Batch Information

Product Name

Batch Number

Manufacturing Date

Expiry Date

Manufacturing Site

Deviation Details

Deviation Number

Date of Deviation

Department

Reported By

Description of Deviation

Immediate Corrective Action

Investigation & Impact Assessment

Root Cause Analysis

Impact Assessment

CAPA (Corrective and Preventive Actions)

CAPA Proposed

Responsible Person

Target Completion Date

Review & Approval

QA Reviewer

Review Date

Approved By

Approval Date