Scribd
Upload
1K views1 page

Supplier Deviation Request Form N°:: Part Description Part No: Revision PO Number

This supplier deviation request form provides details of a non-conforming part, including the part description and number, revision, purchase order number, supplier information, and date. It describes the requirement stated in the drawing or specification and the actual observed results or condition. It also includes containment actions, material disposition, effect on cost and delivery, corrective actions, and comments from quality and engineering. The final section indicates whether the deviation is approved or rejected, and if approved, the quantity of deviated parts accepted.

Uploaded by

BES
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
1K views1 page

Supplier Deviation Request Form N°:: Part Description Part No: Revision PO Number

This supplier deviation request form provides details of a non-conforming part, including the part description and number, revision, purchase order number, supplier information, and date. It describes the requirement stated in the drawing or specification and the actual observed results or condition. It also includes containment actions, material disposition, effect on cost and delivery, corrective actions, and comments from quality and engineering. The final section indicates whether the deviation is approved or rejected, and if approved, the quantity of deviated parts accepted.

Uploaded by

BES
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
You are on page 1/ 1

Supplier Deviation Request Form N°:

IDENTIFICATION
Part Description Part No: Revision PO number

Desired Quantity of Deviated


Supplier Plant Responsible Date
Units

DESCRIPTION
Requirement Stated on Drawing or Actual Observed Results or
Comments
Specification Condition
*SYMBIO will not approve deviation requests for non-conformances that affect form, fit or function without updating the specification.

# Containment Action Plan Due Date Resp.

NC Material Disposition Deviation Effect on Cost, Quality and/or Delivery

Due Date

Corrective Action(s)
# Action Item Responsible Person Due Date Status
1

SYMBIO Use Only- Architect, Engineering and Quality comments

Change Evaluation
Not Applicable Approve Reject Name Date
Architect
Manufacturing
Project manager
8D needed? Yes → N°: No

Strategic Risk? Oui → Program manager visa/date:


Comments:

Final Decision ● Approved Rejected


Deviation accepted for a Quantity of parts

471432607.xlsx 04/21/2020

You might also like