Example Design Review Form

Review By Design Control Job #

Attendees, if Meeting Called Review date

Product Name Attach copy of Contract Review

if performed.
Product Proposed - Feasibility
Is product based upon a current product?
If so, what current product?

Proposed Formula(s)
Stated customer requirements
including attribute or performance
requirements

Sample
Test procedure defined
Where tested & by who?
Test results & where filed

Is product stable in final form?

Courtesy of
General Product Design Concerns
Note any unusual
product concerns

Employee Concerns www.qs9000.com

Note any unusual
employee concerns www.16949.com
(eg.: protection required)

Environmental & Regulatory Concerns 513 777-3394

Note any unusual
environmental or regulatory
concerns
Packaging & Storage Concerns
Note any unusual
packaging & storage concerns

Transportation Concerns
Note any unusual
transportation concerns

Formula Approved Date

Initial Batch Sheet Initiated Date
Approval for plant production Date

Revision Date:
Date of Origin:
Originator:

Disk File Name: Design_Review_B.xls Page 1 Of 1 Printed On 1/28/01 At 5:15 PM.