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Deviation Form

Uploaded by

Nontawat Deetthong
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
19 views

Deviation Form

Uploaded by

Nontawat Deetthong
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Deviation Report

Dr No. ___________ / _____

Date____________________

Initiator ______________________________________ Department____________________________

Process/Machine No.____________________________________________________________________

Product_______________________________________ Batch No. _____________________________

Deviation Detail :

Written by : _____________________________________ Date : _______________________


Approved by : ___________________________________ Date : _______________________ (QA)
Risk Assessment :

Written by : _____________________________________ Date : __________________


Reviewed by : ___________________________________ Date : __________________ (QA)
Approved by : ___________________________________ Date : __________________ (Head of QA)
Correction :

Written by : _____________________________________ Date : _______________________


Approved by : ___________________________________ Date : _______________________ (QA)
Correction Results :

Written by : _____________________________________ Date : _______________________


Approved by : ___________________________________ Date : _______________________ (QA)
Root Cause Analysis :

Written by : _____________________________________ Date : _______________________


Approved by : ___________________________________ Date : _______________________ (QA)
Corrective Action :
Description Plan Date Done Done By

Written by : _____________________________________ Date : _______________________


Approved by : ___________________________________ Date : _______________________ (QA)
Preventive Action :
Description Plan Date Done Done By

Written by : _____________________________________ Date : _______________________


Approved by : ___________________________________ Date : _______________________ (QA)
Document must be review :
Description Plan Date Done Done By

Written by : _____________________________________ Date : _______________________


Approved by : ___________________________________ Date : _______________________ (QA)

All activities done and deviation status close

Reviewed by : ___________________________________ Date : __________________ (QA)

Approved by : ___________________________________ Date : __________________ (Head of QA)

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