Annexure 1 CHANGE CONTROL RECORD

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ANNEXURE 1

CHANGE CONTROL RECORD


SECTION A:
Date of
CCR No.
issuance

Area Utility Product System Document T.C.D.


Applicable
to Equipment Material Instrument Other Ext. I
Title of
Ext. II
Change

Product / Reference
material / Batch No./
Document / AR No. /
Instrument/ Doc. No./
Equipment/ Equipment ID
Area/Utility/ /Instrument
Other ID/Area

Previous change control form No.(if any)


Initiated By
(Name) Logged By
QA (Name)
Department
CHANGE DETAILS
Existing system

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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

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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)

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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)

Impact Analysis Review


by QA Head /Designee
(Sign and Date)

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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

Site Quality 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

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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

ACTION ITEM CLOSURE EVALUATION


Department Comments Sign & Date
Department
Head

Quality
Assurance

SECTION E:
IMPLEMENTATION AND CHANGE CLOSURE DETAILS
Change implemented Change not implemented
Closure comments:

Post changes review requirement (PCRR) Yes No


Recommendation for PCRR:

Checked by QA Head Approved by Site Quality Head


(Sign & Date) (Sign & Date)

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ANNEXURE 1
CHANGE CONTROL RECORD

CCR No.:
Sign and Date

Change control closer status:  Closed  Not implemented

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.

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