This section captures essential project and subcontractor information to establish proper context and traceability for the change order request. Accurate metadata ensures efficient processing and audit compliance.
Project ID Code
Project Official Name
Subcontractor Company Legal Name
Subcontractor License/Registration Number
Original Contract Number
Original Scope of Work Reference Document
Site Superintendent Full Name
Site Superintendent Direct Contact
Subcontractor Representative Full Name
Subcontractor Representative Contact
Change Order Request Submission Date/Time
Priority Classification
Emergency - Immediate Action Required
High - Within 48 Hours
Medium - Within 5 Business Days
Low - Standard Processing
Emergency Justification & Potential Impact if Delayed
Is this change order related to a previous change order?
Reference Previous Change Order Number
This section requires detailed technical justification for the proposed change. Comprehensive documentation here prevents disputes and establishes clear rationale for scope deviation from original contractual obligations.
Detailed Description of Proposed Scope Change
Primary Reason for Scope Deviation
Design Error or Conflict
Unforeseen Site Condition
Client/Owner-Directed Change
Regulatory/Code Update
Material Unavailability/Substitution
Adverse Weather Impact
Coordination Issue with Other Trades
Other
Design Error Details - Reference Drawing Numbers & Specific Conflict
Unforeseen Site Condition - Discovery Details & Location
Client/Owner Request - Reference Communication & Approval
Regulatory/Code Update - New Requirement Reference
Material Unavailability - Original Specification & Substitute Justification
Weather Impact - Event Details & Duration
Coordination Issue - Affected Trade & Resolution Approach
Other Reason - Comprehensive Explanation
Specific Location of Changed Work
Reference to Original Contract Drawings
Reference to Original Technical Specifications
Technical Specifications for New/Modified Work
Upload Revised Drawings, Sketches, or Technical Bulletins
Upload Site Condition Photos (Before/During Discovery)
Does this change impact established safety protocols?
Safety Impact Assessment & Required Protocol Modifications
Does this change require new permits, inspections, or regulatory approvals?
Permit/Approval Requirements & Acquisition Timeline
Will this change affect work sequencing or create conflicts with other trades?
Affected Trades & Coordination Strategy
Quality Control & Testing Requirements for Changed Scope
Third-Party Inspection Required
Specialized Testing Required
Manufacturer Supervision Required
Enhanced Documentation Required
No Additional QC Measures
This section requires meticulous cost documentation to ensure transparency and accountability. All costs must be justified with supporting documentation. The system will automatically calculate totals and variance percentages.
Detailed Cost Breakdown by Category
Item Description | Cost Category | Quantity | Unit of Measure | Unit Price | Subtotal | Cost Justification & Supporting Doc Reference | ||
|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | ||
1 | Additional certified electricians for panel upgrade | Labor | 96 | hours | $85.00 | $8,160.00 | Rate per union agreement UA-2025-EMT | |
2 | Custom junction boxes - revised spec | Material | 24 | each | $125.00 | $3,000.00 | Quote #3847 from Allied Electrical Supply | |
3 | $0.00 | |||||||
4 | $0.00 | |||||||
5 | $0.00 | |||||||
6 | $0.00 | |||||||
7 | $0.00 | |||||||
8 | $0.00 | |||||||
9 | $0.00 | |||||||
10 | $0.00 |
Total Direct Costs (Auto-Calculated)
Overhead & Profit Percentage
Overhead & Profit Amount
Contingency Allowance Percentage
Contingency Amount
Total Change Order Value
Original Contract Value
Revised Total Contract Value
Budget Variance Percentage
Funding Source for Change Order
Project Contingency Reserve
Client/Owner Approved Change Order Budget
Subcontractor Absorbed Cost
Project Budget Reallocation
Other Funding Source
Specify Alternative Funding Source
Cost Reasonableness Assessment
Not Reasonable - Requires Revision
Marginally Reasonable - Negotiate
Reasonable - Market Rate
Highly Reasonable - Competitive
Exceptional Value - Approve Immediately
Have competitive quotes been obtained for this scope?
Number of Competitive Quotes Received
Justification for Single-Source Procurement
Upload Supporting Documentation (Quotes, Invoices, Rate Sheets)
This section analyzes schedule impacts and resource reallocation requirements. Accurate schedule assessment is critical for maintaining project timeline integrity and coordinating interdependent activities across all trades.
Milestone Schedule Impact Analysis
Milestone/Task Name | Original Start Date | Original End Date | Revised Start Date | Revised End Date | Duration Change (Days) | Critical Path Impact? | Resource Requirements & Dependencies | ||
|---|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | H | ||
1 | Electrical rough-in completion | 7/15/2025 | 8/30/2025 | 7/15/2025 | 9/5/2025 | 6 | Yes | Additional 2 electricians, depends on framing completion | |
2 | System commissioning | 9/20/2025 | 10/5/2025 | 9/25/2025 | 10/10/2025 | 5 | Specialized testing technician required | ||
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Overall Schedule Impact Assessment
No Impact - Schedule Maintained
Minimal Impact - Float Consumed
Moderate Impact - Requires Monitoring
Significant Impact - Critical Path Affected
Severe Impact - Major Delay Inevitable
Total Cumulative Delay Days
Labor Resource Allocation Details
Trade/Skill Classification | Original Crew Size | Revised Crew Size | Additional Hours Required | Labor Start Date | Labor End Date | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | Master Electrician | 2 | 3 | 80 | 8/1/2025 | 9/5/2025 | |
2 | Electrical Apprentice | 4 | 6 | 160 | 8/1/2025 | 9/5/2025 | |
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Equipment & Specialized Tools Required
Material Delivery Schedule Impact
Dependencies on Other Trades or External Factors
Risk Assessment Matrix - Rate Potential Impact (1=Low, 5=Critical)
Schedule Overrun Risk | |
Cost Overrun Risk | |
Quality/Performance Risk | |
Safety Incident Risk | |
Regulatory Non-Compliance Risk |
Proactive Mitigation Strategies
Is formal client notification required for this schedule change?
Client Communication Plan & Timeline
This final section captures the formal review and authorization by the Lead Construction Engineer. All preceding sections must be complete before submission for approval. The engineer's signature validates technical adequacy, budget reasonableness, and schedule feasibility.
Lead Construction Engineer Name
Engineer Review Date/Time
Technical Compliance with Contract Documents Verified?
Technical Non-Compliance Issues & Required Corrections
Budget Impact Analysis Approved?
Budget Concerns & Required Adjustments
Schedule Impact Analysis Approved?
Schedule Concerns & Required Modifications
Overall Risk Level Assessment
Low Risk - Standard Approval
Medium Risk - Monitor Closely
High Risk - Executive Review Required
Critical Risk - Board Approval Required
Executive Management Approval Required for High Risk Change Order
Board of Directors Approval Required for Critical Risk Change Order
Additional Engineering Review Comments & Conditions
Final Authorization Decision
Approved - Proceed with Implementation
Approved with Conditions - Address Comments
Rejected - Requires Complete Resubmission
Pending Further Review - Additional Information Required
Specific Conditions for Approval
Rejection Rationale & Resubmission Guidance
Outstanding Information Requirements
Digital Signature of Lead Construction Engineer
Formal Authorization Date/Time
Post-Approval Action Items & Implementation Notes
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