PROJECT DEVIATION REQUEST

Approved by
Rev. Reason for Issue Date Originator Reviewer Approver
Employer

Rev.
 Reference Documents
Ref.
Document No. Document Title Rev.
No.
1
2
3
4
5
 PROJECT DEVIATION REQUEST

SUBJECT:

Deviation Request No: Date:

Specification Document No.: Specification Section:

1.Description of Deviation:

2. Reason for Deviation:

3. Impact Deviation on:

a. HSE

b. Project Schedule

c. Cost

4. Risk Assessment by Originator Engineer:

5. Document Requiring Updating:

6. Contractor Comments:

Position Name Signature Date

Discipline Engineer

Engineer Manager

Contractor PM

7. To be Completed by OWNER/PMC

Judgement by OWNER/PMC:

□Accepted □Accepted with Conditions □Rejected

Comments:

Position Name Signature Date

8. Remarks (if any)