Have any administrative changes been made that are related to Yes No Engineering design records, specifications, industry standards, regulatory compliance? Will this change introduce any revised material spec, material Yes No Raw Material properties, or changes to material heat treatments or processing? Are other construction materials of component / sub-component Yes No being used that were not previously approved? Component Material Are there changes to the component / sub-component of Yes No the product that have not previously been used on approved product? Are you using a new sub-supplier of parts/material/components Yes No Sub-Supplier that affects form, fit, function, appearance, or installation of the product? Do you need to notify PG&E that your product / equipment / Yes No Recall material is defective or non-conformant and needs to be recalled for repair, refurbishment, or replacement? Product Are you proposing a permanent product discontinuation? Yes No Discontinuation Are you changing maintenance or inspection requirements that Yes No Maintenance / affect the product’s / equipment’s form, fit, function, appearance, Inspection or installation of the product? Is there any change to required labeling, part markings, Yes No barcoding, packaging or packaging materials? Are you changing any Shipper or shipping methods? Yes No Do you have any other changes that are not covered by the Yes No previous questions? Examples include: Natural disasters Extraordinary Ownership / management change Conditions / Other Business continuity Certification / qualification Workforce reduction / expansion Note: the publication status of this document is and the Purpose and Scope may be updated, the “Draft” Questions and Change Types are final.
Engineering Have any administrative changes been made that are related to design records, specifications, industry standards, regulatory compliance? Yes No Raw Material Will this change introduce any revised material spec, material properties, or changes to material heat treatments or processing? Yes No Component Material Are other construction materials of component / sub-component being used that were not previously approved? Are there changes to the component / sub-component of the product that have not previously been used on approved product? Yes No Yes No Sub-Supplier Are you using a new sub-supplier of parts/material/components that affects form, fit, function, appearance, or installation of the product? Yes No Recall Do you need to notify PG&E that your product / equipment / material is defective or non-conformant and needs to be recalled for repair, refurbishment, or replacement? Yes No Product Discontinuation Are you proposing a permanent product discontinuation? Yes No Maintenance / Inspection Are you changing maintenance or inspection requirements that affect the product’s / equipment’s form, fit, function, appearance, or installation of the product? Yes No Is there any change to required labeling, part markings, barcoding, packaging or packaging materials? Are you changing any Shipper or shipping methods? Yes No Yes No Extraordinary Conditions / Other Do you have any other changes that are not covered by the previous questions? Examples include: Natural disasters Ownership / management change Business continuity Certification / qualification Workforce reduction / expansion Yes No Note: the publication status of this document is “Draft” and the Purpose and Scope may be updated, the Questions and Change Types are final.
Change-Assessment-Questionnaire.docx