

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