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Supplier Engineering Deviation Form

This document is a supplier engineering deviation request with information about a requested deviation from specifications. It includes details about the supplier name and plant, part number and name, quantity, and the individual requesting the deviation. Section 1 lists the control characteristic and requested characteristic. The reason for request is stated but details are not provided. The next sections are for approvals, disposition, engineering distribution, and corrective action response. This last section asks for a description of the problem, cause of the problem, and corrective actions to prevent recurrence with details, estimated completion dates, and responsible individuals.

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Kamal Bhandari
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145 views2 pages

Supplier Engineering Deviation Form

This document is a supplier engineering deviation request with information about a requested deviation from specifications. It includes details about the supplier name and plant, part number and name, quantity, and the individual requesting the deviation. Section 1 lists the control characteristic and requested characteristic. The reason for request is stated but details are not provided. The next sections are for approvals, disposition, engineering distribution, and corrective action response. This last section asks for a description of the problem, cause of the problem, and corrective actions to prevent recurrence with details, estimated completion dates, and responsible individuals.

Uploaded by

Kamal Bhandari
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Supplier Engineering Deviation Request

Page 1 of 2

Supplier Name: Originated Date: EDR Number:

Supplier Plant:: Part Number: Supplier Part Number:

Address: Part Name: Quantity:

City, State and Zip Code:

Individual Requesting Deviation: Address:

Title: City, State and Zip Code:

Supplier’s Sales Person: Purchasing Agent::

Is this product used by more than one plant or by a location different than Purchasing Location? If so, what are the names of using locations?
Yes ✘ No

Item Control Character


Number Symbol Characteristic Requested Characteristic
1

Reason for Request:

Following Sections for Use Only


Approvals DispositionEngineering
Distribution

Corrective Action(s) Response


Description of Problem: (Should be detailed as practical, giving a clear statement of the problem. Provide back-up information as needed.)

1310-2 REV C
Date: April 2018 Approved By: Jay DeVeny
Supplier Engineering Deviation Request
Page 2 of 2

Cause of Problem: (Specific details are needed.)

Parts are as per

Corrective Action(s) to Prevent Recurrence: (include specific action, estimated date of completion, and responsible individual(s). Include both short and
long term solutions.)

Completed By:

Title:

Date:

1310-2 REV C
April 2018

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