Supplier NC Purchase 1 Date 2 LH NC Number 3 4 Number Order S/N / Batch Grade/ LH DWG LH PN 5 6 7 8 N. Criticality Defective P/N Description 9 Batch Qty 10 11 Qty Supplier Name 12 13 Deviation(s) Description 14 Department Originator Signature Date 15 16 17 18 Deviation(s) Cause 19 Department Inspector Signature Date 20 21 22 23 Effect on delivery” 24 “on-time
Supplier NC Number 1 Date 2 LH NC Number 3 Purchase Order 4 LH PN 5 S/N / Batch N. 6 Grade/ Criticality 7 LH DWG 8 P/N Description 9 Batch Qty 10 Defective Qty 11 Supplier Name 12 13 Deviation(s) Description 14 Department Originator Signature Date 15 16 17 18 Deviation(s) Cause 19 Department Inspector Signature Date 20 21 22 23 Effect on “on-time delivery” 24
body_QRS_107_F02_Deviation_Permit_form_and_instructions_02.docx