Project Change Request Tracking Log (template 3)

Project Name:
Project Manager:

Submission Data

Date Posted to
Request # Submitted By: Date
Tracking System
 Impact Analysis

Date Assigned to Date Analysis Date Posted to

Assigned to Date Reviewed
Analyst Completed Tracking System
 PM Review and Approval
Date of
Scheduled Date
Authorization Committee Date Posted to Date Requestor
for Committee
Committee Decision Tracking System Notified
Approval
Review
 Date Request
Integrated into
Project Plan
Below are the definitions of the information to be placed in each field of the Project Change Request Tracki

Product Definition:
The Project Change Request Tracking Log is a matrix of information on each Project Change
consideration on a particular project. Each log is project specific to allow easy review of the
log relates to a single request. The log has three sections that mirror the phases of the reque
the log is detailed in the text of the Microprocess instructions. This log is best kept in a sprea

Project Change Request Tracking Log

Project Name: Self Explanatory
Project Manager: Self Explanatory

Submission Data

Date Posted to
Request # Submitted By: Date
Tracking System

Recommended format is
Date
yyyymmdd### Submitted to
Project
Manager
The name of the Authorized
Requesting Stakeholder Self
Explanatory
 of the Project Change Request Tracking Log

information on each Project Change Request form that is submitted for

ct specific to allow easy review of the history of changes made. Each line of the
ns that mirror the phases of the request process. The timing of each update to
ctions. This log is best kept in a spreadsheet format.

Explanatory
Explanatory

Impact Analysis

Date Assigned to Date Analysis Date Posted to

Assigned to Date Reviewed
Analyst Completed Tracking System

Date Project
Name of Manager
Business Reviewed the
Date the Analyst completed
Business Impact
Analyst Analysis
received the Self
Change Explanatory
Request for
Impact
Analysis Date the
Business
Analyst
turned the
completed
Impact
Analysis into
the Project
Manager
 PM Review and Approval
Date of
Scheduled Date
Authorization Committee Date Posted to Date Requestor
for Committee
Committee Decision Tracking System Notified
Approval
Review

Actual date
committee
approved or Self Self
denied the Explanatory Explanatory
request

Date any
approving
committees
Outcome of
will meet to
committee's
consider the
decision
disposition of
(approve, deny,
the request
postpone)
 Date Request
Integrated into
Project Plan

Self
Explanatory