Problem Worksheet

Problem Statement:

What is affected by this problem?

Who is affected by this problem?

  • Safety
  • Quality
  • Productivity
  • Morale
  • Individual
  • Team
  • Company
  • Customers

Objective: What are you trying to accomplish? (outcomes)

Facts:

Use 5-Why’s worksheet to validate information (if needed), check for Fact-Opinion-Guess

Attach documents, supporting evidence

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Notes:

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