Issue Document Template

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Project Issue Document Template

PROJECT ISSUE DOCUMENT <Use this document to report significant issues in your project. Put summary information for each issue in the Issues Log. 1. Record details about the issue in section 1 2. Document the result of analysis in section 2, e.g. will resolution have impact on project cost or schedule 3. Record recommendations in section 3 and final management decision in section 4.>

Project Name: Prepared by: Date (MM/DD/YYYY): Create links to referenced documents (e.g., Link_To_… ) by using Insert  Hyperlink on your toolbar.

1. Issue Background Fill in with appropriate information or place an “X” next to those that apply.

Issue Type: Request for Info [ ]

Procedural Problem [ ]

System Problem [ ]

Other [ ]

Issue Description: Potential Impact (if not resolved): Attachments (if any):

No [ ]

Yes [ ]

Link_To_Supporting_Document1 Link_To_Supporting_Document2 Link_To_Supporting_Document3

Date Resolution Needed: (MM/DD/YYYY)

2. Analysis Reviewer Name: Review Completion:

(MM/DD/YYYY)

Reviewer Comments: Initial Recommendation:

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Project Issue Document Template

2. Analysis Cost / Schedule Impact Analysis Required?

No [ ]

Yes [ ]

Proposed Assignee:

Estimate of Additional Effort: (insert rows as needed) Resources Required

Work Days/Costs

3. Recommendation Final Recommendation and Comments:

Name

Title

Signature

Date (MM/DD/YYYY)

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Project Issue Document Template

4. Management Action Recommendation Status: Fill in with appropriate information or place an “X” next to those that apply. Accept [ ]

Defer [ ]

Reject [ ]

Need Additional Information [ ]

Assigned to: Planned Completion Date: Name

(MM/DD/YYYY)

Title

Date

Comment

(MM/DD/YYYY)

5. Project Issue Document / Signatures Project Manager: I have reviewed the information contained in this Project Issue Document and agree: Name

Title

Signature

Date (MM/DD/YYYY)

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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