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Pma 0340 Schedule Baseline Change Request Form

This document is a schedule baseline change request form used by the Los Angeles Community College District's Facilities Planning and Development Department Sustainable Building Program. It collects information about proposed changes to construction project schedules and budgets, including a description of the change, its justification and benefits, and the impact on schedule milestones and costs. Key officials must review and approve the request.

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145 views2 pages

Pma 0340 Schedule Baseline Change Request Form

This document is a schedule baseline change request form used by the Los Angeles Community College District's Facilities Planning and Development Department Sustainable Building Program. It collects information about proposed changes to construction project schedules and budgets, including a description of the change, its justification and benefits, and the impact on schedule milestones and costs. Key officials must review and approve the request.

Uploaded by

tabaqui
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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LO S AN G EL E S CO M M UN IT Y CO LL EG E D I S T RICT

DEPARTMENT OF FACILITIES PLANNING AND DEVELOPMENT


SUSTAINABLE BUILDING PROGRAM

Schedule Baseline Change Request Form

College: Project:

CPM: Project #:

Requested by: Submitted on:

Phone Reply due by:

Email:

Priority: Immediate Action Routine

Comments:

Baseline Impact: Scope Schedule COs

Comments:

Section I: Description of Change

Section II: Justification: Benefits of and /or Reasons for Change

Section III: Impact on Schedule and Project Cost

A. Program Summary Current Proposed Revision to Variance


Baseline Baseline Schedule
Construction /Project Start Date

Substantial Completion
Finish Date

B. Cost Summary Baseline Budget Estimate at Completion Baseline Variance

Baseline Schedule Cost Data =

Section IV: Notes /Remarks (if required)

Form PMA-0340 Page 1 of 2 Rev. 0 .07.26.14


LO S AN G EL E S CO M M UN IT Y CO LL EG E D I S T RICT
DEPARTMENT OF FACILITIES PLANNING AND DEVELOPMENT
SUSTAINABLE BUILDING PROGRAM

Section V: Required Attachments Attached

1. Proposed Revised Baseline Schedule yes no


2. Primavera Summary Schedule showing Variance to Prior Balance yes no
3. Primavera Summary Schedule Baseline Budget & Estimate to Complete yes no

Submitted By/ Print Name Signature Date

PMO Review by Signature Date


Name:

Title:

Approved by : Signature Date


LACCD PMO Program Controls
Name:

Title:
LACCD PMO Director
Name:

Title:
LACCD Facilities Department
Name:

Title:

Form PMA-0340 Page 2 of 2 Rev. 0 .07.26.14

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