Free safety resource
Management of Change Template
Give every proposed change a place for the review, decisions, and document updates that follow.
A starting point for site-specific review. It does not approve changes or authorize work or startup.
Change review
Proposed change
Facility / process
Change ID
Hazards and controls
Get the template
Excel workbook, procedure log, and printable review form.
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A closer look
Keep the review and the record together.
Changes affect more than equipment. This resource gives your team room to record the review and link it to the procedures, people, and actions affected.
Change review
A structured place for the change, its hazards, decisions, and closeout.
Procedure log
Record the previous and new revision, approver, effective date, and evidence.
Sources
References to OSHA PSM, current Part 193, and the PHMSA proposal.
How to use it
From proposed change to documented follow-up.
Describe the change
Record the affected process or equipment, the reason for the change, and whether it is temporary.
Review the impact
Document hazards, controls, affected procedures, training, and the need for a pre-startup review.
Record the decision
Capture approvals, action owners, implementation evidence, and the site’s closeout decision.
Regulatory context
Review the rules for your facility
Have a qualified safety professional review the resource and current source text for your facility. It does not replace site procedures, engineering review, or a determination of compliance.
Scope matters
OSHA’s process safety management standard includes MOC and pre-startup review requirements for covered processes. Applicability depends on the process and the standard’s scope and exceptions. The proposed PHMSA LNG rule includes a procedure change log and an MOC provision within its proposed alternative program.
Good to know
Frequently asked questions
What is management of change?
Management of change is a process for reviewing changes before implementation, including their safety impact, needed updates, training, and approvals. Your site procedure and applicable rules determine the required steps.
Does OSHA require this form?
OSHA process safety management includes MOC requirements for covered processes, subject to the standard’s scope and exceptions. OSHA does not prescribe this particular form.
Can I use it for an LNG facility?
Yes, as a starting point. A qualified reviewer must adapt it to the facility, applicable rules, and site procedures. PHMSA’s November 2026 LNG rule changes are proposed, not final.
Keep findings and follow-up together
BasinCheck helps field teams document inspections and track corrective actions.
Also useful: LNG proposed-rule readiness tracker and the free JSA builder.