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Project Charter Template V5
Project Charter Template V5
Project Charter Template V5
Project Number:
Project Name:
Current Phase:
Hospital(s):
Executive Sponsor:
Project Sponsor:
Project Leader:
Prepared by:
Contributors:
Date Issued
Version:
NOTE:
Green italics text is instructional information on how to use this form. Please remove as you complete the sections.
To help with readability please keep information you add to the sections of this document clear and concise (not too wordy). Use
bulleted form where possible.
Table of Contents
To update the table of contents, right-click anywhere on the table of contents and choose Update Field and then choose Update
entire table.
2.0 Project Definition The Project Leader should work with the Project Sponsor to fill in the sections of the Project
Definition.
2.4 Tolerances
This section will identify for the project the order of importance to be applied to the triple constraint (Time/Cost/Scope) for
planning and decision making. Use the table below to identify the priority for the three parameters (only one can be Priority 1,
one can be Priority 2 and one can be Priority 3) and to describe its tolerance.
Priority
Cannot have more than Describe Tolerance
Parameter one X in a column…ie.
can not have two 1’s
1 2 3
Time eg. project musts be completed by fiscal year end.
3.2 Schedule
Fill out the table below for the major project deliverables. Add more rows as required. Class of estimate describes how solid
the estimate is at this time based on what the project team knows (Class D – Feasibility +100/-10%; C-Requirements Def’n
+50/-10%; B-Conceptual Design +25/-10%; A-Detailed Design +10/-10%).
Date Estimate Class of Estimate
# Project Milestone (YYYY/MM/DD) Deliverable(s) Included (A/B/C/D)
3.3 Budget
5.1 Assumptions
Outline the high level assumptions that you took into consideration when providing the information for section 3 Project
Parameters and section 4 Project Strategy. The early stages of this project should perform activities that will clarify these
assumptions.
5.2 Constraints
Outline the high-level project constraints (eg. people, technology, budget, physical location etc.)
5.3 Dependencies
Outline the external prerequisites or co-requisites that this project, or components of this project, are dependent on. Add
additional rows if needed.
Dependent Project/Work Name and Dependency Type Potential Risks or Issues
Project/Work Manager (describe how these are linked)
5.4 Risks
Use the table below to outline the known project risks. It is mandatory to describe an action to prevent/manage risk for
anything that is high probability/high impact…or…med probability/high impact… or…high probability/med impact.
Probability
(High/Med/Low Impact
# Risk ) (High/Med/Low) Action to Prevent/Manage Risk
Project Sponsor
Name, Title
Project Team
Core Project Team Adhoc Project Team Members
Project Leader Name, Title Name, Project Role
Name, Project Role Name, Project Role
Name, Project Role
7.0 Approvals
Add additional rows if needed
Name, Project Role Signature Date