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Deviation List & Form

This document is a deviation record for a lifting solutions company. It summarizes a nonconformance with a part, including the part name and number, reason for deviation, short term action requested to address the issue, who is responsible for the short term action and target date, long term corrective action planned through an 8D or CAPA process and target date, and space for authorization signatures.

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Rohit Attri
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877 views

Deviation List & Form

This document is a deviation record for a lifting solutions company. It summarizes a nonconformance with a part, including the part name and number, reason for deviation, short term action requested to address the issue, who is responsible for the short term action and target date, long term corrective action planned through an 8D or CAPA process and target date, and space for authorization signatures.

Uploaded by

Rohit Attri
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 Record

Pioneer in Lifting Solutions

Sr no Deviation No. Date Part Name Part No. Operation Reason for deviation Short term action Responsibility Target Long Term Corrective Target Remarks Status
request Date Action (8D, CAPA) Date
Doc No PLS/QA/DC/03

DEVIATION FORM Rev No R0


Pioneer in Lifting Solutions Rev Date 0

Part Name:- Deviation No.:-

Part No.:- Date:-

Model :- Total Quantity :-

Functional Area :- Deviated Qty :-

1. Description of NC:-

2. Reason for NC & Impact on product quality:-

3. Deviation Request :-

Person`s (Request raised by) (Signature Required):-

4. Short Term Action Required:- Target Date:-

Person`s Responsible (Signature Required):-

5. Long term corrective action (8D, CAPA):- Target Date:-

Person`s Responsible (Signature Required):-

Approved:- Approved with limitations( See Comments below)

6. Comments and limitations:-

7. Authorization Signatures / Date:-


Sr No Name Department Signature

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