Stage 1: Initiate
Define the change and establish the baseline
Basic Information
Change Scope
Change Classification
Understanding the Effects of the Change
Change Owner Endorsement
Stage 2: Screen
Identify hazards and assess risk level
Hazard Identification
Risk Assessment Level
Assessment by Change Facilitator may be sufficient
Assessment team required
Full risk assessment team required
Process Verification
Assessment Team
Stage 3: Review
Conduct detailed risk assessment and stakeholder review
Risk Assessment Table
| Change | Change Effect | Existing Safeguards | S | L | Risk | Additional Safeguards | By | Residual Risk | ALARP | Action |
|---|
Assessment Attendees
| Role | Name | Experience | Discipline | Date | Outcome | Action |
|---|
Stage 4: Approve
Obtain formal approval and track action items
Documentation Amendments
Action Tracking
| Issue/Action | Priority | Actionee | Due Date | Status | Action |
|---|
Approval Decision
Approval Details
Stage 5: Implement
Execute the change and verify implementation
Communication
Post-Start-Up Safety Review (PSSR) Checklist
Implementation Authorisation
Stage 6: Close-Out
Verify completion and close the change
Documentation Verification
Post-Implementation Review
Change Close-Out
Business Controls QA