Engineering Change Notice Template

You can open the Engineering Change Notice Template in multiple formats, including PDF, Word, and Google Docs.


Sample

Engineering Change Notice Template

Printable | Editable Form



Examples


Engineering Change Notice Template (1)
Change Notice Number:
[Enter Change Notice Number]
Date:
[Enter Date]
Project Name:
[Enter Project Name]
Issued By:
[Name of the Issuer]
[Title]
[Department]
[Contact Information]
Reason for Change:
[Detailed explanation of why the change is required, e.g., design improvement, compliance, cost reduction].
Details of the Change:
[Describe the specific modifications to be made, including relevant drawings, specifications, or references to existing documents].
Impact Assessment:
[Discuss the potential effects on project timelines, budgets, resources, and quality].
Approval Required From:
[List individuals or departments that must approve this change, along with their contact information].
Proposed Implementation Date:
[Propose a date for when the changes should be applied].
Signatures:
[Signature of the Issuer]
[Name of the Issuer]
[Signature of the Approver]
[Name of the Approver]
Engineering Change Notice Template (2)
Change Notice Number:
[Enter Change Notice Number]
Date:
[Enter Date]
Project Name:
[Enter Project Name]
Initiated By:
[Name of the Initiator]
[Title]
[Department]
[Contact Information]
Change Description:
[Provide a clear description of the changes being proposed, including any technical information that supports the change].
Justification for Change:
[Explain the rationale behind the change, whether it’s for improvement, compliance, or rectification].
Implications:
[Assess how the change will affect timelines, costs, and overall project goals].
Approval Needed:
[Detail the necessary approvals required before implementing the change].
Effective Date:
[Specify when the proposed changes should take effect].
Endorsements:
[Signature of the Initiator]
[Name of the Initiator]
[Signature of the Relevant Authority]
[Name of the Relevant Authority]

Format

Please complete the form below to create the Engineering Change Notice Template. All fields must be filled out to ensure a clear and complete notice. We provide examples to guide you through each step.

Engineering Change Notice Template

1. Project Information


2. Change Description

3. Justification for Change

4. Impact Assessment

5. Implementation Plan

6. Affected Documents

7. Review and Approval

8. Distribution List

9. Acknowledgment and Signatures




PDF


WORD

Google Docs

Printable

Engineering Change Notice Template

Printable | Editable Form




Engineering Change Notice Template