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5416 East Baseline Road, Suite 120, Mesa, AZ 85206 Phone: (480) 8327373 or (877) 6601IRB Fax: (480) 8327376 www.compassirb.com Protocol Deviation Report Form Instructions: Please read and complete.

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How to fill out the Deviation Report Form online

Filling out the Deviation Report Form is essential for documenting significant deviations in research protocols. This guide will provide you with clear, step-by-step instructions to ensure accurate and timely completion of the form online.

Follow the steps to complete the Deviation Report Form online

  1. Press the ‘Get Form’ button to access the form and open it in the editor.
  2. Begin by entering the sponsor's name in the designated field. Make sure to provide accurate details as this identifies the entity responsible for the research protocol.
  3. Fill in the protocol number assigned to the study. This is important for tracking the specific research activity your deviation relates to.
  4. Enter the principal investigator’s name clearly in the appropriate section. This identifies the individual overseeing the study.
  5. Complete the Compass IRB # field. This number is crucial for reference by the Institutional Review Board.
  6. In the Protocol Deviation Information section, list the significant deviations. Remember that these must be reported no later than ten working days from when you became aware of the event.
  7. Input the subject initials if applicable to maintain anonymity while providing necessary identification.
  8. Record the date of occurrence of the deviation. This helps in tracking timelines.
  9. Provide the date when the site was notified of the event or when staff became aware of it.
  10. Indicate whether the sponsor has been notified by checking 'Yes' or 'No' in the corresponding field.
  11. Respond to whether you received sponsor approval prior to the deviation and if this is being reported within ten days of discovery. If not, include a brief explanation in the space provided.
  12. If the deviation has occurred at your site previously during this study, please explain in the space provided.
  13. Detail the nature of the deviation in the ‘Describe the Deviation’ section, ensuring you provide a comprehensive overview.
  14. Explain the reason for the deviation clearly, aiding in understanding the circumstances surrounding it.
  15. Outline the corrective actions that have been taken to address the deviation and prevent recurrence.
  16. Describe the preventive actions that are being implemented to ensure the same deviation does not occur in the future.
  17. Certify the accuracy of the information by providing the name, title, and signature of the principal investigator or sub-investigator, along with the date.
  18. Finally, review the provided information for completeness before saving changes, downloading, printing, or sharing the form as necessary.

Complete your Deviation Report Form online today for efficient documentation and compliance.

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Deviation Handling As a part of Corrective and Preventive action (CAPA), if the deviation is once detected, then it needs immediate action (i.e., corrections), the root cause analysis should be done and systemic actions need to be implemented (i.e., corrective actions) to prevent non-conformances in the future.

Deviation Report means a report used to obtain approvals to temporarily modify or to document exceptions to usual operating, Manufacturing, packaging, testing instructions, test results or procedures.

When to raise a deviation: As soon a deviation occurs it should be immediately reported to Quality assurance (QA) within one working day from the time when the deviation has occurred or as per the Standard operating procedure (SOP).

In the context of AWO (Advanced Warehouse Operations) a Deviation is a process that happens within the generation of a Task to swap the initial Routing assigned to the Task being generated with a different one, based on the Warehouse definition.

A deviation report is a real-time recording of a deviation. It will contain the investigations of the root-cause analysis and the implemented corrective and preventive actions. Deviation reports are mandated for compliance with cGMP.

Anyone in the company can initiate a deviation report, but it is usually done by the responsible department. The deviation will be reported, up to 1 day after the discovery. It is necessary to be as clear and accurate as possible in the details provided when reporting a non-conformance to aid the investigation.

Description of the deviation: Include the who, where, what, when details in this section. Be specific, give exact and precise data. Do not attempt to give the “why” answer in this section. Detail only facts, data or observations prior to, during and/or after the event.

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