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Change Control Request Form

This 3 page document is a change control request form used to request and approve changes to an organization's integrated management system (IMS). It collects information about the requested change including the initiator, department, date, type of change, reason, required resources, and impact on the IMS. It also documents the approval or rejection of the request by the managing director and any subsequent monitoring or closeout of an implemented change.

Uploaded by

Suleman Faiz
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
401 views

Change Control Request Form

This 3 page document is a change control request form used to request and approve changes to an organization's integrated management system (IMS). It collects information about the requested change including the initiator, department, date, type of change, reason, required resources, and impact on the IMS. It also documents the approval or rejection of the request by the managing director and any subsequent monitoring or closeout of an implemented change.

Uploaded by

Suleman Faiz
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 3

Change Control Request Form

Document No Version # Issue Date


Page 1 of 3
OMS/IMS/SOR-030 02 24-10-2019

Request No. (Allotted by IMS Head) C C R ─  0 0  1 

To be filled by Initiator

Request Initiator Name: Request Initiator Designation:

Initiator Department: Request Initiate Date:

To be filled by Compliance Specialist

Change Required: Yes No

Remark if any:
______________________________________________________________________
______________________________________________________________________
______________________________________________

Change Evaluation/ Assessment:

Description of Change: (To be filled by Relevant Initiator/ Departmental Head)


Change Control Request Form

Document No Version # Issue Date


Page 2 of 3
OMS/IMS/SOR-030 02 24-10-2019

Product/ Process Infrastructure Machinery/ Equipment

Dismantling/Removal Technological Other Please specify

Details:

Reason for Change: To be filled by Initiator/ Relevant Departmental Head


(Justify why the proposed change should be implemented)

Resources and Skills required to make change: (To be filled by Initiator/ Relevant
Departmental Head)

How does the proposed change affect the IMS? (Detail about Impact of suggested
change) To be filled by IMS Coordinator and IMS Department
Change Control Request Form

Document No Version # Issue Date


Page 3 of 3
OMS/IMS/SOR-030 02 24-10-2019

Resulting Changes (to existing IMS procedures, Inspection and testing method,
Process / Infrastructure/ Document / Drawings, Training requirements, Risk
Assessment, Legal Requirement etc.)

Change Control Request Approval: (To be filled by Managing Director)

Approval Date Name Signature Recommendation

  Approved    
  Rejected    
  Deferred    

Monitoring of Implemented Change (if required) & Closeout


Date of Change
Name (Compliance Specialist) Signature
Close

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