Deviation / Waiver Request · editor

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Document number
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Revision
A
Effective date
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Owner
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Draft
Request identification
Deviation / waiver no.
Type (deviation / waiver)
Product / part / process
Requested by
Requirement being departed from

Identify the specification, drawing (with revision), or requirement the departure applies to, and describe the departure.

Scope of departure
Quantity / lots affected
Duration / effectivity
Expiry / expiration condition
Justification

Explain why the departure is requested and why it is acceptable.

Risk assessment

Assess the impact on fit, form, function, safety, reliability and regulatory compliance, and any mitigations.

Disposition & concession authority
Disposition (approve / reject)
Conditions / limitations
Concession / authorizing authority
Date
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