Action Plan Template

ACT
Prepared by:
ID #
PDCA1
PDCA2
PDCA3
PDCA4
PDCA5
PDCA6
PDCA7
PDCA8
PDCA9
PDCA10
PDCA11
PDCA12
Planned Activity No Progress Activities Commenced
Define the Schedule for Problrm Solvi

ACTION PLAN
When?
Activities Commenced Action Completed & Objectives Achieved
Problrm Solving using the PDCA methodology

Update:
Who Budget
dology
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:
Carry out the change or Test

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
T: Performance Improvement/ PDCA/ PDCA Templete.doc
n- Do- Check-Act (PDCA)
Flow Chart the Current Process(Attach): Identify potential causes of the problem (Attach Cause and
Effect Diagram):
What changes may cause Improvement and plan for collection -What-Who-When-Where:
Test Collect Data and Begin Analysis:
Summarize What was learned:
Was desired improvement achieved?

No- Abandon &Predict New Change
of the problem (Attach Cause and
at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan
NAMA :
UNIT :
JABATAN :
Plan- Do- Chec

AIM Statement:
Key Measures:
PLAN
Team:

DO
Data and Analysis:
CHECK
W
Yes-Adopt&Adapt
ACT
Effect Diagram):

at-Who-When-Where:
n Analysis:
earned:
New Change
Action Plan

Action Plan Template

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ACT

Planned Activity No Progress Activities Commenced

Define the Schedule for Problrm Solvi

Activities Commenced Action Completed & Objectives Achieved

Problrm Solving using the PDCA methodology

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test

Test Collect Data and Begin Analysis:

Summarize What was learned:

Was desired improvement achieved?

Plan- Do- Chec

Carry out the change or Test