Scribd
Upload
2K views

Deviation Request Form: Contractor Approval For Deviation

This deviation request form documents a proposed change from specified requirements, the potential impacts of the change, alternatives considered, and approval from the contractor and client. It includes the deviation title and number, unit affected, referenced documents, description of deviation, proposed corrective action, impacts on design, safety, availability, schedule, and other factors, and signatures for approval.

Uploaded by

satheesh
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
2K views

Deviation Request Form: Contractor Approval For Deviation

This deviation request form documents a proposed change from specified requirements, the potential impacts of the change, alternatives considered, and approval from the contractor and client. It includes the deviation title and number, unit affected, referenced documents, description of deviation, proposed corrective action, impacts on design, safety, availability, schedule, and other factors, and signatures for approval.

Uploaded by

satheesh
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 1

DEVIATION REQUEST FORM

Deviation Title: Date:

Deviation No:

Unit:

Document Reference:
Description of Deviation:

Corrective Action Proposed:

Deviation impacts on ( If yes, describe within Description of Deviation above)

Design/compatability with specified Yes/No Health, Safety & Yes/No


requirements Environmental factors
Availability Yes/No Life cycle cost Yes/No
Project schedule Yes/No Others Yes/No
Alternatives Considered :

CONTRACTOR APPROVAL FOR DEVIATION


Position Name Signature Date

Originator

Project manager

CLIENT APPROVAL FOR DEVIATION


Final Decision by Client
□ Approved □ Rejected
Note:

Name Signature Date

Format No: LTHE-SYN-G-FR-001

You might also like