Request For Change

Document Sample
Request For Change Powered By Docstoc
					                                                                  Project No:

                                                                  Document No:




                               REQUEST FOR CHANGE
                                    (Outside Tolerances)

PURPOSE
To request a modification to a product or acceptance criteria as currently specified,
which fall outside set tolerances. The Project Manager will work with the
author/instigator of the change to complete this form. Note: Please use the Change
Control Form to request changes that are within set tolerances.

IMPACT OF CHANGE
 Details
 Project Name:                                       Unique RFC Reference No:       RFC – 001
 Project Manager:                                    Date RFC Raised:
 Senior Supplier:                                    Raised By:
                                                     Date Decision Required By:
 Description        What are the main objectives for this change.



 Products           i.e. how does this affect any specifications that have been produced,
                    existing code or other products or projects.


 Timeline           i.e. does this affect the overall project plan or a stage plan
                    Does the time delay have a knock on effect to other projects or
                    dependencies.

                     Actual date:                    dd/mm/yyyy

                     Forecast completion date:       dd/mm/yyyy

                     Variance time delay:            dd/mm/yyyy



 Human              Are there any resource implications?
 Resource




 Budget             Is there any budget impact
                         Imperial College – Commercial in Confidence
                                                                                  Page 1
d3b934fa-b9a8-45f9-b345-2b9138637ad0.DOC                       insert project name
                                    Date:

               If No, please ensure ‘Section 3’ is still completed in the Finance
               section following.


               Have there been any previous budget change requests? If so, please
               list all amounts, dates and authorisations:



                    Date               £                  Authorised By




Allocation     Who is managing the work, is it assigned to a specific person or
Details        workstream?

               Date Allocated:

               Date Completed:




                     Imperial College – Commercial in Confidence
                                                                          Page 2
d3b934fa-b9a8-45f9-b345-2b9138637ad0.DOC                               insert project name
                                            Date:
FINANCIAL CHANGE APPROVAL
Work with your project accountant or finance representative to complete this section
1. PROJECT COST                                                  BUDGET
                                            Approved             Revised             Variance
Construction (Shell and Core)           £                    £                  £
Fit out and Furnishings                 £                    £                  £
Design/ Professional Fees               £                    £                  £
Equipment Costs                         £                    £                  £
Other                                   £                    £                  £
Feasibility study (to be subtracted     £
from project cost to reimburse
feasibility fund)
Property Costs Sub-total                £                    £                  £
ICT Hardware and Software               £                    £                  £
ICT Analysis and Development            £                    £                  £
ICT Costs Sub- total                    £                    £                  £
Non-ICT Equipment Sub-total             £                    £                  £
Decanting costs                         £                    £                  £
Project Management                      £                    £                  £
Staff Backfill                          £                    £                  £
Training                                £                    £                  £
Associated Costs Sub-total              £                    £                  £
Grand Total*                            £                    £                  £

2. SOURCE OF NEW FUNDS                     VALUE                                    CONFIRMED?
                                       £                                                
                                       £                                                
                                       £                                                
                                       £                                                
Total*                                 £
* - Variance total and Source of New Funds total must be equal.
MUST BE COMPLETED: (for both Financial and Non-Financial Impact)
3. CONFIRMATION: In signing this form the Project Director confirms that:
The budget has been revised with appropriate input from the Project Board and                 
Support Service Divisions
All revisions have been approved by the relevant Professional Service Provider
            Estates                                                                           
            ICT                                                                               
            Other:    ___________________                                                     

The VAT and other Tax implications of the project change have been considered                 

The Business Case have been revised accordingly and all other relevant                        
specifications

There is an undertaking to deliver the project in accordance with the revised                 
budget, programme and scope.

Position       Project Director                     Project Champion                     Date

Signature:     ……………………………                          ……………………………                       ……………

                           Imperial College – Commercial in Confidence
                                                                                     Page 3
d3b934fa-b9a8-45f9-b345-2b9138637ad0.DOC                            insert project name
                                          Date:

4. APPROVAL (OUTSIDE PROJECT TOLERANCE):
Threshold    Accountable       Approval                                            Please Tick
             Body
                               Management                 Finance

£0-100k      N/A               HoD or delegate            Faculty Finance                  
                                                          Officer
£100k-1m     Operations        Faculty Principal/         Director of Finance              
             Committee         Operating Officer or
                               Support Service Director
£1-5m        Management        Rector or Deputy Rector    Chief Finance Officer            
             Board
>£5m         Council           Rector                     Chief Finance Officer            


Name:

Signature:                     ………………………                  ………………………
Date:
5. PROJECT ADMINISTRATION
Received by Finance:
Name:                               Signature: …………………………                       Date:
                                                                                …………….
Received by Senior Supplier:
Name:                               Signature: …………………………                       Date:
                                                                                …………….
Received by Project Manager(s):
Name:                               Signature: …………………………                       Date:
                                                                                …………….



ATTACHMENTS
Any drawings/diagrams to aid understanding.




                          Imperial College – Commercial in Confidence
                                                                                  Page 4

				
DOCUMENT INFO
Shared By:
Categories:
Tags: Request, Change
Stats:
views:329
posted:2/25/2010
language:English
pages:4
Description: Request For Change