Countermeasure Sheet Group: Date: Page of

KPI or Improvement Objective: Supporting Data

Problem Statement:

Gap Analysis
Target: Actual: Gap:
Root Causes Impact Paste run chart of KPI or other backgroud data here

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Paste supporting data (i.e. Pareto chart) here
5.

Notes:

Countermeasure Owner Due Date Status Impact

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Countermeasure Owner: Total Impact: