Company Name
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Quality Assurance Department
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Batch Manufacturing
Deviation (Un-Planned) & CAPA Record
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Form No:
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Issue Date:
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Revision No:
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Product
Name: __________________ Batch
No.: __________________
Mfg. Date: _____________________ Exp. Date: __________________
Sr.No.
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Date
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Deviation
Number
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Deviations
Observed and its CAPA (if any)
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Remarks
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