4M Change Control Management Sheet

Vendor Name:- Date:-

Vendor Code:-

Report Format Guidelines

Change Type of Part Customer Approval Document to be Submitted

Identification Change
Change Document submission
Type Change Details(Incase of Change) cusomer Part No. & Name Change summary Reason for Change Implementatio Date
n Date SIR Lab Test
Yes / No Aesthetic Functional General Required Not Required (Sample Inspection PPAP Remarks
Report) Report/MTC

Extra & Extended shift working ●

Contract manpower ●
●
Man

Skill level change (Regular)

New joinee ●
Special Process operator change ●
Different spec / grade ● ● ● ●
Raw material size/thickness/weight ● ● ●
Different raw material approved supplier &
unapproved supplier ● ●
Material

Child-part change (Machine) ● ● ●

Child-part change(Method) ● ● ●
Child-part change (Supplier) ● ● ●
Child-part change (Material ● ● ●
Any temp deviation from PQCS (Control Plan) ● ● ●
Process sequence change ● ● ● ●
New Technology ● ● ● ●
Sub-process supplier change ● ● ● ●
Process Deletion, Merging, Ellimination, Additional ● ● ● ●
Method

Packaging change ● ●
Traceability (Batch code) marking change ● ●
Inspection method, Frequency & Equipment ● ●
Inspection marking change ● ●
Limit sample change ● ●
Tool & Die change ● ● ● ●
Cavity Increase & Decrease ● ● ● ●
Change in Jig & Fixture ● ●
Production Done after Tooling In-Active ● ● ● ●
Machine change ● ● ● ●
Machine

Welding fixtures change ● ● ● ●

Removal / Addition of Pokayoke ● ●
M/c parameter change / Process Parameter Change ● ● ● ●
Tool and Machine Accident ● ● ● ●
Power Source Change ●
Machine internal change ● ● ● ●
New location ● ● ●
Manufacturing Location

Tool Transfer Inhouse ● ●

Work station change ● ●
Change can affect the legal requirements and
Environment ●
Re-located after 6 months ●
Note :
1. 4M Change sheet should be submitted before 7th of every Month.
2. Incase of no change, write : "NO" in the above column & Incase of any Change, kindly fill the Reason for Change, Type of Part, Change Implementation Date at the time of submission every month.
3. All records related to any New joinees to be maintained by vendor for verification by MCL.

Signature

Designation Approved By

Format No.:- F/PUR/06 Rev. No.:- 00 Dated:- 05.07.2017