Controls & Planning Change Request Form

____________________________________________________________________

Section 1 - To be completed by the Change Originator

Change Details

Change Originator <Enter your name>

Business Unit/Project <Enter the name of your Business Unit and/or Project

Change Name <Enter a ‘Headline’ style Title for your change>

Change Type <Enter either LGPF or OW or both>

Date Raised <Enter Date>

Change Description <Enter a detailed description of the change being requested. Attach
supporting documentation as necessary.

Note: If the origin of the change is from a C&P Action Group, it is

mandatory that full supporting details are provided.

Change Justification <Enter details in respect of the reason for requesting the change and the
expected benefits arising from the change>

Note: If the origin of the change is from a C&P Action Group, it is

mandatory that the justification of the change is fully detailed.
On completion of Section 1, email form to CPChangeAdmin@leicon.com.au

Section 2 - To be completed by the Change Board Administrator

Change Administration

Change Number <Enter a Unique Number for this change>.

Date Received <Enter Date>

Status <Enter Status of Change either Raised/Approved/Rejected/Hold or

Closed>

Date Issued for <Enter Date>

Assessment

Date to be presented to <Enter Date of Next Change Board>

Change Board
Section 3 - To be completed by the Change Board Member

Change Impact Assessment

Title: Controls & Planning Change Request Form Date Published: 19/04/2013 Page 1 of 3
ID: 152132 Version: 2
Our Way Management System - Uncontrolled Document when Printed
Leighton Contractors Pty. Limited ABN 98 000 893 667 www.leightoncontractors.com.au
 Change Board Member <Enter Name>

Impacted Areas <Enter either LGPF or OW or both>

Existing LGPF <Enter all existing LGPF requirements that will require amendment as a
Requirements result of this change. Reference the appropriate section of the LGPF that
will be affected.>

New LGPF <Enter all new LGPF requirements that will require development as a
Requirements result of this change. Reference the appropriate section of the LGPF that
will be affected.>

Existing OW <Enter all existing Our Way documents that will require amendment as a
Documents result of this change>

New OW Documents <Enter all new Our Way documents that will require development as a
result of this change>

Impact on C&P users <Enter anticipated impact on C&P users as a result of this change. Detail
current working practices affected or new working practices required.
Detail any additional benefits arising from the change not captured in
Section 1.>

Impact on existing <Enter whether the Change is to be applied to existing projects (and their
projects datasets) or is only applicable to new projects commencing after the
change is implemented>

Impact on Training <Enter all existing training courses that will require amendment as a
result of this change or any new training courses that will be required>

Impact on Budget <Enter an estimate of the effort required to implement the change along
with any costs where applicable>

Recommendation <Enter either Approve / Reject or Hold>

Date <Enter Date of Assessment>

Title: Controls & Planning Change Request Form Date Published: 19/04/2013 Page 2 of 3
ID: 152132 Version: 2
Our Way Management System - Uncontrolled Document when Printed
Leighton Contractors Pty. Limited ABN 98 000 893 667 www.leightoncontractors.com.au
Section 4 - To be completed by the Change Board Chairman

Change Board Decision

Change Board <Enter name>

Chairman or proxy

Date Reviewed <Enter date of assessment>

Change Board <Enter either Approve / Reject / or Hold>

Decision

Change Board <Enter supporting comments on above decision as appropriate>

Comments

Submit to C&P Owners <Enter Yes or No. Note this is only applicable for OW changes)
Group for Approval

C&P Owners Group <Enter either Approve or Reject>

Decision
Nominated Change <Enter the name of the person nominated to lead the implementation of
Owner the change if change approved>
Implementation Plan <Enter status of implementation plan Approved / or Hold>
Status

Section 5 - To be completed by the Change Owner (only applicable to Approved changes)

Change Implementation

Change Owner <Enter name>

Implementation Plan <Enter details of how the change is to be implemented. Attach supporting
documentation as necessary>

Plan Submitted to <Enter Yes or No>

Change Board
Chairman
Implementation Status <Enter either Not Started / In Progress or Completed>

Target Date <Enter target date for implementation of change>

Actual Implementation <Enter actual date that the change was implemented>
Date

Title: Controls & Planning Change Request Form Date Published: 19/04/2013 Page 3 of 3
ID: 152132 Version: 2
Our Way Management System - Uncontrolled Document when Printed
Leighton Contractors Pty. Limited ABN 98 000 893 667 www.leightoncontractors.com.au