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SITE CHANGE REQUEST

Project: _______________________________________________
Request no. Date: ________________________

TO BE COMPLETED BY CLIENT/STAKEHOLDER/TEAM MEMBER

Requested by: ____________________________________________ Code: ________________________


Date decision required: ____________________________________ Reference: ____________________

TRADE: Civil MEP Others


Structural Architectural

LOCATION:
LEVEL B2 B1 GF L1 L2 External Others
ZONE A B C D
Grid Location: _________________________________________

DESCRIPTION OF CHANGE/INSTRUCTION

REASON FOR CHANGE/INSTRUCTION

TO BE COMPLETED BY CONSTRUCTION MANAGER

Task affected Additional Effort Additional Cost Impact on date:

Change control: Accept Reject

Signature: ____________________________ Designation: ________________________________

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