Name of the Document

Document #: DOC-XXX-XXX-NNN
Effective Date:

Revision #:

Pages: 5

Prepared By Initial Review By Final Review By Initial Approval By Final Approval By

Name

Position

Sign.

Date
 Name of the Document DOC. NO: DOC-XXX-XXX-NNN

Document Version Control / Revision History

Date: Revision Page Section Change Description

Confidential Information of THE COMPANY for internal purposes only. The

current version is available on the company intranet. All printed copies are Rev: 00 | Date Page 2 of 5
uncontrolled.
 Name of the Document DOC. NO: DOC-XXX-XXX-NNN

Table of Contents
1. Scope.....................................................................................................................................................................4
2. Purpose................................................................................................................................................................. 4
3. Definitions............................................................................................................................................................. 4
4. Roles and Responsibility.....................................................................................................................................4
5.1 Responsibility One...........................................................................................................................................4
5.2 Responsibility Two...........................................................................................................................................4
5. Procedure..............................................................................................................................................................4
6.1 Sub-process..................................................................................................................................................... 4
6.1.1 Sub-sub-process.........................................................................................................................................4
6. References............................................................................................................................................................4
7. Forms.....................................................................................................................................................................4
8. Appendices........................................................................................................................................................... 5
10.1 Appendix 1........................................................................................................................................................5
10.2 Appendix 2........................................................................................................................................................5

Confidential Information of THE COMPANY for internal purposes only. The

current version is available on the company intranet. All printed copies are Rev: 00 | Date Page 3 of 5
uncontrolled.
 Name of the Document DOC. NO: DOC-XXX-XXX-NNN

1. Scope
Insert text

2. Purpose
Insert text

3. Definitions
Terms Definition

4. Roles and Responsibility

Insert text.

5.1 Responsibility One

 Insert text
 Insert text

5.2 Responsibility Two

 Insert text
 Insert text

5. Procedure
Insert Text

6.1 Sub-process
Insert Text

6.1.1 Sub-sub-process
Insert Text

6. References
Insert Text

7. Forms
Sl. Name of the Record Document Number
No.

Confidential Information of THE COMPANY for internal purposes only. The

current version is available on the company intranet. All printed copies are Rev: 00 | Date Page 4 of 5
uncontrolled.
 Name of the Document DOC. NO: DOC-XXX-XXX-NNN

8. Appendices
10.1 Appendix 1

10.2 Appendix 2
------------------------------------------------------------------------------------------------------------------------------------End of
Document

Confidential Information of THE COMPANY for internal purposes only. The

current version is available on the company intranet. All printed copies are Rev: 00 | Date Page 5 of 5
uncontrolled.