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{{Company_Name}}

{{Project_Name}} - {{Project_ID}}

CHANGE LOG

Date Prepared: {{Current_Date}}	Project Manager: {{Project_Manager_Name}}

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Change Log Entries

ID	Category	Description	Requestor	Submission Date	Status	Disposition	Cost/Schedule Impact	Type (Mandatory/Discretionary)	Configurable Items Impacted
[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]
[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]	[ Add details... ]

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Sign-off and Approvals

Role	Name	Signature	Date
Project Manager	{{Project_Manager_Name}}	_______________________	[ .... - .... - .... ]
Change Control Board (CCB) Chair	{{CCB_Chair_Name}}	_______________________	[ .... - .... - .... ]
PMO Lead	{{PMO_Lead_Name}}	_______________________	[ .... - .... - .... ]
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Electronic Audit Trail: Hash SHA256: {{Audit_Trail_SHA256_Hash}}
Template: CHANGE LOG | Ref: PMO-05.04
Generated on: {{Current_Timestamp}}, by Tasleemat