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CRF Template

This change request form details a proposed change to the K2 JKT1 DC - Phase 1 Enabling Work project. The request was originated by [name redacted] and proposes a [description redacted] that would [impact redacted]. The contractor estimates the change would result in a [number] day [delay/saving] to the project schedule and increase/decrease costs by [pound amount]. Project managers and other stakeholders provide comments on the requested change and whether it requires further justification or client approval. The form is signed by relevant parties to approve or reject the change request.

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Hanitha (Digital & Technology)
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43 views

CRF Template

This change request form details a proposed change to the K2 JKT1 DC - Phase 1 Enabling Work project. The request was originated by [name redacted] and proposes a [description redacted] that would [impact redacted]. The contractor estimates the change would result in a [number] day [delay/saving] to the project schedule and increase/decrease costs by [pound amount]. Project managers and other stakeholders provide comments on the requested change and whether it requires further justification or client approval. The form is signed by relevant parties to approve or reject the change request.

Uploaded by

Hanitha (Digital & Technology)
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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CHANGE REQUEST FORM

K2 JKT1 DC - Phase 1 Enabling Work

Change Request Number: COR-XX-001 Revision / Issue: 0 Date:

CHANGE DETAILS (attach documentation as need to support request)

Title of change request:

Originator of Change Request: Originators Ref :

Brief Description of Change:


(Including works affected by it)

Reason for Change: Requestor driven change Employer driven change

Consultant driven change Others (Please Specify)…………………

PROGRAMME IMPACT (to be completed by Contractor)

Is there a programme Impact Yes / No if Yes the Delay / Saving in days is:

Reason for Programme effect:

COST EFFECT (to be completed by Contractor: attach cost documentation as need to support the request)

Is there a cost impact for this change? If Yes what is the;


Cost / saving of implementing change £ -
Cost / saving associated with effects on programme £ -
TOTAL COST IMPLICATION OF CHANGE £ -

LEAD CONSULTANT COMMENT

Comment on Change Request

QUANTITY SURVEYOR COMMENT

Comment on Change Request

CLIENT COMMENT

Comment on Change Request

PROJECT MANAGERS COMMENT ON CHANGE

Is further justification required? Yes / No Date:

Is request to be passed to client for approval? Yes / No Date:

APPROVAL / REJECTION

The Change request COR-XX-001 is Approved / Rejected

Signed:
K2 PM onsite Senior Delivery Manager Commercial Manager Director / COO

Date:

Page 1 of 1 UK1 CHANGE REQUEST FORM

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