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Engineering Order

Revision: a
EO NUMBER: 2 Date:
Classification? Class 1  Class 2  RFS #:
EO Requested By: EO Written By:
Stop Purchases? Yes  No  Notify if STOP Purchases:
Disposition of Existing or Delivered Parts Product Serial Numbers or Lot Numbers Affected
MRB  Accept  Scrap  N/A  Re-Inspect 
Document No: Document Title:
Document Revision: Change Rev To:
Customer Approval/Concurrence? Yes  No  Design Stages/Elements? Yes  No 
Design Validation? Yes  No  Item Used On P/N:
REASON FOR CHANGE
DESIGN STAGES - ELEMENTS
CUSTOMER AND REGULATORY AUTHORITY SAFETY AND FUNCTIONAL OBJECTIVES
KEY CHARACTERISTICS
DESCRIPTION OF CHANGES
Effectivity/Release Date: Change Orientation By:  
Items Affected: Drawing  Specification  Component  Process Equipment  Test  Gage  Tooling  QC 
APPROVALS
REA:   QA:  
REA Date: QA Date:
Customer: Customer Date:
Job No: Program Name:
Form Date of Issue: insert your date Form Authorized By: insert your name