Change and candidate revision:
Behavior that must change:
Behavior that must stay the same:

Step and owner:
Inputs and prerequisites:
Check to run or decision to make:
Expected result:
Observed result and evidence link:
Requirement and code revisions checked:
Execution: not run / passed / failed / skipped
Decision: pending / accepted / rejected / waived
Reason and authority for any skip or exception:
What would require this step to be checked again: