VALIDATION / VERIFICATION REPORT AFTER UNEXPECTED 4 M CHANGE

PRODUCT:- LINE- DATE :

PROCESS:- CUSTOMER- SHIFT :

UNEXPECTED CHANGE (MARK) :- MAN MACHINE MATERIAL METHOD OTHERS

CHANGE POINT (DETAIL) :-

OBSERVATION (CHANGE) REMARKS

S No SPEC (PROCESS & BEFORE UNEXPECTED CHANGE AFTER UNEXPECTED CHANGE

PRODUCT]
1 2 3 1 2 3

2
3

6
7

10

RESULT CONFIRMATION STATUS

Inspected by:

Approved by :-

Sign (QA ):-

 4M CHANGE RECORDING - Daily Sheet
Change Category Signature
Immediate Action / Risk
Shif

Machine
S.No: Date Station Change occured Valid Till Assessment Production Quality Remarks

Method

Material

Others
Countermeasure

Man
incharge / incharge /
Supervisor Inspector

10
 VALIDATION / VERIFICATION REPORT AFTER UNEXPECTED 4 M CHANGE

PRODUCT:- LINE- DATE :

PROCESS:- CUSTOMER- SHIFT :

UNEXPECTED CHANGE (MARK) :- MAN MACHINE MATERIAL METHOD

CHANGE POINT (DETAIL) :-

AFTER UNEXPECTED CHANGE REMARKS

S No SPEC (PROCESS &
PRODUCT]
1 2 3

10

RESULT CONFIRMATION STATUS

Inspected by:

Approved by :-

Sign (QA ):-