# Rework and Repair Authorization Request Template

> Source: https://netray.co/tools/rework-repair-authorization-request-template
> Publisher: Netray (netray.co), AI and integration engineering for ERP and manufacturing systems.
> Section: Free Tools

## Short answer

A fill-in authorization form for rework or repair of printed circuit assemblies, with defect description, method, tools, verification and approvals.

## Category

industry-templates

## Industry

Defense Electronics

## Audience

- Quality engineer
- Manufacturing engineer
- Rework technician

## Tool

**Kind:** template

**Output:** document

**Fields:**

#### Company name

**Key:** company

**Type:** text

**Default:** Harbor Electronics Inc.

#### Request number

**Key:** request_no

**Type:** text

**Default:** RW-2026-0412

#### Date

**Key:** date

**Type:** date

**Default:** 2026-10-20

#### Assembly part and revision

**Key:** assembly_pn

**Type:** text

**Default:** A-704210-03 Rev C

#### Serial number

**Key:** serial

**Type:** text

**Default:** SN 0151

#### Related NCR number

**Key:** ncr_ref

**Type:** text

**Default:** NCR-23871

#### Action type

**Key:** action

**Type:** select

**Options:**

- Rework (return to drawing)
- Repair (not to drawing)
- Touch-up

**Default:** Rework (return to drawing)

#### Defect description

**Key:** defect

**Type:** textarea

**Default:** Insufficient solder on U7 pins 14 to 19, below IPC-A-610 Class 3 minimum fillet.

#### Proposed method

**Key:** method

**Type:** textarea

**Default:** Apply flux, reflow pins 14 to 19 with hand soldering station set to 340 C, add Sn63Pb37 wire as needed, clean with approved solvent.

#### Procedure reference

**Key:** reference

**Type:** text

**Default:** Rework work instruction WI-RW-007 (IPC-7711 based)

#### Maximum rework cycles allowed

**Key:** max_cycles

**Type:** text

**Default:** 2 per location

**Blocks:**

#### Rework and Repair Authorization

**Body:** Company: {{company}}
Request number: {{request_no}}
Date: {{date}}
Assembly: {{assembly_pn}}
Serial number: {{serial}}
Related NCR: {{ncr_ref}}
Action type: {{action}}

#### Defect Description

**Body:** {{defect}}

#### Proposed Method

**Body:** {{method}}

Procedure reference: {{reference}}
Maximum cycles: {{max_cycles}}

#### Verification After Rework

**Table:**

**Columns:**

- Step
- Requirement
- Result
- Initials

**Rows:**

**0:** Visual inspection

**1:** Per workmanship standard, magnification recorded

**0:** Cleanliness

**1:** Residue free where required

**0:** Electrical test

**1:** Per test procedure after rework

**0:** Recoat or re-mask

**1:** Per drawing coating note

**0:** Rework count updated

**1:** Within allowed cycles

#### Approvals

**Signatures:**

- Requesting engineer
- Quality engineer
- Customer representative (if required)
- Rework technician

**Notes:** Repairs that leave the product outside the drawing normally need customer approval under your contract. This template is a starting point, not a substitute for your quality manual or customer flow-down.

## Content

**Intro:** Rework restores a board to the drawing, while repair leaves it different but functional, and the two often need different approvals. This form records the request, the method and the verification in a single page for the build record.

**Sections:**

#### How to use it

**Body:** Link the request to the NCR or inspection finding, describe the defect in measurable terms and write the method step by step. Select rework or repair, since repair usually needs engineering and possibly customer sign-off. Print the form for the technician, then record the verification results and initials after the work. Export a PDF into the work order file or a Word copy for revision.

#### Standards and practice

**Body:** IPC-7711 covers rework of electronic assemblies and IPC-7721 covers repair and modification of printed boards. Workmanship acceptance after the work is judged against IPC-A-610 and J-STD-001 at the product class on the drawing. Many primes limit the number of rework cycles per location because each thermal cycle consumes board and component margin, so state the limit on the form.

#### Common mistakes

**Body:** Teams frequently approve a repair verbally and write nothing, which fails the next audit. Others forget to restore the conformal coating or to re-run the electrical test. The method field should name the tools, temperatures and consumables, because a vague method can't be repeated. Count rework cycles per location and stop at the limit, then raise a deviation request.

**Cta:** Netray can help connect rework authorizations to NCR and work order records in your ERP so the history stays with the serial number.

**Faq:**

#### What is the difference between rework and repair?

**Answer:** Rework returns the product to the drawing using an approved process. Repair makes the product usable but it no longer matches the drawing exactly, which normally needs engineering and often customer approval.

#### Do I need approval for every rework?

**Answer:** Standard rework within an approved work instruction is often pre-authorized by procedure. Anything outside that, or any repair, should have a signed request like this one.

#### How many times can I rework a solder joint?

**Answer:** Limits vary by customer and process. Many programs cap it at one to three cycles per location. Use your contract and quality manual, not a generic figure.

#### Where should the form be filed?

**Answer:** With the work order or serial number build record, and linked to the NCR. That way the history is available for failure analysis and customer audits.

## Search terms

rework authorization form, pcb repair authorization template, IPC-7711 rework form, IPC-7721 repair request, electronics rework procedure template, rework request form excel, repair disposition form

---
Talk to an engineer: https://netray.co/contact?intent=erp_ai | Machine catalog: https://netray.co/agent/catalog.json