Srctec WAIVER / DEVIATION FORM

IS0 9001 Reg. (WDR) WAIVER / DEVIATION REQUEST

Supplier Fill Out This Section Supplier Internal Customer Supplier Name PO# NCP Date Supplier Contact QTY Part Number Part Desc Serial Number(s) Rev *Request Waiver Deviation

* Use waiver when nonconformance is found after manufacturing, deviation, if before manufacturing. Description of Nonconformance:

Causes:

Correction: (Supplier only - Include statement indicating time for replacement parts, if waiver is disapproved)

SRCTec Fill Out This Section WDR # Program Contract Name Number Class 1 Class 2 Design Engineering Analysis:

Comments: Disposition Use As Is Repair

Waiver Approvals: Signatures required: Customer - All Internal – PM, QE Supplier – QE, DE, Purch. Quality Engineer: Date

Manufacturing Engr: Date

Materials: Date

Purchasing: Date

Design Engineering: Date

Program Manager: Date

DCMA/Customer: Date

Approved Disapproved WDR #

of 1 Revised 3/3/14