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Engineering Change Request Form
ENGINEERING CHANGE REQUEST FORM
Requester Details
Requested By:
Ramya N
ECR Number:
ECR/201810111
Employee Code:
QA23
Site:
Corporate
Job Position
User
Entity:
Corporate
Change Details
Change Title:
Change in Actuator
Project Name:
Actuator Sub-Assy-TC
Part Name:
Handle Stem
Requested Date:
10/11/2018 12:47:44
Proposed Closure Request Date:
10/31/2018
Change Description
Change Category:
Date Change
Die change
Dimension change
Equipment change
Machinery change
Material change
Tooling
Type of Change:
Major Change (Class A) ( Production line cannot run without sign off)
Major Change (Class B) ( Production line can run after QC Associate has verified the parts are within specification. RFC form can then be circulated for approval. )
Minor Change (Class C) ( Production line can run if dimensions are within specification. RFC form can be submitted with the first off part to QC.)
Reason:
To change the design
Area of change:
Benefits of Change:
Capacity
Customer Satisfaction
Improve productivity
Improve quality
Prevent defect
Reduce unit cost
Technical Development
Risk Analysis
Select Risk Template :
Dimensions (if Required)
Capability
Compactibility
Critical Roughness
ES Test Report
Overlap study
Parts layout
Documents to Change
Design Risk Assessment
Dimensional Reports
Initial Process Studies
Measurement System Analysis Studies
PFMEA
Process Control Plan
Process Flow Diagram
Process Readiness Study
Production Purchase Order
Released Production Drawings
SPRD
Customer Notification Required
Does this change request require customer notification?
If YES, did customer approved the change requested?
YES
NO
Attachment
Supplier import Data sample.xlsx
Remarks:
Approval Section
Approvers
Comments
Approval Status
Rejection Status
Approved/Rejected Date
Implementation Section
Does this change needs a new project ?
Implemented By
Implementation Date
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Interim Action
Inspected by :
Total Sample(s) tested :
0
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Sample(s) OK :
0
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Sample(s) Not OK :
0
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Serial no.
Actual Value
Scrap Details
Sort Quantity
Sort Tag No.
Rework Quantity
Rework Tag No.
Scrap Quantity
Scrap Tag No.
Is Disposed
Red Tag #
Quantity Rejected
Date/Time
Inspected by :
Part Number
Rework Quantity
Part Name
Scrap Quantity
Process Name
Reject Reason
Operation #
Category
Operator
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