Manufacturing Deviation Form
PART 1 – RECORD OF MANUFACTURING ISSUE
To be completed by the contractor for Technical Queries, Production Permit or Concession requests
Contractor: / INS appointed Inspector:Email: / Email:
INS Contract No.: / Contractors Ref No
Project Title:
Part No/Serial Number or Drawing Number Reference
(Contractor to quote any NCR reference No.)
Description of Issue (and proposed solution where applicable)
Raised By: / Date:
Sent to INS point of contact / Date:
Once Part 1 is completed the Contractor sends the form to the INS Point of contact. Parts 2 and 3 will be completed by INS
PART 2 – CATEGORISATION OF MANUFACTURING ISSUE
To be completed by INS Responsible Engineer
Part 1 Received and sentenced by: / Print: / Sign / Date:Manufacturing Issue Categorised as (tick as appropriate)
Concession / ☐ /
Production Permit / ☐ /
Technical Query / ☐ /
UniqueReference Number
Once Part 2 is completed,informcontractorof reference number and category (i.e. concession, production permit or technical Query). CC: Inspector and Project Manager
INS/PROM/088/F06 12/05/17 v. 2
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PROM 088 - F06
PART 3 – PRODUCT QUALITY ASSURANCE RECORD
To be completed by the INS Responsible Engineer
- Additional Description of Issue or Comments (if required)
2.Design input required? / Yes ☐ No ☐ (If no go to Section 3)
Please provide evidence and further information using Appendix A if required
3. Identify specialist input / Yes ☐ No ☐ (If no go to Section 4)
Please provide evidence and further information using Appendix B if required
5. Additional input
(including evidence) / Yes☐ No ☐ (QA, Inspection, PM, Operations)
Comments:
Responsible Engineer Approval: / Print: / Sign:
Date:
Once Part 3 is completed then return approved MDF form to requestor/ Contractor. CC Inspector and Project Manager
Appendix A: (Design input; details including responsible person and signature)
Appendix B: (Specialist input; details including responsible person and supporting information)
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