Template

Management of Proposed Change Form

by Samuel Giuffre, from the Community

10+

This Management of Proposed Change form helps teams plan and control changes safely and compliantly. Capture the reason for change, identify affected stakeholders, and document key risks. Record whether a risk assessment was completed and attach evidence. Define required actions, training needs, and monitoring plans to ensure safe implementation. Note any additional procedural or facility changes, licensing requirements, and notifications to authorities. Set the planned timing, document approvals, and log any other issues to effectively manage change from proposal through review.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Management of Change MOC Assessment
This Management of Change assessment template helps teams evaluate the impact of proposed changes across engineering, operations, quality, personnel, contractors, and compliance. Use it to review hazards such as high energy sources, flammable or hazardous materials, environmental risks, and PPE needs. Capture training and procedure updates, emergency response considerations, change scope, and whether the change is temporary or permanent, with comments and approvals.
by Advantis Engineering, from the Community
Downloads: 10+
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Template
Screwfix Specification Change Proposal
This construction template helps teams propose and document specification changes on site. Record project details, principal contractor, document number, and location. For each proposed change, capture the reason, expected costs or savings, supporting photos, and related notes. Use multiple proposal sections to log separate changes and add clear sign-off or decline reasons for accountability. Designed for construction project managers, contractors, and site supervisors to standardize change control, track impacts, and maintain an auditable record of approvals.
by Phil Brimble, from the Community
Downloads: 20+
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Template
Certa Change Request
Use this Certa Change Request template to plan, justify, and control operational changes across departments. Capture the change title, request date, preparer, version, and location. Define the case for change, type (plant, equipment, process, technology, procedural, organizational, people), and whether it is temporary or permanent. Provide a detailed description and justification, anticipated start date, and potential hazards if the change is not implemented. Identify required control measures and additional resources, note any asset replacements, and list affected stakeholders. Record notifications, benefits and adverse effects for stakeholders, staff, and operations. Add actions with owners and due dates, link to supporting systems, select the responsible department, and obtain director approval and signature before implementation.
by Eanna Garvey, from the Community
Downloads: 0
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Template
QMS Change Management Form
Use this QMS change management form template to standardize change control across your organization. Record the change request, background, proposed timeline and resources, and analyze potential impact on people, processes, systems, and quality. Create and track actions, capture approvals or rejections with comments, and document training and communication. Helps support ISO 9001 compliance, version control, and audit readiness.
by Lemual Chand, from the Community
Downloads: 20+
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Management of Proposed Change Form

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Management of Change MOC Assessment

Screwfix Specification Change Proposal

Certa Change Request

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You might also like

Management of Change MOC Assessment

Screwfix Specification Change Proposal

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