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2019 MANAGEMENT OF CHANGE REQUEST FORM

Name of Person or Group Requesting Change: TEAM FAWKES, GSFC University Date: 28th August’19

Summary Description of Change:

1. Number of Lead and lead oxide plates in stack are changed from 3 to 5, i.e. 2  PbO2 plates and 3  Pb
plates, firstly it was 1 PbO2 plate and 2 Pb plates.

2. Increased the size of the syringe.

3. Axle is changed to glass rod.

Reason(s) for Change:

1. To overcome the power requirement of motor driver circuit we have to increase the net power supplied,
so by increasing the number plates in battery we can get more power up to 5.5 watt.

2. To hold more volume and to increase turbulence.

3. Steel axle was misaligning the vehicle to overcome it, glass rod is introduced as new axle.

Change is:  permanent

temporary Duration of change: 4 hours

Signature of Requestor:

Yes N/A
Attachment checklist: N/A Updated Process Flow Sheet, if changed
N/A Current Process Flow Sheet
N/A Updated JSA pages, if changed
N/A Current JSA pages
N/A Updated Engineering documentation pages, if changed
N/A Current Engineering documentation pages
Safety Evaluation Checklist (req’d. – see below)
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Management of Change Request Form

PROCESS CHANGE REQUEST

APPROVAL FORM

Type of Change: Major – Requires review by entire team and faculty adviser
 Minor – Requires review by team only

Description of Change as Approved:

We have increased the double container size so it could be seen easily and would be more effective in
containing the leak.

Approved Duration of Change: 3 hours

Signatures of Approval
Faculty Adviser: _____________________________________________ Date: ______________

Review Team Member: _____ ___________________________ Date: 28th August 2019

Review Team Member: _____ ___________________ Date: 28th August 2019

Review Team Member: ______ __________________________ Date: 28th August 2019

Attach minutes and pertinent notes from review team meetings and place in permanent file.
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Management of Change Request Form

SAFETY EVALUATION CHECKLIST

Complete this safety evaluation checklist, noting any conditions that apply to the proposed change. Attach a
more detailed description of the change, if necessary, along with all supporting materials.

Changes in Process Conditions/Materials: Changes in Facilities:

temperature ventilation
pressure lighting
flow utility services
level building modifications/renovations
 composition
chemical Changes in Safety Equipment:
toxicity  containment
flash point guarding
reaction conditions fire protection
biohazard fire detection
use of regulated materials safety equipment location
use of lasers/ change in class of lasers safety equipment type
personal protective equipment
Changes in Operating Conditions/ Procedures: grounding/bonding
startup
normal operations Changes in Control Systems/ Elements:
abnormal operations  programming change
shut down controller action
emergency shut down control valve trim/sizing
maintenance procedures instrument/transmitter
lock-out sensing element
tagging graphically displayed information
system response to alarm
Changes in Process Equipment:
 size or capacity Changes in Environmental Conditions:
materials of construction discharge air quality
seals and gasket materials discharge water quality
piping/ valving solid waste
electrical system
max./min. working pressure
max./min. working temperature
equipment guarding
thermal insulation/insulation coverings
filters
support structures