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A3 Final Template

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Project Name:
Insert Project name here
Scope:
Goal Statement:
Improvement Breakthrough
Agency Name:
Date:
Insert Agency Name
Insert revision date


Organization/Resources:
Insert team member names and roles for the project. Insert roles in parenthesis after the name. Include A3 Sponsor and Owner. E.g. Shaun Walker (Sponsor), Jane Parson (Owner), Fred Strong (team member),Sally Frank (support member)
MeetingCadence:
Insert date/time forregular meeting
1. PURPOSE (PLAN)
3. STRATEGY (DO)
Problem Statement:
2. ANALYSIS (PLAN)
4. RESULTS & ISSUES (CHECK)
5. STANDARDIZE & SUSTAIN (ACT)
Display the results in a format that best indicates progress towards your goal e.g., trend charts. State the project status including any new issues or countermeasures, and any significant improvements.
Include information on how you intend to sustain results such as following standard work and monitoring results to ensure success is sustained.
Document the countermeasure strategy and actions that will address the issues and lead to improvement. Base action on data from the understanding of the background/current situation and metrics/analysis. What are the options for addressing gaps and improvement performance in the current situation to address your top issues? State how your proposed actions will address the specific causes of the gaps or constraints identified in your analysis.
Define the metric-based improvement objective in the form “ X (current condition) to Y (required condition) by when.
Document a clear and concise problem statement. Do not use acronyms or jargon. Identify customer and include the current performance level as applicable.
Define the bounds of the project including the beginning / end steps, clarifying what is “In” scope and what is “Out” of scope.

Click on text box and enter an “x” by the type of project
Present the relevant data, background/current situation information and associated analyses that point to the primary improvement opportunities that will be leveraged. Use the problem solving analysis tool that will show cause and effect down to root cause(s) e.g., 5 why’s, process flow, brainstorming, data analysis,pareto. Indicate which tools were used that contributed to the team’s understanding. Communicate discovery of possible root cause factors. List the top issues that need to be addressed by the project.
Customize thistableas needed for yourproject. As a minimum, include the action, owner, due date,actionstatusand % complete.If the due date changes, update column with new date and make note of why it changed inactionstatus.
Insert action item #
See Slide 2 for blank form
INSTRUCTIONS
A3 Project Form Final 10.25.17
Project Name:
Scope:
Goal Statement:
Improvement Breakthrough
Agency Name:
Date:


Organization/Resources:
MeetingCadence:
1. PURPOSE (PLAN)
3. STRATEGY (DO)
Problem Statement:
2. ANALYSIS (PLAN)
4. RESULTS & ISSUES (CHECK)
5. STANDARDIZE & SUSTAIN (ACT)


A3 Project Form Final 10.25.17

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A3 Final Template