Deviation Impact Assessment Template
Equipment: Ultrafiltration/Diafiltration (UF/DF) Skid
Area: R&D/Production
Criticality: Critical
Product Impact: Direct
CSV Required: Yes
Deviation Details
Deviation Description: [Enter detailed description of the deviation here]
Date of Deviation: [Enter date]
Reported By: [Enter name]
Classification
Deviation Classification: [Enter classification e.g., Major, Minor]
Product/Patient Impact
Impact Assessment: [Describe potential impact on product and patient]
Data Integrity Impact
Data Integrity Assessment: [Describe impact on data integrity]
Affected Batches/Studies
Affected Batches/Studies: [List affected batches/studies]
Investigation
Investigation Summary: [Provide summary of investigation conducted]
Root Cause Analysis: [Describe root cause]
CAPA (Corrective and Preventive Actions)
CAPA Summary: [Outline corrective and preventive actions taken]
Re-test/Requalification Decision
Decision: [State decision regarding re-test/requalification]
QA Disposition
Disposition: [Enter QA disposition]