Change Impact Assessment Template Guidelines

What is it?

This template provides a structured format for talking to identified stakeholders and for collecting information about the level of impact the proposed
change will have on them and their business areas. It also covers potential ways of mitigating or reducing that level of impact for each stakeholder and
business area affected by the change.

Why have it?

The Change Management Impact Assessment is a critical piece of work on any change implementation. The reason the Impact Assessment is so
important is it provides a clear document which records exactly what will be changing. In doing so you will understand what is required to effectively
manage the change and transition to the new way of working.

How to use it?

Completion of the Change Impact Assessment in collaboration with identitifed stakeholders allows them to have an input into the choice of actions that
will be taken to support them. Giving people choices gives them control resulting in engagement and increased likelihood that the change implementation
will be viewed as positive. There are many different ways to complete an Impact Assessment. The template that follows is one example. The Impact
Assessment, like all other tools in the Change Management Framework, needs to be scaled to fit the change initiative. For example, it is possible with a
large project which has significant impacts to peoples jobs and the structure they work in, that additional impact assessment work will be required which
focuses specifically on Jobs and Structures.

Change Impact Assessment

 Change Impact Assessment

Program or Project Name

Date of 1st Assessment
Date Updated

Type of Impact
Level of Impact
Scale of Change Timing of (High/Med/Low)
Current State Future State Gap e.g. people, Key Risks Roles Affected
e.g. Organisation: Impact Summary of
organisation,
Program or Project
system or Impact
process

Click the cross on the left to expand for quick instructions

Describe the Describe the future Describe the GAP Please see DoH Choose from the Give an indication Define how the What are the risks Indicate which
current state / or new way / between current / Change Impact Categories of the time of change will affect associated with the roles will be
method / activity in activity that we future state. How Management listed below: change, e.g. Sep the stakeholder change that could affected - if known
terms of Process, would like / expect can we address Handbook for Process-Number, 2013, Q4 groups or affect the project's
People and people to display that? definitions complexity, individuals - what success?
Technology inputs/outputs, will they need to
interdependencies know, do, use,
People-Skills,
knowledge,
comply with, etc
behaviour
Systems &
Technology-
Hardware,
applications
Organisation-Org
structure, reporting
relationships,
workload,
responsibilities, KPIs

New tailored Risk of not

business system Transition from old High:New system, addressing skills
Existing IT System provides more to new system Process, People new processes, gap effectively will Business Analysts,
no longer fit for efficient way of require new skills Organisation wide and Systems & new skills and have high impact Customer Support,
purpose working for all and knowledge change Technology Q3 2014 knowledge needed on new system Finance, IT

Change Impact Assessment

Change Impact Assessment
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Number Communication Training Leadership Alignment /

Level of Impact
Affected Requirements Requirements Requirements Collaboration

Give an indicative Select from the If the impact can If the impact can Are there any Contact your HR
number of people drop down values be mitigated / be mitigated / leadership actions Dept. if role
affected (H=High, addressed with addressed with that could support activities increase
M=Medium, communication, training, provide the change - or decrease, to
L=Low) provide more more details. consider sponsors, assess if there will
details. execs, line be changes to
Update Education managers. organisational
Update & Training Plan structure.
Communication & Which other
Engagement Plan stakeholders will
be involved? Do
other change
teams need to be
informed/involved?

Mitigation through Full program of

training, coaching user training, user Active and visible
and face to face testing and user participation from HR to be kept
500+ H briefings documentation sponsors informed

Change Impact Assessment