03. Project Management Practice Tool - Change Request

change request
project name   preparation date  
Changes requested by individuals   change number  
change classification □Scope □Quality □Demand
□Cost □ progress □ Documents
Detailed description of the proposed changes
       
       
Reason for the proposed change
       
       
       
Impact of proposed changes
Scope □ increase □ reduce □ Modify
describe:
quality □ increase □ reduce □ Modify
describe:
need □ increase □ reduce □ Modify
describe:
cost □ increase □ reduce □ Modify
describe:
schedule □ increase □ reduce □ Modify
describe:
Stakeholder Impact □High risk □ Moderate risk □ Low risk
describe:
project files:
illustrate
deal with □ Approved □ on hold □ reject
reason:
 
Sign-off of the Change Control Board
Name Role sign
     
     
     
date  

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