Cost Control Record Form

Project title
Waka Kotahi project manager
Consultant
Scope change number	Date
Reason for change	Change raised by
Client instruction (C)	Yes	No
Revision of standards (S)	Yes	No
Other (O)	Yes	No
Detailed description of change and its effects
Does this change affect the project outcomes and/or benefits?
Mitigation measures considered
Effects on project risk profile
Assumptions made in cost estimate
Estimate total	Estimate Base Date (Qtr-year)
Estimate at initial estimate Base Date

Name	Date	Signature
Consultant team leader
Waka Kotahi project manager
Waka Kotahi delegated authority