3/F1	Design change notice and record
Job no:	Job title:	
Design change notice and record	
Attention:	Date:	
Issued by:	Reference:	
Report no:	Total pages:	
Originator of the request:	
Date:	
General description:	
Implement or evaluate:	
Further evaluation required:	
Reason (check if applies)
 Client request
 Aesthetic improvement
 Design coordination
 Cost reduction
 Statutory requirement	
 Improved functionality
 Improved constructability
 Operational improvement
 Improved maintenance
 Site constraints	
Estimated impact	
Delay to design
	Design cost
	
Discussed at point of instruction:
 Yes  No	Discussed at point of instruction:
 Yes  No	
Delay to construction
	Construction cost
	
Discussed at point of instruction:
 Yes  No	Discussed at point of instruction:
 Yes  No	
Delay to overall programme
	Third party cost
	
Discussed at point of instruction:
 Yes  No	Discussed at point of instruction:
 Yes  No	
Circulation: