CHANGE CONTROL FORM (CCF)

PART- A (To be filled by initiating department) CF No.____________________

1.0 Change is requested for but not limited to followings:
1.1 Production Department
1.2 Quality control Department
1.3 Engineering Department
1.4 Warehouse Department
1.5 Human resource development Department
1.6 QA Department

2.0 Proposed Change:

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3.0 Existing System:

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4.0 Effective Document(s)

4.1 To be amended:
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5.0 Reason for the change:

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6.0 Proposed Name: Signature: Date:
7.0 Department Head’s Name: Signature: Date:

PART – B
(TO BE FILLED BY CONCERNED DEPARTMENTS)
MANAGEMENT REVIEW
8.0 Circulated to: Date _____________________
Production
Warehouse
Quality Control
Engineering
R&D
9.0 Review of impact of CCF
Comments Reviewed
by

10.0 Cost/Productivity approval (Applicable/ Not Applicable)

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Head works: ______________ Sign: ________________ Date: _______________
 PART – C
(TO BE FILLED BY HEAD –QUALITY ASSURANCE &
REGULATORY AFFAIRS)
ASSESSMENT AND AUTHORISATION OF CCF
11.0 Date of review: Feasibility of change: (Yes) (No)
12.0 Category of change
12.1 Category ‘A’
12.1 Category ‘B’
12.1 Category ‘C’
13.0 Date of regulatory authority approval (applicable/Not applicable) Date: ________
Signature of Head - Quality Assurance & Regulatory Affairs___________________
14.0 QA Approval:
15.0 Final approval and authorization
Signature Date
Technical Director

16.0 Date of implementation of the amend documentation: _________________________

17.0 Amended document distribution on: ______________________________________