Deviation Impact Assessment Template
Equipment Details
Equipment: Microencapsulation Reactor / Vessel
Area: R&D/Production
Criticality: Critical
Product Impact: Direct
CSV Required: Yes
Deviation Details
Deviation Description:
Classification
Classification of Deviation:
Major
Minor
Critical
Product/Patient Impact
Impact Assessment:
Data Integrity Impact
Data Integrity Assessment:
Affected Batches/Studies
List of Affected Batches/Studies:
Investigation
Investigation Summary:
Corrective and Preventive Actions (CAPA)
CAPA Plan:
Re-test/Requalification Decision
Decision:
QA Disposition
QA Disposition:
Signature
Prepared By:
Date: