Clear Form Go To Page 2 Save Form Print Form

ENGINEERING CHANGE FORM Accept Reject

ECR/ECN NUMBER ORIGINATION DATE ORIGINATOR OF CHANGE

RELEASE LEVEL PROJECT/PRODUCT NAME

Development
Deviation TYPE OF ACTION
Dwg. Update Artwork Change 1st Release
Production Product Improvement Cost Savings Process
DRAWINGS/SPECIFICATIONS REQUIRING CHANGE - LIST ALL DRAWINGS/SPECIFICATIONS WHICH REQUIRE CHANGE BASED ON THIS REQUEST
DRAWING/SPECIFICATION# DESCRIPTION CURRENT REVISION LEVEL FUTURE REVISION LEVEL

AFFECTED PRODUCT(S) - LIST ALL SKU's/PARTS TICKETS WHICH UTILIZE THE MODIFIED PARTS, ASSEMBLIES, OR DRAWINGS AT ANY LEVEL. LIST INDIVIDUALLY EVEN WHEN DIFFERENTIATED
ONLY BY SUFFIX.
SKU DESCRIPTION MARKETS

SUPPLIER SUPPLIER PART NUMBER

OTHER ECR/ECNs OR RUDs RELATING TO THIS CHANGE SUPPLIER DRAWING NUMBER & REVISION

REASON FOR CHANGE

DESCRIPTION OF CHANGE

DISPOSITION OF EXISTING AND MODIFIED PARTS

DISPOSITION COMPONENT DISPOSITION DETAIL

ADDITIONAL ITEMS AFFECTED BY CHANGE

Tooling Agency Listings Mfg. Process Artwork Availability Notice Service Documentation
MAIs Literature Test Procedure(s) Process/Product Audit Checklist Other
RISKS ASSOCIATED WITH CHANGE

COST OF CHANGE (Tooling, Equipment, etc.) PART COST OF CHANGE ESTIMATED TIME REQUIRED TO COMPLETE CHANGE
Estimated
Firm Quote
SIGNATURES
ACCESS BUSINESS GROUP PRODUCT DEVELOPMENT DATE ACCESS BUSINESS GROUP PROCUREMENT DATE

X X
ACCESS BUSINESS GROUP GLOBAL SERVICE PLUS DATE ACCESS BUSINESS GROUP PLANNING DATE

X X
ACCESS BUSINESS GROUP PROCESS DEVELOPMENT DATE ACCESS BUSINESS GROUP PROJECT MANAGEMENT DATE

X X
ACCESS BUSINESS GROUP TECH. REGULATORY DATE ACCESS BUSINESS GROUP MANUFACTURING DATE

X X
ACCESS BUSINESS GROUP QUALITY ASSURANCE DATE ACCESS BUSINESS GROUP RELIABILITY DATE

X X
ACCESS BUSINESS GROUP PACKAGING DEVELOPMENT DATE SUPPLIER DATE

X X
052104 E-6407
 Go To Page 1 ECR/ECN NUMBER

ECN SUBMITTAL REQUIREMENTS

No Submittal Requirements

Required information for approval Supplier ABG Resp Ind. Date Completed Notes
Backward Compatability Evaluated
First Article Inspection Result
Work Instructions (MAI's)
Capability Study Results
Updated Control Plan
Appearance Samples
Packaging Tests
QA Procedures
Material Certification
Appearance Limits
Panel Test
Regulatory
Manufacturing Trial
Laboratory/Functional Test Results

Reliability Testing

FMEA
Other submittal needs:

RELEASE FOR PRODUCTION

SIGNATURES
ACCESS BUSINESS GROUP PRODUCT DEVELOPMENT DATE ACCESS BUSINESS GROUP PROCUREMENT DATE

X X
ACCESS BUSINESS GROUP GLOBAL SERVICE PLUS DATE ACCESS BUSINESS GROUP PLANNING DATE

X X
ACCESS BUSINESS GROUP PROCESS DEVELOPMENT DATE ACCESS BUSINESS GROUP PROJECT MANAGEMENT DATE

X X
ACCESS BUSINESS GROUP TECH. REGULATORY DATE ACCESS BUSINESS GROUP MANUFACTURING DATE

X X
ACCESS BUSINESS GROUP QUALITY ASSURANCE DATE ACCESS BUSINESS GROUP RELIABILITY DATE

X X
ACCESS BUSINESS GROUP PACKAGING DEVELOPMENT DATE SUPPLIER DATE

X X
PRODUCTION NOTES

Go To Page 1 052104 E-6407