Deviation Impact Assessment Template
Equipment Details
Equipment: DCS (Distributed Control System)
Area: Production
Criticality: Critical
Product Impact: Direct
CSV Required: Yes
Deviation Details
Description of Deviation:
Classification
Classification of Deviation:
Minor
Major
Critical
Product/Patient Impact
Assessment of Impact:
Data Integrity Impact
Assessment of Data Integrity Impact:
Affected Batches/Studies
List of Affected Batches/Studies:
Investigation
Investigation Details:
CAPA (Corrective and Preventive Action)
Proposed CAPA:
Re-test/Requalification Decision
Decision on Re-test/Requalification:
QA Disposition
QA Disposition: