Performance Measure

• Document No.

• Title:

  Key Performance Indicator

  Objective Target Program

  Strategic Objective

  Tactical Objective

  Operational Objective

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel involve:

• Department / Lifecycle / Proses / Activity / Services :

• Date review / establish:

  Date

• Reason to review

  Periodic review

  Management Performance Update

  Process Change

  Incident

  Other MOC

• Reviewer:

  Sign

Detail Performance Measure

• Aspect to focus

Detail description of Aspect

• Type of Organization Context

  Select Internal Issues External Issues Need & Expectation from interested parties

  • Internal Issues
  • External Issues
  • Need & Expectation from interested parties

• Elaborate:

Aspect

• Effect on Management System

  Select ISO9001 ISO14001 ISO45001 Others

  • ISO9001
  • ISO14001
  • ISO45001
  • Others

• Risk

  HIGH

  MEDIUM

  LOW

• Effect on Process

• Risk

  HIGH

  MEDIUM

  LOW

• Opportunity Assessment (What can be done?)

• Objective

• Target (Measurable)

Program Initiate

• Detail of the program

• Due date:

  Date

• Departmental Program?

  Select Internal Department External Department Customer Authorities

  • Internal Department
  • External Department
  • Customer
  • Authorities

• Indicator

• Indicator (Status):

  Good

  Fair

  Poor

  N/A

• Data to Monitor and Measure

• Person in charge:

  Sign

• Status of the Program

  Open

  Closed

  KIV

Residual Risk

• Verify Corrective Action Effectiveness

  Good

  Fair

  Poor

  N/A

• Person verify

  Sign

• Significant Risk

  HIGH

  MEDIUM

  LOW

Department Head/Representative Approval

• Approved by:

  Sign

• Remark: