Annexure 1 CHANGE CONTROL RECORD
Annexure 1 CHANGE CONTROL RECORD
Annexure 1 CHANGE CONTROL RECORD
Product / Reference
material / Batch No./
Document / AR No. /
Instrument/ Doc. No./
Equipment/ Equipment ID
Area/Utility/ /Instrument
Other ID/Area
Page 1 of 7
ANNEXURE 1
CHANGE CONTROL RECORD
CCR No.:
Proposed change
Justification
Approved by
Initiated by
HOD/Designee
(Sign & Date)
(Sign & Date)
SECTION B:
IMPACT ANALYSIS
Concerned
Impact Recommendation of Impacted Dept.
Items Action Item No. HOD
(Yes/No) HOD/ Designee
(Sign & Date)
Process
Quality Parameter
Calibration
Schedule
Page 2 of 7
ANNEXURE 1
CHANGE CONTROL RECORD
CCR No.:
Concerned
Impact Recommendation of Impacted Dept.
Items Action Item No. HOD
(Yes/No) HOD/ Designee
(Sign & Date)
Stability
Process
Validation
Cleaning
Validation
Training
Information
(As per annexure
7)
Hold time
Sampling
Regulatory
Approval
Mfg. product
Lic./COPP
Marketing
Approval
DCGI
Product list
Cleaning/
Passivation/
Sanitation
Preventive
Maintenance
Schedule
Equipment /
Instrument
Master List
Layout/ Drawing/
Diagram
Segregation of the
Area/ Caution
Display
Utility Impact
Spec./ATP (RM,
PM,FP, stability)
Page 3 of 7
ANNEXURE 1
CHANGE CONTROL RECORD
CCR No.:
Concerned
Impact Recommendation of Impacted Dept.
Items Action Item No. HOD
(Yes/No) HOD/ Designee
(Sign & Date)
MBMR / Mfg.
BOM
MBPR / Pkg.
BOM
SOP / Protocol
LIMS /
METIS/SAP
Qualification
Calibration
Packing Material/
Pack style
Change parts /
tooling
Artwork
Rejection /
Destruction
Price, equipment
list
E.H.S.(If yes
annexure)
Risk Assessment
Cross function
investigation
report
CAPA
MSTG/FDD
Comment
Any Other
Dep. Head
(Sign & Date)
Page 4 of 7
ANNEXURE 1
CHANGE CONTROL RECORD
CCR No.:
Notification Comment Sign & Date
Plant Head
SECTION C:
APPROVAL FOR EXECUTION
To be filled by QA Head/Designee
Approved Rejected Change Review Level: Level I Level II Level III
Approved By Comment Sign & Date
Department Head /
Production Head
Q.A. Head
SECTION D:
ACTION ITEM CLOSURE DETAILS
Action Item Action Item Initiator/Designee Reference Document Reviewed By QA
Number Completion Date Sign and Date Details Sign and Date
Page 5 of 7
ANNEXURE 1
CHANGE CONTROL RECORD
CCR No.:
Reviewed By
Action Item Initiator/Designee Reference Document
Action Item Number QA
Completion Date Sign and Date Details
Sign and Date
Quality
Assurance
SECTION E:
IMPLEMENTATION AND CHANGE CLOSURE DETAILS
Change implemented Change not implemented
Closure comments:
Page 6 of 7
ANNEXURE 1
CHANGE CONTROL RECORD
CCR No.:
Sign and Date
SECTION F:
POST CHANGES AND EFFECTIVENESS MONITORING DETAILS
Reference Tracking No.:
Mode : APQR / Protocol / Self Inspection /
Target Date
CAPA
Date & Sign
Final Checked by
Date Observation Ref. Doc. No.
conclusion Sign and Date
Documents Attached:
1.
2.
3.
4.
5.
Page 7 of 7