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FM.07.01.01 Field Change Request and Drawing Modification Request Form Rev2

This document is a field change and drawing modification request form. It requests modifications to drawings and provides spaces to document the details of the requested changes, including the affected drawings, reason for modification, proposed modification details, requirements for internal and external technical reviews, and approvals from relevant parties. If approved, it instructs the drawing owner to proceed with incorporating the modifications.

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alex
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
82 views

FM.07.01.01 Field Change Request and Drawing Modification Request Form Rev2

This document is a field change and drawing modification request form. It requests modifications to drawings and provides spaces to document the details of the requested changes, including the affected drawings, reason for modification, proposed modification details, requirements for internal and external technical reviews, and approvals from relevant parties. If approved, it instructs the drawing owner to proceed with incorporating the modifications.

Uploaded by

alex
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Field Change and Drawing Modification Request

No: _____ (to be completed by the Technical Office Manager)

1. Request Details (to be completed by the person requesting modifications)

Location: Discipline:

Affected Drawing(s) No: Number of attached pages:

Initiated by: Any related Document Reference


Number:

Reason for Modification: Code A: for design errors / constructability issues, B: for revised
project requirements / value engineering, C: for Engineer Instructions, D: for interface issues &
E: for Combination of all or any other

☐A ☐B ☐ C ☐D ☐E

Explanation:

2. Modification Details (to be completed by the person requesting modifications)

The drawing shall be modified:


☐ In accordance with attached sketches/copies
☐ Incorporating the following comments (insert numbered comments)

The drawing shall be modified accordingly:


☐ In the next design drawing revision, or ☐ the next shop drawing revision
☐ In an new design drawing or ☐ a new shop drawing
☐ In the As Built
☐ Other, Please specify _____________________________________________________

Name & Signature _____________________________


3. Internal Technical Review Requirements (to be completed by the Technical Office Manager)

☒ Construction Manager
☒ MEP Manager
Name & Signature:______________________________________ Date:__________

This document is uncontrolled unless viewed in EDMS

FM 07.01.01 Rev2
4. External Technical Review Requirements (to be completed by the Technical Office Manager)

☐ Designer Input required


(Please define name of Designer) ☐ Designer Input not required

______________________________________

☐ Other Designer’s / Consultant input required ) ☐ Other Designer’s input not required
(Please define the name of other Designer / Consultant)

_______________________________________

☐ Subcontractor Input required ☐ Subcontractor Input not required


(Please define the name(s) of the Subcontractor(s)

_______________________________________

_______________________________________

☐ Authority Input required ☐ Authority Input not required


(Please define the Authority)

_______________________________________

Name & Signature: ____________________ Date: __________________


5. Instructions to the Drawing Owner (to be completed by the Technical Office Manager)

☐ Incorporate this modification in future revisions of the drawing by: ______________(date)


☐ Incorporate this modification in As Built
☐ Not Applicable

This document is uncontrolled unless viewed in EDMS

FM 07.01.01 Rev2
6. Technical Review Outcome Details (to be completed by the individual Reviewers as identified above)
In the case of more than one Reviewer, each reviewer shall insert their name, date of review and signature along with
comments if they have any. If additional space is required, please refer to an attachment and add the details on it

Name & Signature:______________________________________ Date:______________


7. Commercial Review Outcome Details (to be completed by the Commercial Manager)

If additional space is required, please refer to an attachment and add the details on it

Name & Signature:______________________________________ Date:______________

This document is uncontrolled unless viewed in EDMS

FM 07.01.01 Rev2
8. Approval (each individual signing below confirms that the modifications have been assessed, evaluated, impacts
identified and addressed and that the compliance is maintained). After all signatures on this clause, the Technical
Office Manager shall instruct the drawing owner to proceed with the modification(s) included in this FCR
Technical Office Manager Designer:

Name: Name:

Signature: Signature:

Date:
Date:
Any other specified Designer /
Consultant:

Name:

Signature:

Date:
Construction Manager Subcontractor:

Name: Name:

Signature: Signature:

Date: Date:

MEP Manager Any other Subcontractor:

Name: Name:

Signature: Signature:

Date: Date:

Project Manager

Name:

Signature:

Date:

This document is uncontrolled unless viewed in EDMS

FM 07.01.01 Rev2

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