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5084132-03
3.5 Deviations to criteria of acceptance
If any deviations to the criteria of acceptance are found, the below table shall be filled out to
document that a corrective action has been initiated and/or finalized.
In case of deviations, which cannot be corrected on site, please contact the distributor of the
appliance for support in correction of the deviation(s).
DEVIATION REPORT
Deviation report no.
Type of deviation
Describe the deviation
Describe the correction of
the deviation
CHECKED/TESTED BY
DATE
SIGNATURE
VERIFIED BY
DATE
SIGNATURE