This section captures essential store identification and campaign context to ensure proper tracking and regional alignment. All fields marked as mandatory must be completed before submission.
Store Number/Identifier
Store Name
Department(s) Affected
Type of Modification Requested
Permanent Floorplan Alteration
Temporary Pop-Up Display
Seasonal Fixture Reset
Hybrid (Multiple Types)
Does this permanent alteration involve structural changes to walls, ceilings, or utilities?
Describe all structural modifications in detail including materials, load-bearing implications, and utility relocations:
Proposed Pop-Up Display Start Date
Seasonal Campaign Launch Date
Seasonal Campaign Name
Proposed Implementation Start Date
Proposed Implementation End Date
Expected Campaign Duration (Days)
Primary Business Objective
Campaign Description & Customer Experience Goals
Requesting Manager Name
Requesting Manager Employee ID
Form Submission Timestamp
Detailed floorplan documentation and traffic flow analysis are critical for evaluating the operational impact and customer experience implications of proposed changes. Upload all required diagrams and complete the audit checklist.
Upload Current Floorplan (CAD/PDF Format)
Upload Proposed Floorplan with Changes Highlighted (CAD/PDF Format)
Upload Photographs of Current Space (Minimum 5 angles)
Upload Mockup Visualization of Proposed Changes
Total Sales Floor Area (Square Meters)
Area Impacted by Changes (Square Meters)
Does the proposal change primary customer entrance/exit pathways?
Explain the new pathway logic and how customer flow will be managed during transition:
Will this modification affect high-traffic zones (checkouts, fitting rooms, promotional aisles)?
Rate the impact on each high-traffic zone
Significantly Impeded | Moderately Impeded | Neutral | Slightly Improved | Significantly Improved | |
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Checkout Area Accessibility | |||||
Fitting Room Proximity | |||||
Promotional Aisle Visibility | |||||
Staff Movement Corridors |
Customer Experience Impact Assessment
Ease of Navigation | |
Product Discovery | |
Shopping Comfort | |
Brand Immersion | |
Checkout Efficiency |
Have you conducted a peak-hour traffic simulation?
Summarize simulation findings including bottleneck identification and mitigation strategies:
Warning: Peak-hour traffic simulation is strongly recommended before implementation. Please schedule this analysis immediately.
Expected Increase/Decrease in Customer Dwell Time (Minutes)
Describe how the proposed changes align with category adjacency best practices:
Does this proposal require temporary closure of any selling space?
Closure Schedule & Revenue Impact
Closure Start Date | Closure End Date | Area Closed | Estimated Daily Revenue Loss | Total Revenue Impact | ||
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Safety and accessibility compliance are non-negotiable. This section must be completed with utmost accuracy. Any non-compliance will result in automatic rejection of the request.
Has a certified safety officer reviewed this proposal?
Safety Officer Name & Certification Number
I acknowledge that this request cannot proceed without certified safety officer review and will schedule immediately
Current Maximum Occupancy Load (Persons)
Proposed Maximum Occupancy Load (Persons)
Does the proposal maintain minimum corridor width requirements (typically 1.0-1.2m)?
Justify the width reduction and provide alternative egress solutions:
Are all egress routes marked with illuminated exit signs?
Detail the egress marking plan and installation timeline:
Describe the primary and secondary egress paths from the modified area:
Does the proposal affect accessibility for persons with disabilities?
ADA Accessibility Impact Assessment
Fully Compliant | Minor Deviation - Mitigated | Non-Compliant - Requires Redesign | |
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Wheelchair turning radius maintained (150cm min) | |||
Reach range compliance for displays | |||
Service counter height accessibility | |||
Fitting room accessibility | |||
Parking/access aisle proximity maintained |
Will temporary barriers be used during installation?
Describe barrier type, placement, and how they will not impede emergency egress:
Distance to nearest emergency exit (Meters)
Are materials used in the modification fire-rated or treated with fire retardant?
Provide material fire safety specifications and mitigation plan:
Upload Fire Safety Compliance Certificate
Upload ADA Accessibility Review Document
Complete financial transparency is required for budget approval. Provide detailed cost breakdowns including all fixtures, materials, and labor. Use the tables below to itemize expenses.
Will new fixtures be purchased for this modification?
Fixture Procurement Details
Fixture Type | Supplier Name | Quantity | Unit Cost | Total Cost | Expected Delivery Date | Requires Assembly? | ||
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Will existing fixtures be repurposed or relocated?
Fixture Relocation Plan
Fixture ID / Description | Current Location | New Location | Labor Hours Required | Labor Cost | Requires Electrical / IT Reconnection? | ||
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Total Fixture Budget
Contingency Fund (Recommended 10-15%)
Will external contractors be used for installation?
Contractor Labor Estimate
Contractor Company | Trade Type | Number of Workers | Estimated Hours | Hourly Rate | Total Labor Cost | Scheduled Work Date | ||
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Internal Staff Labor Estimate
Staff Role | Number of Staff | Estimated Hours | Labor Cost (if applicable) | ||
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Will installation require after-hours or overnight work?
After-Hours Premium Labor Cost
Total Labor Budget
Are there any waste disposal or recycling costs?
Waste Management Cost
Will this require IT/AV equipment installation?
IT/AV Equipment Costs
Equipment Type | Purpose | Cost | Requires Ongoing Maintenance? | ||
|---|---|---|---|---|---|
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Summary Cost Estimate
Cost Category | Estimated Amount | Actual Amount (to be filled post-implementation) | Variance Reason | ||
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A | B | C | D | ||
1 | $0.00 | $0.00 | |||
2 | $0.00 | $0.00 | |||
3 | $0.00 | $0.00 | |||
4 | $0.00 | $0.00 | |||
5 | $0.00 | $0.00 | |||
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Total Project Investment
Expected ROI (Revenue Increase)
Calculated ROI Percentage
Final authorization requires dual approval from both Visual Merchandising and Store Operations leadership. All supporting documentation must be attached before routing for signatures.
Has all required documentation been attached?
This form cannot be submitted for approval until all mandatory attachments are included. Please review Sections 1-4 and upload missing documents.
I confirm that all information provided is accurate and complete to the best of my knowledge
Requesting Manager Digital Signature
Requesting Manager Signature Date
Regional Visual Merchandiser Review Section
Does this proposal align with regional visual merchandising standards?
Detail required modifications to meet standards:
Visual Impact Assessment
Brand Consistency | |
Aesthetic Appeal | |
Customer Engagement Potential | |
Innovation Level | |
Photography Worthiness |
Regional Visual Merchandiser Comments & Conditions
Regional Visual Merchandiser Approval
Regional Visual Merchandiser Name
Reason for Rejection or Request for Revision:
Regional Visual Merchandiser Signature
Visual Merchandiser Approval Date
Store Operations Director Review Section
Does this proposal meet all operational safety and efficiency requirements?
Identify operational concerns and required corrective actions:
Are labor and budget allocations approved?
Provide budget revision requirements or alternative funding sources:
Store Operations Director Comments & Conditions
Store Operations Director Final Approval
Store Operations Director Name
Reason for Rejection or Request for Revision:
Store Operations Director Signature
Operations Director Approval Date
Implementation Authorization
Dual approval obtained - Proceed with implementation?
Authorized Implementation Start Date
Upload Final Approved Floorplan with Signature Stamps
To configure an element, select it on the form.