Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
AFTER-ACTION REVIEW - DATA CAPTURE FORM
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Facilitator:
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Participants:
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(attach roster if needed)
- Yes
- No
- N/A
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Event:
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Location(s):
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Time/Date Under Review:
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Discussion:
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What was supposed to happen?
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What actually happened?
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Why were there differences?
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What can we learn?
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Comments And/Or Immediate Follow Up Actions (As Needed)
Knowledge Share
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What is to be shared/followed up?
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Who is responsible for follow up?
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How will that happen?
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With whom will it be shared
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What happens next?