DESIGN CHANGE REQUEST
DESIGN CHANGE REQUEST
Project Title
*
Work Package
Action
*
New Submission
Resubmission
DCR Ref. No.
Revision No.
*
Subject
Date
*
Location
Work Discipline
*
Please Select
Utility Provider
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Please Select
SESB
JANS
Telekom
CTSB
Petronas
Sewerage
SCOMM
KKMM
Others
Other (Please Specify)
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Issued To
Attn. to
SECTION A - COMPLIANCE
Compliance Criteria (Check all that apply)
*
Scope & Design Brief
Design Standard
Design Cost
SECTION B - DESIGN CHANGE DETAILS
Change Category (Check all that apply)
*
Time
Cost
Time and Cost
Describe the Change Being Requested
Describe the Reason For The Change
Describe the Alternative Considered
Describe Any Technical Changes Required to Implement This Change
Describe Risk To Be Considered For This Change
Estimate Resources and Cost Needed To Implement This Change
Describe the Implication To Quality
Attachment(s)
Reference
Process
Reference No.
Created By
Created Date
add
Document
Reference No.
Type
Sub Type
Date
File
add
Submit
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Process
Approved Design Drawing
Design Change Request
Incident
Land Acquisition
Land Encumbrances
Land Issue
Land Summary
Method Statement
Material Acceptance
Non Conformance Report
Site Memo / Notice of Improvement
Public Complaint
Progress Update
Request for Inspection
Request for Information Technical
Risk Register
Report Submission
Safety Activity and Response
Site Dairy Log
Site Instruction
Total Safe Man-Hours Work Without LTI
Show
PROCESS
REF. NO.
CREATED BY
DATE CREATED
STATUS
ACTION
ACTIONER
ACTION STATUS
ACTION REMARKS
VIEW
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Type
Sub Type
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REFERENCE NO.
TYPE
SUBTYPE
DATE
STATUS
CREATED BY
FILE