IMPACT ASSESSMENT TEMPLATE

PROJECT NAME	DATE CREATED
PROJECT MGR.	VERSION DATE
ORGANIZATION	VERSION NO.
STATE OF EVENT / ACTION / STRATEGY
CURRENT STATE
RESULTING STATE POST-CHANGE
GAP BETWEEN CURRENT STATE AND CHANGE COMPLETION
KEY RISKS
IMPACT OVERVIEW
SUMMARY OF IMPACT
IMPACT TYPE	IMPACT TIMELINE	IMPACT LEVEL
POSITIONS AFFECTED	NUMBER AFFECTED
CHANGE REQUIREMENTS
COMMUNICATION
TRAINING
LEADERSHIP
STAKEHOLDER COLLABORATION / COMMUNICATION

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