CHANGE NOTE REQUEST
Rev. 1 - CN7666
Date
-
Day
-
Month
Year
Originated by
*
Please Select
Craig Fairhall
Dhaval Patel
Dhivit Janardaanan
Harsh Gaur
John Thomas
Kevin Rusli
Krishna Kumar
Kumar Shivam
Maheshwari Sankurushetty
Manuel Arroyo
Marco Uccellani
Mike Mehr
Naveen Saini
Ranjan Dahal
Steven DÁrcy
Stuart Smith
Winston Liu
Yusha Liao
Email
*
Department
*
Please Select
Business Development
Compliance
Cost/Admin
Design Engineering
Finance
Manufacturing
Marketing
Payroll
Product
Production Engineering
Purchasing
Quality Assurance
Quality Control
Research & Development
Sales
Warehouse
Head of Department
*
Please Select
Brad Pailthorpe
Craig Scott
Krishna Kumar
Minh Tran
Marco Uccellani
Pritpal Singh
Ruby Li
Shivlal Dhembre
Utsav Patel
HOD - Email
*
Change Note Title
*
Explain in a few words the subject of the ECN (75 characters MAX)
Product Category Affected
*
Please Select
GREASE
METERS
OIL
REELS
FUEL
LUBEMATE
N/A
Type of change
*
Drawing
Specification
Process
Part No
Instruction Sheet
New Supplier
Change Supplier
Procedure
Document
BOM
QMS
Other
Part No / Docs Changes
Parts list spreadsheet
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of
Change Details
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Please provide as much relevant information as possible
Reason/Benefits of change
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Please provide as much relevant information as possible
Attach Supporting Documents
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of
Impact
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Significant
Moderate
Minor
Urgency
Critical
High
Medium
Low
Priority Level
Consequence of inaction
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