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ACTION PLAN PROFORMA

Name
:
Name of Supervisor:
Date
:
Are you implementing this Action Plan individually or as part of a group?
individually
as part of a group – if so, please provide names of other group members below
Numbe
r
1
2
3
4
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Names of other group members

Describe a situation or issue within your organization which you could change or improve by
implementing an Action Plan

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What is your Action Plan title?

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What would be the benefits/ outcomes of your Action Plan?

4

Show how your Action Plan meets SMART criteria

Specific
Measurabl

What specific activities will you personally undertake in implementing
your Action Plan?

How will you measure the success of your Action Plan – How many
people? How long? How many things produced? What percentage
change achieved?

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PO Box 1073 Flagstaff Hill 5159 South Australia Ph: +61 401 126 379

RTO 40169

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ACTIVITIES 1st 2nd 3rd 4th month month month month 5th 6th month month 1. Implementation 4.2 ………………………………… 4.2 ………………………………… 2.Why are you confident that your Action Plan will be achieved? Achievable Relevant How is your Action Plan relevant to (a) your organization (b) your job (c) this training? Why is this a good time to implement your Action Plan? Timely 5 Use the format below to show:  The activities you will carry out  When you will start and complete these activities For group Action Plans write the initials of group members responsible for each activity. PO Box 1073 Flagstaff Hill 5159 South Australia Ph: +61 401 126 379 RTO 40169 2 .2 ………………………………… 3.1 ………………………………… 2.2 …………………………………. Preparations 3. Supervisor’s Approval 2. Draft Action Planning 1.1 ………………………………… 3. 1.1 ………………………………….1 ………………………………… 4.

1 ………………………………….5. Finalisation and repetition 5. gender awareness and change management Good governance Gender awareness Change management PO Box 1073 Flagstaff Hill 5159 South Australia Ph: +61 401 126 379 RTO 40169 3 . In which ways will your Action Plan contribute to good governance. 5.2 ………………………………… 6 What resources do you need to support your Action Plan and how will you obtain these resources? 7 Identify any constraints to implementation of your Action Plan? How will you overcome them? 8.

PO Box 1073 Flagstaff Hill 5159 South Australia Ph: +61 401 126 379 RTO 40169 4 .