Product Deviation Report

Quality Issue

Entire below section must be completed unless otherwise indicated. Please be as detailed as possible in the description of the product and its deviation.

Date

Customer Name

Customer PO#

Customer Item #

Contact Name

Contact Email

Product Description

Future PolyTech Job #

Defect

Defective Material Roll #/Carton #

Total Amount of Deviated Product:

Deviated Product Disposition - On Hold

Deviated Product Disposition - Disposed Of*

Deviated Product Disposition - Used

Deviated Product Disposition - Other**

Notes:
*Product can be disposed of only after managerial approval.
**If amount is entered for "Other" disposition, please describe the product's status:

Enter a DETAILED Description of Deviation here(provide photos if possible)

Describe any changes to product usage requirements, specification requirements, etc. that may have occurred:

Photo Upload (if applicable)

Accepted file types: jpg, gif, png, pdf, Max. file size: 32 MB.

Product Deviation Report

Quality Issue

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