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b i o l ine
Deviation Report
Deviations to the criteria of acceptance are to be documented in the deviation report. A separate deviation
report shall be made for each deviation. Mark the entry with the relevant “P-ID” specied in the left column
in the test specications.
P-ID:
Description of deviation:
Extent to which the deviation has been alleviated:
Additional notes:
Additional notes:
Organisation / Responsible party:
Stamp & Signature
Tel.
E-mail
Location & Date
Trainer / Responsible party:
Stamp & Signature
Tel.
E-mail
Location & Date
Model: ________________________ SN: ________________________ Model: ________________________ SN: ________________________
Person responsible for test: Person responsible for verication of test:
Name:
Date:
Organisation:
Signature:
Name:
Date:
Organisation:
Signature:
Approval of test results – Performance Qualication (PQ)
The steps in the Performance Qualication – PQ were completed with positive results
The steps in the Performance Qualication – PQ were completed with negative results
ID of steps with negative results: