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Change Control

This document is a change control request form that collects information about proposed changes to a project. It requests details about the project, proposed change, justification, potential impacts, alternatives, and analyses the change's impact on schedule, costs, scope, deliverables and other areas. Project managers and reviewers provide recommendations and rationale, and final management approval is documented.

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bhavik_meghani
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
156 views

Change Control

This document is a change control request form that collects information about proposed changes to a project. It requests details about the project, proposed change, justification, potential impacts, alternatives, and analyses the change's impact on schedule, costs, scope, deliverables and other areas. Project managers and reviewers provide recommendations and rationale, and final management approval is documented.

Uploaded by

bhavik_meghani
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Change Control Request

General Information

Project Name Date

Client Name Client Company Name

Contact Phone Email Fax

Project Manager Phone Email Fax

Change Request Definition

Description – Describe the proposed change.

Justification – Justify why the proposed changes should be implemented.

Impact of Not Implementing – Explain the impact if the proposed change is not implemented.

Alternatives – Provide at least three alternatives that could be implemented instead of the proposed change.

Change Request Analysis

Check each that apply


Project Schedule Configuration Item Contract Amendment/Change Order
Project Costs Project Scope Major Deliverables/Outcomes
Technology Roles/Responsibilities

Note: An approved Change Control Request MUST accompany the Contract Amendment and Change Order Approval if
applicable.

Impact Description – Describe the impact for each of the items checked.

Texas Project Delivery Framework


Change Control Request 1.0 1
Change Request Initial Review

Review Date Reviewer’s Name Reviewer’s Project Role Recommendation

Approve
Reject
Defer Until: [DATE]

Approve
Reject
Defer Until: [DATE]

Rationale for Recommendation – State the rationale for recommendation.

Change Request Final Management Approval

Final Approval Date Name Title Recommendation

Approve
Reject

Special Instructions – Provide any additional information regarding the final recommendation.

Texas Project Delivery Framework


Change Control Request 1.0 2

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