REVIEW FORM example

Pine Valley Furniture
WALKTHROUGH REVIEW FORM

Session Coordinator: _______________________________________
Project / Segment: _______________________________________
Coordinator’s Checklist:
1. Confirmation with producer(s) that material is ready and stable: _______________
2. Issue invitations, assign responsibilities, distribute materials: [ ] Y [ ] N
3. Set date, time, and location for meeting:
Date: _____ / _____ / _____ Time: __________________ A.M. (circle one)
Location: _______________________________________________________________

Responsibilities Participants Can Attend ? Received Materials ?
Coordinator _________________________ [ ] Y [ ] N [ ] Y [ ] N
Presenter _________________________ [ ] Y [ ] N [ ] Y [ ] N
User _________________________ [ ] Y [ ] N [ ] Y [ ] N
Secretary _________________________ [ ] Y [ ] N [ ] Y [ ] N
Standards _________________________ [ ] Y [ ] N [ ] Y [ ] N
Maintenance _________________________ [ ] Y [ ] N [ ] Y [ ] N

Agenda:
____ 1. All participants agree to follow PVF’s Rules of a Walkthrough.
____ 2. New material: walkthrough of all material.
____ 3. Old material: item-by-item checkoff of previous action list.
____ 4. Creation of new action list (contribution by each participant)
____ 5. Group decision (see below)
____ 6. Deliver copy of this form to the project control manager.

Group Decision:
____ Accept product as-is.
____ Revise (no further walkthrough)
____ Review and schedule another walkthrough.

Signatures: