INVEN PHARMACEUTICALS PVT. LTD. Dhar (M.P.
SOP No. : QAD 018
Page 1 of 2
ANNEXURE- I
DEVIATION FORM
Description of the Deviation: (Describe clearly about the deviation)
Deviation Type: Planned / Unplanned
Product details if any:
Reasons if any are known:
Initiated By: Department:
Name Designation Sign. Date
Deviation No.: To be assigned by QA
Analysis and Impact Assessment - Department Head;
Designation Name Sign Date
Evaluation and Impact Assessment by Quality Assurance:
Approval of Deviation: Strike out what is not applicable
The deviation is hereby Approved /Rejected
Head QA: Sign. Date.
QAD/018/F1/R01
INVEN PHARMACEUTICALS PVT. LTD. Dhar (M.P.)
SOP No. : QAD 018
Page 2 of 2
Corrective Actions Proposed:
Preventive Actions Proposed
Head QA Sign: Date
Closure of Deviation/ comments if any:
Head QA Plant Head
Sign Date Sign. Date
Head of the Department : Signature: Date:
Head - Quality Assurance : Signature: Date:
QAD/018/F1/R01