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Change Impact Assessment (CIA) Template
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What's ChangingType and Level of Impact
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Ref #Impacted Stakeholder GroupNumber in GroupProcess or Business RequirementChange DescriptionCurrent StateFuture StateOverall ImpactsPeopleProcessTechnologyActionsOwnerDue DateStatus
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Line item numberName of groupHow many people in groupProcess Name or Business RequirementSummary of what's changingCurrent State / as is / how things are done todayFuture State / to be / how things are done in futureWhat does this change mean to people?
What will they need to do?
What will they need to know?
How will it make them feel?
Benefits? Negative results?
Changes to workload?		Job descriptions, new roles, KPIs, behaviour, new office, locations, etc.Business rules, process steps, work instructions, operational efficiency, forms, documents etc.
New systems, applications, security, user support, service continuityWhat are the proposed interventions and supporting actions to help get people from A-BWho is responsible?When will the action be compete by?Not Started, In Progress, Complete?
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