Deviation & CAPA Report

Document any departure from procedure or specification, and the corrective action taken

Deviation No.

Date Identified

Reported By

Batch / Lot

Area / Process Stage

Product

Severity

Product Impact?

1 · Description of Deviation

2 · Immediate Action Taken

3 · Root Cause Analysis

4 · Corrective & Preventive Action (CAPA)

5 · Disposition of Affected Material

QA Approved By

Date Closed

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