Impact Assessment
Impact Assessment
SK/QA/F/24
Change Initiation
Process change Material change Engineering Change New Product Addition
Scope of change Existing Product Organization Restructure Roles & Responsibilities Change in Product Design
Design History File (DHF) Labelling Supplier System (s)
Other (*if any) ……………………………
Initiation date of
Impact Assessment Assigned Change Control No.
Initiator Department
Title of Change
Existing Proposed
Description of Proposed Changes
Changes
Justification/ Reason for
change
Is it necessary to identify the stock of existing materials (raw and subsidiary materials, marked materials and half- finished products)?
Comment
Manufacturing Accepted/Rejected
Engineering Accepted/Rejected
Warehouse Accepted/Rejected
Purchase Accepted/Rejected
HR/Admin Accepted/Rejected
Marketing Accepted/Rejected
Note: In case, recommendation form other departments are required, more columns can be added as per the requirement
QA Decision
QA Progress Approval Check Box Final Decision Comments (if any)
(Name)
Proceed
Reject
Provide Justification
(If rejected)
Sign& Date