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Most engineering and construction projects are complex project efforts which are performed on a fast-tracked design and implementation schedule. Poor project scope definition, change control, and management performance leads projects into budget overruns and late finishes. This study seeks to research and analyze scope management and change control practices to determine existing efficiencies and deficiencies for scope management and change control for large and complex projects on a fast track schedule. Research was conducted in two ways. First, existing research projects were identified within the project management areas of scope management and change control. Secondly, an electronic survey was developed (74% response) regarding scope definition methodology, change control process, impact of unauthorized scope creep, and other general project management issues. From the analysis of the survey data, the author found two primary results 1) 78% of the population responded that unauthorized scope creep results in project cost overruns, and 2) 62% of participants responded that between 41% and 100% of projects are executed at a fast-tracked pace for the engineering, construction, and architectural industries. Additional analysis of the research and survey data and conclusions are provided to support the best practice recommendations provided throughout the body of the paper.