KD-BSA-CA-002
HRB Change Assessment and Notification Record
The working record for one proposed change: is it a controlled change, is it recordable, notifiable or major against the reg 26 lists, whose advice was sought, which agreed documents are revised, the compliance explanation, and the notice (reg 20) or change control application (reg 21) made and its outcome.
4 pages · 137 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 4 — click to enlarge
Read all 4 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- Building (Higher-Risk Buildings Procedures) (England) Regulations 2023 regs 18 to 26
- Building Regulations 2010 Part 2A
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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