COMPANY LOGO
& COMPANY NAME
Design Change Control Form
COMPANY CODE-Q1-FRM-004
1. Change Identification
Field Entry
Project / Product Name
Design Ref / Drawing No.
Change Request No.
Date of Request
Requested By
Department
Contact Details
2. Change Description
Existing Design Detail:
(Provide current drawing/spec/requirement affected)
Proposed Change:
(Clearly describe the nature of the change)
Reason for Change:
☐ Customer Request
☐ Regulatory Requirement
☐ Design Optimization
☐ Error Correction
☐ Material / Component Availability
☐ Other: ___________
3. Impact Assessment
Area Affected Impact (Yes/No) Comments / Mitigation
Customer Requirements
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COMPANY LOGO
& COMPANY NAME
Compliance / Standards
Functionality
Safety / Performance
Cost / Budget
Schedule / Delivery
Manufacturing Process
Test / Inspection Plan
Document Control
4. Risk Evaluation
Refer to Risk Register (COMPANY CODE-Q1-REG-005_)
Is a new risk introduced? ☐ Yes ☐ No
Is existing risk level increased? ☐ Yes ☐ No
Action required for risk mitigation? ☐ Yes ☐ No
If yes, provide Risk ID and summary of mitigation:
5. Review and Approval
Name Department Role Signature Date
Design Engineer Design Preparer
QA/QC Manager QA/QC Reviewer
Project Manager Projects Reviewer
Technical Manager Engineering Approver
Customer (if required) Client Approver
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