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Simple Change Review Checklist Template

Structured review before implementing low-medium risk operational, technical, or procedural changes. Designed for frontline teams and supervisors to ensure energy implications are considered in day-to-day decisions. Focuses on key risk areas such as performance impact, operational disruption, and safety. Enables consistent evaluation of change impacts with minimal time investment.

This checklist template is designed for manufacturing, development, management and focuses on Is the purpose and scope of the proposed change clearly defined and do, Have the potential impacts of the change on quality, safety, environme, Have the risks associated with the change been identified and assessed.

Change Management manufacturing, development, management
Level: Basic / Foundational / Reactive
Frequency: case by case
Minutes to fill: 8
Questions: 10

What This Template Covers

Use this template to review Is the purpose and scope of the proposed change clearly defined and do, Have the potential impacts of the change on quality, safety, environme, Have the risks associated with the change been identified and assessed with a structured format that supports consistent follow-up and faster decision-making.

  • Is the purpose and scope of the proposed change clearly defined and do
  • Have the potential impacts of the change on quality, safety, environme
  • Have the risks associated with the change been identified and assessed

Why This Version Is Different

Unlike generic templates, this version is tailored to the change management category, the Basic / Foundational / Reactive maturity level, and the workflow of manufacturing, development, management.

Module: Checklist
Best for: manufacturing, development, management
Completion time: 8 minutes

Template Questions

Showing first 15 rows

Title Answer type

Assessment date

Date

Names of the assessors

Text

Assessed change

Text

Comments

Textarea

1. Is the purpose and scope of the proposed change clearly defined and documented?

Select

2. Have the potential impacts of the change on quality, safety, environment and energy performance been evaluated?

Select

3. Have the risks associated with the change been identified and assessed?

Select

4. Have applicable legal, regulatory and compliance requirements been reviewed in relation to the change?

Select

5. Have all affected processes, procedures and documents been identified for update?

Select

6. Are responsibilities and approval authorities for the change clearly defined?

Select

7. Have the necessary resources (budget, personnel, time) been evaluated and approved?

Select

8. Have affected employees been informed and, where necessary, trained regarding the change?

Select

9. Has a method been defined to monitor and evaluate the effectiveness of the change after implementation?

Select

10. Has formal approval of the change been documented prior to implementation?

Select

#. Attachments

Multiple file upload

10 total questions

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