HINDUSTAN ZINC LTD

MANAGEMENT OF CHANGE - MINOR CHANGES : MOC Change Request-Authrization-Approval

(Departmental Format)

Change Initiator Designation: Plant/Dept Unit

Change Request No: Initiation Dt Target

(To be allocated by MOC Secretary) Closure Dt
Type of Change ( Please Tick - √ ) Permanent Temporary (Mention time
period)

Existing details of
Operation/Activity/Equipment / Process where
change is required.

Reason for Change ( Pl. explain why change is

required ? )

Brief description of the change required

( Supported with the technical
details, if necessary and required
evidences/documents)

Expected benefits after implementation of the

change ( Supported with the technical details, if
necessary and required evidences/documents)

Environmental
Risks

Social Risks / IR

Is there any Sustainability Risk is associated Financial Risks

with the change ? ( For eg - Internal and external
risks that could have significant impact on HZL)
Legal Compliance
If Yes, enforcement
Please Tick - √ agianst respective area box and
Describe mitigation action plan in detail & with
documentary evidences (where ever necessary) Operational Risk

Health & Safety

Risk

Reputational
Risk
Financial Human Specialized Technologic Others
Resources requirement for the change: Yes/No Resources Resources Skills al
Please mention Yes/No and attach back up plan resources
(Post Implementation)

Estimated cost involved for the change:

Pay back period (If Applicable) :

Is there any Training required :

(If yes encl training plan)
Is there any Doc update required ? (Drawing,
Manual etc.):

SBU Head Mechanical Head Head - E&I Head - Safety

Approval Signatures
with dates
Approval Signatures Name Name Name Name
with dates

Signature Signature Signature Signature

(In case, any member feels that the change needs to be reviewed by MOC review Committee, then direct to follow complete MOC procedure as per Aarohan
standards)

Remarks for rejection with signatures:

Final Approval Unit Head Name Signature

Training if Reputation PT Document

Closure of MOC Status of Implementation Required Risk
Social Risks
Updation

Initiator HOD/SBU MOC Administrator

Signature with date

On closure, copy of the document shall be sent MOC administrator.