IB-QA-GEN-007-F-002

CHANGE CONTROL FORM

CHANGE CONTROL FORM

1. Location: Change control No.:

(From where change control raised): (To be filled by Quality
Assurance)
Date:

2. Change Request for:

(Product/Item/Equipment/Document or other)

Change Request document:

Ref. No./Code no.:

Rev. no.:
3. Description of Proposed Change:

Existing System:

Reason for change:

Change proposed by: Signature: Date:

4. Comments of Dept. Head (if applicable):

Name: Signature:
Date:

5. Minutes of meeting held on date:

Name, Signature & date:

1. 4.
2. 5.
3. 6.

6. Comments from respective department:

Signature of
Department Comment on proposed change Department
Head with date

Rev No. 00 Effective Date: 09/01/2023

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 IB-QA-GEN-007-F-002
CHANGE CONROL FORM

MINOR  : The change can be performed

MODERATE  : The change requires additional controls
7. QA/QC MAJOR  : The change requires revalidation
CONSIDERATIONS
REASONS:
REGARDING THE CHANGE
AND
Signature: Date:
APPROVAL
8.Notification to customers required: Yes  No 
Evaluation Conclusion:

Signature: Date:

9. CHANGE CONTROL PROPOSAL FOR IMPLEMENTATION: APPROVED / NOT

APPROVED

10. Change made effective from:

11. Assessment by QA Manager for the change made (If applicable):

Comments on the impact on quality due to change (attach supporting documents):

Impact on stability:

Change Control Closed by:

Date: Manager QA:

Rev No. 00 Effective Date: 09/01/2023

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