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CNO CFO CMO COO CEO Chairman

Title: Sample Status One Page Report for Board Sign-Off

Problem Statement Root Cause Countermeasure R Status

Not started
Completed In Process Past Due
per plan

People Quality Service Finance Growth

Implemented Actions Total Effect Critical Action Next 30 Days R When Status

Top Improvement Winner:

Description:
Other Comments/Recommendations/Future Considerations:
Name:___________________
Dept:___________

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