Deviation Report Form

A Deviation report form is needed to be prepared when there is some kind of deviation found in manufacturing or in any other related process. Since, deviation can cause a violation of company’s standard quality, design and manufacturing policies, therefore, it is necessary to make a thorough report of such deviation, its causes and consequences.

Sample Deviation Report Form

General Information

Company Title______________  Company Registration Number__________

Company Business Type___________

Address_____________  Phone___________  Email__________ Fax_______

Report Prepared by: Name__________ Designation___________ Department________
Deviation Report Information

Project Title___________  Number___________

Date of Deviation Found___/___/___ Department/Unit Where Deviation

Reported_____________  Head of Department___________  Phone___________

Main Investigator of this Issue_________________  Phone__________  Mail_________

Nature of Deviation: Significant/Non Significant___________

Manufacturing Related/Other______________

Quality Norms Violated____________ Safety Measures Violation__________

Non-Compliance with Company Policy___________

Brief Description of Deviation______________

Any Customer, Distributor complaints received due to this deviation________________

Immediate actions taken to correct that deviation______________

First person whom deviation was reported________

Mention the preventive actions/measures for such kind of deviation _________________

Signature___________  Date___/___/___

Category: Report Forms