4M Change Point Record Line Name:- ………………….

Month:-…………………………..
4M CHANGE RESPONSIBILITY:-…………………....
Class of Change
Date & Change Type (√ Tick) Verified Product Result of check ( Actual ) Check on check
(√ Tick) Produt Verified by
Shift of Change Details Reason of Change Action Taken by Characteristic with
Parameters QA Prod. PQA
change Men M/C Mat. Mtd Planned Abrupt Prod. spec. 1 2 3 4 5
(TL/AM) (TL/AM)

Before
change

After change

Before
change

After change

Before
change

After change

Line "ATL"- Production "ATL"- PQA "TL/AM"

Guideline:
1. Tick applicable of Man, Machine, Material and Method. 2. Tick any one of Planned & Abrupt changes 3. Action Taken column: Write the change related action (e.g Training in case of man change)
4.Product Characteristic with spec.: Write required checking parameters of the particular station 5. Result of check coulmn: Write actual reading after inspection. 6. In case of no change write "no change" at the end of the shift.
7. In case of tool or insert change after the specified life , Also write in 4M change (Planned category)
FM -QA-24, Rev. 00, Effective from 11.05.2016
 Planned Abrupt
MEN Job Rotation Temparory Absence
Organization Physical disorder
Annual Vacation Injury
Replacement
Abnormality of
Machine Machine Repair
Equipment Machine
Abnormality of Dies
Modification
Renewal of Dies / /Molds
Failure, malfunction
Change
Molds of Jigs/ Malfunction,
of Jigs/ Tooling/
Tooling /Cutting abnormality of
tools Malfunction of Poka-
Inspection Jigs
Setup
Yoke
Renewal of Pokayoke Power Failure
Material Design change Product defect
Material change Running reworked part
Change of Consumable
Supplier change
Correction of Operational error (Pocess Parameter
Method Process Change
Veriation)
Condition Change Rework operation
Processing method change
Line Tranfer
Checking method change
 G

PD
4M Change Point Record Line Name:- ………………….

P
F

.
Month:-…………………………..
4M CHANGE RESPONSIBILITY:-…………………....

Change Type (√ Tick) Class of Change (√ Tick) Result of check ( Actual ) Check on check
Date,Time Verified Product
Product Verified by
& Shift of Change Details Reason of Change Action Taken by Characteristic with
Parameters QA
change Unplann Abnormal Prod. spec. Prod.
Men M/C Mat. Mtd Planned
ed condition
1 2 3 4 5 QA (head)
( Head)

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

Guideline:
1. Tick applicable of Man, Machine, Material and Method. 2. Tick any one of Planned & Abrupt changes 3. Action Taken column: Write the change related action (e.g Training in case of man change)
4.Product Characteristic with spec.: Write required checking parameters of the particular station 5. Result of check coulmn: Write actual reading after inspection. 6. In case of no change write "no change" at the end of the shift.
7. In case of tool or insert change after the specified life , Also write in 4M change (Planned category)
FM -QA-24, Rev. 01, Effective from 11.01.2017
 4M Change Point Record Line Name:- ………………….
Month:-…………………………..
4M CHANGE RESPONSIBILITY:-…………………....

Date, Change Type (√ Tick) Class of Change (√ Tick) Result of check ( Actual ) Check on check
Verified Product
Shift,Time& Product Verified by
Reason of Change Action Taken by Characteristic with
M/c No. of Parameters QA
change Unplann Abnormal Prod. spec. Prod.
Men M/C Mat. Mtd Planned
ed condition
1 2 3 4 5 QA (head)
( Head)

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

Guideline:
1. Tick applicable of Man, Machine, Material and Method. 2. Tick any one of Planned , Unplanned & Abnormal Condition changes 3. Action Taken column: Write the change related action
4.Product Characteristic with spec.: Write required checking parameters of the particular station 5. Result of check coulmn: Write actual reading after inspection. 6. In case of no change write "no change" at the end of the shift.
7. In case of tool or insert change after the specified life , Also write in 4M change (Planned category)
FM -QA-24, Rev. 01, Effective from 11.01.2017
 4M Change Point Record Line Name:- ………………….
Month:-…………………………..
4M CHANGE RESPONSIBILITY:-…………………....

Date, Change Type (√ Tick) Class of Change (√ Tick) Result of check ( Actual ) Check on check
Product
Shift,Time& Verified by Product Verified by
Reason of Change Action Taken Characteristic with
M/c No. of Prod. Parameters QA
Abnormal spec. Prod.
change Men M/C Mat. Mtd Planned Unplanned 1 2 3 4 5 QA (head)
condition ( Head)

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change
Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change
Suspected
lot record

After change
First 5 Pcs.

Before
change
Suspected
lot record

After change
First 5 Pcs.

Before
change
Suspected
lot record

After change
First 5 Pcs.

Before
change
Suspected
lot record

After change
First 5 Pcs.

Before
change
Suspected
lot record

Guideline:
1. Tick applicable of Man, Machine, Material and Method. 2. Tick any one of Planned , Unplanned & Abnormal Condition changes 3. Action Taken column: Write the change related action
4.Product Characteristic with spec.: Write required checking parameters of the particular station 5. Result of check coulmn: Write actual reading after inspection. 6. In case of no change write "no change" at the end of the shift.
7. In case of tool or insert change after the specified life , Also write in 4M change (Planned category)
FM -QA-24, Rev. 02, Effective from 11.04.2017
 4M Change Point Record Line Name:- ………………….
Month:-…………………………..
4M CHANGE RESPONSIBILITY:-…………………....

Date, Change Type (√ Tick) Class of Change (√ Tick) Result of check ( Actual ) Check on check
Product
Shift,Time& Verified by Product Verified by
Reason of Change Action Taken Characteristic with
M/c No. of Prod. Parameters QA
Abnormal spec. Prod.
change Men M/C Mat. Mtd Planned Unplanned 1 2 3 4 5 QA (head)
condition ( Head)

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

After change
First 5 Pcs.

Before
change

Suspected
lot record

Guideline:
1. Tick applicable of Man, Machine, Material and Method. 2. Tick any one of Planned , Unplanned & Abnormal Condition changes 3. Action Taken column: Write the change related action
4.Product Characteristic with spec.: Write required checking parameters of the particular station 5. Result of check coulmn: Write actual reading after inspection. 6. In case of no change write "no change" at the end of the shift.
7. In case of tool or insert change after the specified life , Also write in 4M change (Planned category)
FM -QA-24, Rev. 02, Effective from 11.04.2017