GLOBAL INDUSTRIES LTD.

Approved By: AG

Doc. No. Page : Rev. No. Rev. Date Date Printed

FRM-0801 Page 1 of 2 01 02/14/06

MANAGEMENT OF CHANGE CONTROL FORM

Client:

4/17/2009

Change No. Title: Coordinator Description of Change:

Project No.

Risk Assessment:

Date Change Notification Approved (Attached): Impact on Schedule:

Impact on Cost (see estimate sheet attached)

Design Materials Fabrication Installation Others Total

Engineering & Design:

Function Testing:

GLOBAL INDUSTRIES LTD.

Approved By: AG

Doc. No. Page : Rev. No. Rev. Date Date Printed

FRM-0801 Page 2 of 2 01 02/14/06

MANAGEMENT OF CHANGE CONTROL FORM

4/17/2009

Installation Plan:

Training for Competent Use:

Modification to Procedure:

Global

Client

Date Sent:

Date Received:

Project Manager Approval

Project Manager Approval

Engineering Manager Approval

Comments

Comments

_____________________________ Senior VP Approval

____________________________________ VP Approval