PROJECT ISSUE DOCUMENT
Project Name:
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Prepared by:
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Date (MM/DD/YYYY):
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1. Issue Background
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Fill in with appropriate information or place an “X” next to those that apply.
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Issue Type:
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Request for Information [ ]
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Procedural Problem [ ]
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System Problem [ ]
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Other [ ]
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Issue Description:
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Potential Impact (if not resolved):
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Attachments (if any):
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No [ ]
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Yes [ ]
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Link_To_Supporting_Document1
Link_To_Supporting_Document2
Link_To_Supporting_Document3
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Date Resolution Needed: (MM/DD/YYYY)
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2. Analysis
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Reviewer Name:
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Review Completion: (MM/DD/YYYY)
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Reviewer Comments:
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Initial Recommendation:
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Cost / Schedule Impact Analysis Required?
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No [ ]
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Yes [ ]
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Proposed Assignee:
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Estimate of Additional Effort: (insert rows as needed)
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Resources Required
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Work Days/Costs
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3. Recommendation
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Final Recommendation and Comments:
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Name
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Title
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Signature
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Date
(MM/DD/YYYY) |
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4. Management Action
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Recommendation Status: Fill in with appropriate information or place an “X” next to those that apply.
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Accept [ ]
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Defer [ ]
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Reject [ ]
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Need Additional Information [ ]
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Assigned to:
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Planned Completion Date: (MM/DD/YYYY)
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Name
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Title
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Date
(MM/DD/YYYY)
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Comment
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5. Project Issue Document / Signatures
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Project Manager:
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I have reviewed the information contained in this Project Issue Document and agree:
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Name
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Title
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Signature
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Date
(MM/DD/YYYY) |
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The signatures above indicate an understanding of the purpose and content of this document by those signing it. By signing this document, they agree to this as the formal Project Issue Document.
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