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PDCA Template
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Date: Team Member: Department:
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1: PlanProblem describe and quantifyIdentify Root Cause of Problem using the 5 whysCounter-Measures
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Was the standard being followed? Yes No □Why?Option One
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Why?Pros / Benefits:Cons / Challenges:
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Why?Option Two
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Why?Pros / Benefits:Cons / Challenges:
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Goal Why?Option Three
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specific, measurable, achievable, results-focused, time-bound
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Root CausePros / Benefits:Cons / Challenges:
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2: DoContainment immediate actionImplementation Tasks for Long-Term Counter-Measure Criteria to Determine Effectiveness cost, time spent, manpower, etc.
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TaskAssigned ToDeadlineCompleted?
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3: CheckTest ResultsDid your plan succeed or fail? show back-up dataAreas for Improvement
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4: ActWill tested solution become new standard, or do you need to test alternative solution?Implementation Tasks for Establishing Standard
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TaskAssigned ToDeadlineCompleted?
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Notes or Comments:
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