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Engineering Change Request Form

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This engineering change request form documents a proposed change to a part or drawing. It includes fields to provide information on the part number, reason for and description of the change,…

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  • Engineering Change Request Form

[Company Name]

[Company Group, Division, Location]

Engineering Change Request


ENGINEERING CHANGE
PART/DRAWING NO. PART DESCRIPTION ECR NO. DATE
  /  /  
REASON FOR CHANGE

DESCRIPTION OF CHANGE

ORIGINATOR NAME SIGNATURE: DATE


  /  /  
DISPOSITION
DISAPPROVED
REASON FOR DISAPPROVAL:

APPROVED DUE DATE


INSTRUCTIONS:   /  /  

CLASS A – STOP SHIPMENTS UNTIL CHANGE IMPLEMENTED B – MUST BE IMPLEMENTED BY DUE DATE
QUALITY ASSURANCE NAME SIGNATURE: DATE
  /  /  
ENGINEERING NAME SIGNATURE: DATE
  /  /  
MANUFACTURING NAME SIGNATURE: DATE
  /  /  
CLOSEOUT
CORRECTIVE ACTION CAR NO. DUE DATE
YES NO   /  /  
ORIGINATOR NAME SIGNATURE: DATE
  /  /  

Form No. _____ Rev No. _____

[Company Name] [Company Group, Division, Location] Engineering Change Request ENGINEERING CHANGE PART/DRAWING NO. PART DESCRI

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