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useful for raising any deviations from the specifications.
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7/21/2019 Deviation Request Format
http://slidepdf.com/reader/full/deviation-request-format 1/4
Select from A , B , C
DEVIATION REQUE T
A : Requesting to cce!t out of st"# !rt#
B : Requesting to cce!t su$stitute !rt#
DEVIATION REQE TED
%ODE& CODE 'ART NE%BER 'ART NA%E A!!lic$le 'rt(A,C) A!!lic$le 'rt (A,C)
Su$stitute 'rt(B) Su$stitute 'rt(B)
REQUEST CAUSE
C`MEASURE
.
CONCERN DIVI ION DIVI ION REQUE TED
CO%%ENT(If necessr*) DIV DIV
C-EC+ED ISSUED
QE
CO%%ENT ACTION .UD/E%ENT (C-EC+ED E/)
Control No#
%0/#O'ERATION RE 'ON IB&E DE'#(E1 : E/ or BD A 23)
CO%%ENT A00ECTED VE-IC&ES E/ or 0
0RO%
～
%0/ QE
CO%%ENT RESU&T
Ｃ : Requesting for 'rts4ortge Ass*
C-
5DES'ATC- 5 A&&O6
5RE'&ACE 5DEN3
A''ROVED(Ｃ）
NA%E
SI/NATURE
DATE
NA%E
SI/NATURE
DATE
NA%E
SI/NAT
DATE
NA%E
SI/NAT
DATE
NA%E
SI/NATURE
DATE
NA%E
SI/NATURE
DATE
NA%E
SI/NATURE
DATE
Cse : C
7/21/2019 Deviation Request Format
http://slidepdf.com/reader/full/deviation-request-format 2/4
Cse A7B : DIV# REQUESTED 8 (CONCERN DIV#) 8 DIV# REQUESTED 8 QE 8 %0/#O'ERATION RES'ONSIB&E DE'#(E1 : E/ or BD ASS23) 8 0INA& INS'CTI
Cse C : DIV# REQUESTED 8 QE 8 %0/#O'ERATION RES'ONSIB&E DE'#(E1 : E/ or BD ASS23) 8 0ACTOR3 /rou! -e"# 8 0INA& INS'CTION
Cse A7B : In cse !!ro9er is $sent,it cn $e !!ro9e" $* QA itsef $ut sme s4oul" $e communicte" to t4e !!ro9er fterr"s#
Cse C : In cse !!ro9er is eit4er $sent or in B s4ift,it cn $e !!ro9e" it4 t4e consent of QE n" %0/ De!rtmnet $ut sme s4ou" $e communicte" to
As !er t4is rule,!rts4n"ling,ssem$l* n" 9e4iclemo9ement ill $e "one $* t4e "e!rtment 4o is !utting t4e request for "e9ition un"e
7/21/2019 Deviation Request Format
http://slidepdf.com/reader/full/deviation-request-format 3/4
DATE
; ;<=>?
+o*m In"i
C-EC+ED A''ROVED
RA%E No C-EC+ED
TO
C-EC+ED
QUANTIT3(VE-IC&ES)
C+ED B3 0 Ins!# A''ROVED(A,B)C-EC+ED(Ｃ)
RE
NA%E
SI/NATURE
DATE
RE
NA%E
SI/NATURE
DATE
NA%E
SI/NATURE
DATE
NA%E
SI/NATURE
DATE
Cse : A,B
QE:=@:0:=>
7/21/2019 Deviation Request Format
http://slidepdf.com/reader/full/deviation-request-format 4/4
ION
!!ro9er fterr"s#
t4e gui"nce of 'ro"uction(Res!onsi$le "e!
