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Action Plan Template

The document outlines the Plan-Do-Check-Act (PDCA) methodology for problem solving. It includes templates for planning potential causes of problems, proposed changes, data collection, analysis, and determining whether the desired improvement was achieved. The templates are to be used to guide teams through the PDCA cycle of planning a change, implementing it, analyzing its effects, and determining whether to adopt or abandon the change. The goal is to use the PDCA approach to drive continuous performance improvement.

Uploaded by

Fitri Nih
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
205 views41 pages

Action Plan Template

The document outlines the Plan-Do-Check-Act (PDCA) methodology for problem solving. It includes templates for planning potential causes of problems, proposed changes, data collection, analysis, and determining whether the desired improvement was achieved. The templates are to be used to guide teams through the PDCA cycle of planning a change, implementing it, analyzing its effects, and determining whether to adopt or abandon the change. The goal is to use the PDCA approach to drive continuous performance improvement.

Uploaded by

Fitri Nih
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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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:

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:

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:

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:

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:

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:

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:

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:

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:

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:

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:

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

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