Title
Owner :
1.0 Background
Q1) Is there a clear theme for the application case that reflects the contents?
Q2) Is the topic relevant to the organizations objectives?
Q3) Is there any other reason for working on this topic (e.g., learning purposes)?
2.0 Current Condition :
Q1) Is the current condition clear and logically depicted in a visual manner?
Q2) How could the current condition be made more clear for the audience?
Q3) Is the current condition depiction framing a problem or situation to be resolved?
Q4) What is the actual problem in the current condition?
Q5) Are the facts of the situation clear, or are there just observations and opinions?
Q6) Is the problem quantified in some manner or is it too qualitative?
Rev No :
3.0 Goals / Targets :
Q1) Is there a clear goal or target?
Q2) What, specifically, is to be accomplished?
Q3) How will this goal be measured or evaluated?
Q4) What will improve, by how much, and when?
4.0 Analysis :
Is the analysis comprehensive at a broad level?
Is the analysis detailed enough and did it probe deeply enough on the right iss
Is there evidence of proper five-whys thinking about the true cause?
Has cause and effect been demonstrated or linked in some manner?
Are all the relevant factors considered (human, machine, machine, method, env
Q6) Is the problem quantified in some manner or is it too qualitative?
 Title
Date : Project No.-
5.0 Proposed Counter - measure & Plan
Q1) Are there clear countermeasures steps identified?
Q2)Do the countermeasures link to the root cause of the problem?
Q3)Are the countermeasures focused on the right areas?
Q4) Who is responsible for doing what, by when (is 5W1H clear)?
Q5)Will these action items prevent recurrence of the problem?
Q6)Is the implementation order clear and reasonable?
Q6)How will the effects of the countermeasures be verified?
Q7) How did you ensure the action is 'Fail Proof', 'Fail safe' and 'Fail soft'.

6.0 Confirmation of effect:

Q1)How will you measure the effectiveness of the countermeasures?
ply enough on the right issues? Q2)Does the check item align with the previous goal statement?
the true cause? Q3)Has actual performance moved in line with the global statement?
n some manner? Q4)If performance has not improved, then why? What was missed?
hine, machine, method, environment, measurement, and so on)?
7.0 Follow up :
Q1) What is necessary to prevent recurrence of the problem?
Q2)What remains to be accomplished?
Q3)What other parts of the organization need to be informed of this result?
Q4) How will this be standardized and communicated?
 Project No.-
asure & Plan
asures steps identified?
nk to the root cause of the problem?
ocused on the right areas?
ng what, by when (is 5W1H clear)?
vent recurrence of the problem?
r clear and reasonable?
countermeasures be verified?
tion is 'Fail Proof', 'Fail safe' and 'Fail soft'.

iveness of the countermeasures?

the previous goal statement?
in line with the global statement?
ed, then why? What was missed?
ecurrence of the problem?
hed?
ation need to be informed of this result?
and communicated?
 Title
Owner : Rev No :
1.0 Background 3.0 Analysis and proposal
Q1)Is there a clear goal or target?
Q1)Is there a clear theme for the report that reflects the contents? Q2)What specifically is to be accomplished?
Q2)Is the topic relevant to the organizations objectives? Q3)How will this goal be measured or evaluated?
Q3)Is there any other reason for working on this topic (learning purposes) ? Q4)What will improve by how much and when?
Q5)Is the analysis detailed enough and did it probe deeply enough on the right
Q6)Has cause and effect been demonstrated or linked in some manner?

2.0 Current Condition : 4.0 Unresolved issues (optional)

Q1)What information does the audience need to find my proposal compelling? Q1)What problems or constraints might exist?
Q2)Is the current condition clear and logically depicted in a visual manner? Q2)What needs to be considered but cannot be resolved for the moment?
Q3)How could the current condition be made clearer for the audience? Q3)What remains to be discussed about this topic?
Q4)Does the current condition frame the problem or situation clearly, accurately, and
objectively?
Q5)Is the problem quantified in some manner or is it too qualitative?
Q5)Is the problem quantified in some manner or is it too qualitative?
 Title
Date : Project No.-
5.0 Implementation schedule
Q1)Are any key activities or steps missing?
Q2)Is the implementation schedule clear and reasonable?
Q3)How will the effects of implementation be verified?
Q4)How will a reflection meeting be held and when?
deeply enough on the right issues? Q5)What budget or timing constraints exist?
d in some manner?

6.0 Overall -
Q1) Who is the audience? Does this report give them all the information necessary to make a
ved for the moment? good decision?
Q2) What personnel are affected by this proposal? Have they all been consulted?
Q3) Is the report clean, neat, and organized with good flow?
Q4) Is it readable and aesthetically pleasing?
Q5) Would I approve this proposal based only on the information contained in it?
Q5) Would I approve this proposal based only on the information contained in it?
 Project No.-
e
missing?
clear and reasonable?
ntation be verified?
held and when?
nts exist?

s report give them all the information necessary to make a

this proposal? Have they all been consulted?

ganized with good flow?
pleasing?
based only on the information contained in it?

Owner :
1.0 Background
Q1)Is the theme of the project clearly stated?
Q2)Does the project relate to the goals to the company?
Q3)Is the reason why the project was undertaken clear ?
Q4)What other information might be useful for the audience?
2.0 Current Condition :
Q1)Is the current condition clear and logically depicted in a visual manner?
Q2)Does it clearly show the progress been made or what specific action has been taken?
Q3)Does the current condition frame the problem or situation clearly, accurately, and
objectively?
Q4)Is the current condition quantified in some manner or is it too qualitative?
Title
Rev No :
3.0 Results:
Q1)What results have been obtained in the project so far?
Q2)Are the results clearly indicated and quantified in some manner?
Q3)Has improvement actually taken place?
Q4)Are these the right metrics to show that improvement has been made?
Q5)What else might explain the change in the metrics?
Q6)Have any areas been adversely affected by the changes?
Q7)For areas where improvement is not as great as expected, is it clear why or
4.0 Unresolved issues/ Follow up action items :
Q1)What remaining problems exist in the project?
Q2)What needs to be done to achieve progress as planned?
Q3)What other items need to be conducted to sustain the gains and ensure suc
Q4)What else needs to know about the result?
 Title
Date : Project No.-

o far?
some manner?

ment has been made?

s?
hanges?
expected, is it clear why or why not?

tems :

anned?
n the gains and ensure success?
Project No.-