Change Control

1. BASIC INFORMATION ON THE CHANGE REQUESTED

Project name

Insert project identification, programme or tasks which the change concerns.

Identification of changes

Insert the description of the change requested.

Request placed by

Anybody

Contact details

Insert your contact details

Description of requested change

Explain the change including the proposed action.

Date of raising the request

dd/mm/yyyy

Requested deadline for dealing with the change request

dd/mm/yyyy

Priority

Low

Medium

High

Essential

Justification for change

Justify why you are requesting that this change should be carried out

Comments

Insert any other potential comments.

Annexes or references

Yes

No

Name of the annexe or reference

Insert the identification of the annexe or reference related to the change proposed.

2. ANALYSIS OF THE CHANGE REQUEST

Impact on the objective/outputs

What will the impact of the change on project objectives and outputs be?

Impact on the budget

What will the impact on the project budget be?

Impact on the time schedule

What will the impact on the time schedule of the project be?

Other impacts

What other impacts will the change bring?

Comments

Insert any other potential comments.

Recommendations Y/N; procedure

Insert your recommendations, if and how the change should be implemented.

Analysis carried out by

Project manager

Date

dd/mm/yyyy

3. DECISION ON CHANGES

Decision

Authorised

Authorised with amendments

Rejected

More information

Justification of the decision

Insert your justification.

Comments

Insert any other potential comments.

Who will provide information

Insert the name of the person responsible for informing the stakeholders about the change.

Approved by

Depending on change classification

Date

dd/mm/yyyy