Deviation format/Templates in Pharmaceutical industry

Logo of company	Company Name Deviation control Form	Deviation No:_____________ Date             :_____________
Name of the department:
Details of deviation:
Justification :
Initiated by:                                                                         Reviewed By: (Concern Dept Designee: )                                               (Concern Dept Head: )
Page No: 01 of 03

Logo of company	Company Name Deviation control Form	Deviation No:_____________ Date             :_____________
Impact on other Department : Department Name: Comment: Department name: Comment:
Comment Of QA Designee:
Comments of Head QA: Approved/Reject
Page No: 02 of 03

Logo of company	Company Name Deviation control Form	Deviation No:_____________ Date             :_____________
Corrective preventive action (CAPA):
Closing Of the deviation:
Closed By: Date Closing:
Page No: 03 of 03