Project details
Project/Fix/Patch Name:
EPMO Project #/CM Ticket :
Planned Release date:
Project Manager:
Project Description:
System(s) affected:
Planned testing dates:
Actual test activity completion date:
Test activity exit status
Status (Yes/No)	Details
All test cases executed:
Are there any critical or high-risk defects outstanding:
Are there any medium or low-risk defects outstanding:
Has a workaround been documented and agreed upon by business for all medium or low-risk defects:
Has Release Management approved go live date:
Have all interfaces been tested(if No, then provide an explanation as to why the interface was not tested:
Are there any compliance implications regarding items being tested:
Has Compliance Dept reviewed test results for any applicable testing:
Has Performance Testing Completed and Signed Off to Go-Live :
QA Risk Summary
Business Unit Manager signoff	Date
Technical Owner or Surrogate signoff	Date
Compliance signoff (if applicable)	Date
Release Management signoff	Date