CHANGE DESCRIPTION Date : Part No: Part Description Receiving Location (s)
Reason for Change:
If Emergency situation identified then it should be completed in a shorter time frame
Change Type Effects: (Attach detail, when necessary) Yes / No Process Change - Permanent ……………………… Location or Layout Change - Permanent Stock at Gishnu / supplier: (if yes, circle one) Short-term deviation Use Scrap Rework
Environmental Concern Delivery Schedule
ECR Reason Improvement Material/ Heat Treat Appearance, Quality, or Function Dimensional Plant Equipment Move Assembly Operations Source Cost Reduction Weight Process Other Other Additional Information:
ATTACHMENTS: for additional details
Yes / No
Requestor Name Requestor Signature E-Mail: Date
QA Comments PUR Comments PRC PRO Comments SUB Comments