Summary

This document is a form for requesting changes to documents within a Quality Management System (QMS). It includes sections for document details, reasons for change, and approvals by various parties. Document details, change requests, and approvals are included. The form describes changes to documents and ensures their integrity is maintained throughout the process.

Full Transcript

Requester section: **Document Name:**       **Date:** **Current Revision Level:**       **Requester Name/Title:** **Type of Document: Policy:** ☐ Procedure: ☐ Work Inst.: ☐ Form: ☐ Flow Chart: ☐ Instruction: ☐ **Type of Document Change:** Revision: ☐ Add: ☐ Delete: ☐ **Change Requested:** (Desc...

Requester section: **Document Name:**       **Date:** **Current Revision Level:**       **Requester Name/Title:** **Type of Document: Policy:** ☐ Procedure: ☐ Work Inst.: ☐ Form: ☐ Flow Chart: ☐ Instruction: ☐ **Type of Document Change:** Revision: ☐ Add: ☐ Delete: ☐ **Change Requested:** (Describe the change or attach marked up copy)       **Reason for Change:** (If applicable, please include formal identification such as an audit clause number or source of the requirement.) Route to: Process Owner Process Owner section: Process Owner shall assure no other document's integrity has been violated. Approved: ☐ Rejected: ☐ **Comments:** Process Owner(s) Initials: \_\_\_\_\_\_\_/\_\_\_\_\_\_\_\_ Effective Date: \_\_\_\_\_\_\_      Route to: Document Administrator QMS Manager section: QMS Manager shall assure Quality System Integrity has not been violated. Yes ☐ No ☐ **Comments:**    QMS Manager(s) Signature: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Document Administrator section: Is the QMS Manager section completed? Yes ☐ No ☐ Document Revision completed? Yes ☐ No ☐ Document Administrator Initials: \_\_\_\_\_\_\_ Effective Date: \_\_\_\_\_\_\_\_\_\_      Document Administrator must mark each box in this section

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