Deviation Impact Assessment Template
Equipment Details
Equipment: Lyophilizer (Freeze Dryer) – NDDS
Area: Production
Criticality: Critical
Product Impact: Direct
CSV Required: Yes
Deviation Details
Description of Deviation:
Classification
Classification of Deviation:
Major
Minor
Critical
Product/Patient Impact
Potential Impact on Product/Patient:
Data Integrity Impact
Impact on Data Integrity:
Affected Batches/Studies
List of Affected Batches/Studies:
Investigation
Investigation Summary:
CAPA
Corrective and Preventive Actions (CAPA):
Re-Test/Requalification Decision
Decision on Re-Test/Requalification:
QA Disposition
QA Disposition:
Approved
Rejected
Pending
Additional Comments