Management of Change Order

• Site conducted

  Select

• Prepared by

• Conducted on

  Date

Management of Change

• Where change is coming from? (Vessel/Shore)

  Vessel

  Shore-based

• Vessel Name:

• What Management of Change Order is Regarding

  Equipment?

  Process?

  Procedure?

• What is the change being made? Why?

• Detail new changes:

• List all employees affected by change:

• Authorization to Proceed?

  Yes

  No

  N/A

• Authorization Granted by:

• Authority Name/Signature:

  Sign

• Implementation Date:

  Date