TEMPLATESDEVIATIONFree Word (.docx) download

Deviation and Waiver Request Form Template

One Word form for a temporary, approved departure from a drawing, specification or procedure. It records the requirement and the proposed condition side by side, the reason and risk review, a hard quantity or date limit, a running usage record, and every approval, including the customer’s when the contract requires it.

Who this template is for

When to use it

Standards it supports

How to use this template

  1. State the requirement — copy the exact requirement with its drawing or document number and revision, next to the proposed or actual condition.
  2. Explain the reason and risk — say why the requirement cannot be met and what the departure does to form, fit, function, safety and reliability.
  3. Set a hard limit — limit it to a quantity, a date, or both, and list the extra controls while it is in effect.
  4. Get approval before use — collect quality, engineering and, where the contract requires it, customer approval before any affected product is made or shipped.
  5. Track usage and close — log each lot used against the limit, and close the request when the limit is reached, it expires, or an ECN makes the change permanent.

Tip: If you raise the same deviation a second time, stop and ask whether the requirement itself should change. Repeat deviations belong in an engineering change, not a stack of temporary permits.

What's inside the template

1

Request details

Request number, deviation or waiver, requester, customer, part and revision, drawing reference, affected orders

2

Requirement vs proposed

Each requirement as specified next to the proposed or actual condition and its reference

3

Reason and risk

Why it cannot be met, effect on form, fit, function and safety, and interim controls

4

Limits

Quantity limit, start and expiry dates, and whether the first limit reached ends it

5

Usage record

Each lot used, with a running total against the quantity limit

6

Approvals and closure

Quality, engineering, production and customer decisions, then how and when it was closed

Example: a completed template

Example Deviation request from Example Fabrication Co., a fictional bracket maker, to its fictional customer. The part, dimensions, quantities and dates are invented for illustration.

Request details

Request no. / typeDEV-026 / Deviation (before work)
Part / revisionBRK-210 rev C mounting bracket
DrawingBRK-210 rev C, note 4
Requested by / dateManufacturing Engineer, 2026-09-28
Affected ordersCustomer PO 55120, lots 1 and 2

Requirement vs proposed

Requirement (as specified)Proposed conditionReference
Hole A Ø8.00 +0.10 / −0.00 (8.00 to 8.10)Ø8.00 to 8.15 for this deviation onlyDrawing BRK-210 rev C, note 4

Reason, risk and controls

Limits and approvals

Quantity limit300 pcs
Expiry2026-11-30, or 300 pcs, whichever comes first
Approved byQuality Manager, Engineering Manager, customer SQE (2026-09-30)

Usage record

DateLotQtyRunning totalRemaining
2026-10-06Lot 1120120180
2026-10-20Lot 214026040

The math in this Example

How to fill in each field

FieldWhat to enterExample
TypeDeviation if approval is given before the work is done; waiver (often called a concession) if the product already exists and does not conform. Some customers use other names, so use their term on their forms.Deviation (before work)
Requirement (as specified)The exact requirement, copied from the controlled drawing or document, with its number and revision.Hole A Ø8.00 +0.10 / −0.00, drawing BRK-210 rev C
Proposed / actual conditionWhat the product will be, or is, in the same units and format as the requirement, so the gap is obvious.Ø8.00 to 8.15
ReasonWhy the requirement cannot be met right now. “Schedule” on its own is not a reason a customer will accept.Specified reamer on back order
Effect on the productForm, fit, function, safety, reliability and any regulatory effect, with who confirmed it.Clearance 0.20 max; fit confirmed by customer engineer
Interim controlsExtra inspection, identification or segregation while the deviation is in effect.100% bore gauge check; containers labeled with DEV no.
Quantity limit / expiryA number of parts, a date, or both. Never open-ended. Say whether the first limit reached ends it.300 pcs or 2026-11-30, whichever first
Usage recordEach lot used, with a running total, so anyone can see what is left before the next lot starts.Lot 2: 140 pcs, running total 260
ApprovalsEach function’s name, decision and date. Include the customer whenever the contract or the customer’s requirements call for it.Customer SQE, approved 2026-09-30
ClosureWhy it closed (limit reached, expired, or made permanent by an ECN) and the ECN number if there is one.Closed, limit reached; ECN-118 raised to widen tolerance

Common mistakes

Frequently asked questions

What is the difference between a deviation and a waiver?

A deviation is approved before the work is done, for a limited quantity or time. A waiver (often called a concession) accepts product after it was made and found not to conform. The terms vary by industry and customer, so use the definitions in your customer’s requirements.

Is a deviation the same as an engineering change?

No. A deviation is temporary and expires at its limit; the drawing or procedure stays as it is. An engineering change permanently revises the requirement. If you need the same deviation repeatedly, raise an ECN.

Does the customer have to approve every deviation?

It depends on the contract and the customer’s requirements. Automotive and aerospace customers commonly require approval for any departure from an approved product or process. When in doubt, ask before you make parts.

Should a deviation have a quantity limit or a date limit?

Either works, and many forms use both with “whichever comes first”. A quantity limit is easier to control on the floor; a date limit stops a slow-moving deviation from staying open indefinitely.

How do I identify parts shipped under a deviation?

Label each container with the deviation number, record the lots on the usage record, and follow any marking the customer asks for, so the parts can be traced if a problem shows up later.

See also

COPLAIN AI PLATFORM

Generate yours automatically from your existing docs

When a deviation turns into a permanent change, describe it to Coplain’s Document Update Assistant and it places the edit in each affected procedure and returns a redlined Word file for review.

Generate yours automatically with Coplain →

Related Tools & Templates