Change request
in accordance with MTQ5003 /
Change Request No.
(to be completed by MTU)
Interchangeable (form / fit / function) YES
Interchangeable (form / fit / function) NO
Type of change:
Check box as appropriate / Transfer of production
Change to MTU specifications (engineering change)
Change requested by sub-supplier
Change to test procedure/equipment
Change to production methods, processes* or material (also of sub-supplier)
* incl. replacement of or changes to molds, tools,jigs & fixtures
other
Supplier: / Supplier no.
Street:
Postcode: / Location:
Supplier contact: / Tel. No.:
E-Mail address: / Date:
MTU contact:
MTU material number concerned: / MTU part name: / Factory:
D/US/… / MTU Series: / Supplied quantity
(in last 5 years): / Planned time of change:
1
2
3
4
5
If there are more than 5 material numbers, please add an Excel List with this information. / Excel list attached: YesNo
Details of change:(attach pictures and/or presentation as appropriate):
What will change? What is the reason behind the change? (Provide before/after description)
Cost of change at the supplier
(e.g., model change, implementation effort, etc.)
Impact on costs MTU (price reduction?)
Assessment of risk
Description / Effect of risk:
(e.g. inadequate process stability)
Degree of risk (low/average/high):
(e.g. small because same machine and process is used)
Suggestions for validation / qualification of change provided by supplier?
(e.g.proof of feasibility with sample inspection; component example)
Priority:(low/medium/high)
How will quality and further delivery be assured until MTU accepts/rejects the change request? (stocks etc.)
How will the traceability of the change be assured?(e.g. serial number, delivery batch etc.)
What is the back-up/alternative to this change?
To be completed by MTU
MTU qualification / validation
(for explanation, see below)
Change request rejected / Sample inspection with Cover Sheet
without component (for information only) / Sample inspection with Cover Sheetand Test Results / Complete initial sample inspection as per MTQ 5003 / Complete initial sample inspection as per MTQ 5003 + further qualification specified by MTU
Remarks:
Distribution MTU:
(if no specification change) / MTU Purchasing / MTU
Qualification of series-free components / MTU Purchasing (Communication to suplier)
Date:
Name:
Accounting code:

B-740-1809Page 1of2

Change request
in accordance with MTQ5003 /

IMPORTANT INFORMATION ON CHANGE REQUEST

The fully completed change request form is to be sent to the component responsible MTU buyer.

Change requests are subject to quality assurance standard MTQ 5003 (link below).

If the "MTU Specification Change" checkbox is selected, MTU Purchasing will make a change request (CR) and attach it to the amendment.

The change request must be sent as a Word document (no signature required).

MTU reserves the right to charge processing and documentation costs in accordance with MTQ 5003.

For downloading MTU documents / templates:

Explanation of MTU qualification results:

Change request rejected
It is not permissible to implement the change. Consultation on further procedure must take place.

  • Sample inspection with Cover Sheetwithout component(for information only)-> For Cover Sheet template, use link above
    Conditions:
  • The supplier must ensure that the component specifications continue to be met.
  • The supplier must ensure that the change does not infringe the Quality Assurance Agreement (QSV) - also applies to sub-suppliers where applicable.
  • The change is to be validated and approved by the supplier and he must compile documentation thereof. The documents will be submitted to MTU when required.
  • Information to MTU when the change is implemented in the form of:
    Initial sample inspection with MTU Cover Sheet (max. 5 part numbers per Cover Sheet) without PO/component delivery as 1 PDF-document (per Cover Sheet) consisting of:
    MTU Cover Sheet (required), agreed change request document (required), further documents (optional)

The supplier shall forward these documents unrequested to the following e-mail address – – with a copy to the responsible purchaser.

  • MTU take note of the change by signing the Cover Sheet without component inspection.
  • Sample inspection with Cover Sheet and Test Results -> For Cover Sheet + Test Results template,use link above
    Unless otherwise specified, only the change is to be inspected.
  • Complete initial sample inspection as per MTQ 5003 -> Cover Sheet + Test Results + drawing with MTU stamp etc. (seelink above)

Unless otherwise specified, a complete initial sample inspection is to be carried out.

  • Complete initial sample inspection as per MTQ 5003 + further qualification defined by MTU
    As in previous description, plus further qualification specified by MTU.

Further part numbers:
If several part numbers are affected by the change either a complete initial sample inspection or a sample inspectionfor one example component will be sufficient. These must be coordinated with the MTU Purchasing Department. For the remaining part numbers, the procedure 'Sample inspection with Cover sheet and without component' can be followed once the initial sample has been approved.

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