Title Page
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Started on
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Prepared by
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Location
Plan
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State the problem and its consequences. (Background)
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What is the current condition? (The situation and the containment measures being applied)
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What is the desired outcome? (Goals and targets)
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What caused the problem in the first place? (Root Cause Analysis - 5 Whys)
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Proposed solution(s) to achieve desired outcome:
Do
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Proposed solution(s) implemented? (include personnel in-charge of implementation)
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Is data being collected regularly to record the implemented solution's impact?
Check
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Was the proposed solution able to achieve the desired outcome?
Act/Adjust
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What are the changes/adjustments that need to be made to completely resolve the problem?
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Signature of A3 Report Lead
